The Outcomes of Intermediate Phase Rehabilitation in Thasala Hospital

Abstract

Background: Intermediate phase rehabilitation care for neurological patients is very important to increase the life potential of patients. The intermediate phase rehabilitation care Thasala hospital was conducted by a multidisciplinary team. We should therefore study and analyze the results in order to manage and develop the work system to be more efficient.

Objectives: To study outcomes of intermediate care service including functional gain, the effectiveness and efficiency of rehabilitation at Thasala hospital.

Materials and Methods: There was retrospective study of intermediate phase neurological patients with rehabilitation at Thasala Hospital, Nakhon Si Thammarat province during September 2018 – September 2019. Demographic data, Barthel index at admission and discharge, total time for rehabilitation and complication were extracted from medical records. Functional gain, rehabilitation effectiveness and rehabilitation efficiency were calculated.

Results: There were 68 eligible patients included in this study; 43 males and 25 females, aged 60.40 ± 16.04 years. At discharge, the BI increased with mean functional gain was 9.32 (SD 4.65), mean rehabilitation effectiveness was 80.79% (SD 29.26) and mean rehabilitation efficiency was 0.41 (SD 0.26). Average total time for rehabilitation were 28.08 (SD 17.63) times. Ten patients (14.70%) had at least one complication. The common complication were urinary tract infection, pneumonia and joint stiffness. The total time for rehabilitation was correlated with functional gain (r = 0.43, p = 0.0002).

Conclusion: Intermediate phase patients receiving rehabilitation at Thasala hospital had improvement in functional score. The total time for rehabilitation was correlated with functional gain.