Effects of Home Care Program on The Barthel Index of Activities Daily Living in Stroke Patients received service at the Family and Community Practice Groups Yangchumnoi Hospital Sisaket Province

Abstract

The Quasi experimental research purpose of  study to compare the Barthel Index of Activities  Daily Living of patients, complications of stroke patients in the experimental group and comparison group, knowledge,satisfaction relatives before and  after using home care program. The sample group was a bed stroke patient had been in bed no more than 6 months  until date of study. specific selection according to the screening criteria of  22 samples  study for 8 weeks. The instruments was continuous care program at home consisting daily rehabilitation schedules, the life  alarm clock,the manual care program for stroke patients created from  review of related  literature; namely Basic knowledge in brain rehabilitation for stroke patients Continuous care at home Control for risk factors prevent recurrence of disease and

complications.

The instruments used for data collection consisted of 3 parts: questionnaire were general information, Barthel Index of Activities of Daily Living  and  Daily evaluation form for occurrence complications of patients, knowledge relatives in care stroke patients. satisfaction of relatives to nursing receiving. questionnaires  had an average IOC of 0.91 and  reliability of the questionnaires equal 0.826(KR20)and 0.815 especially. Data were analyzed using descriptive and  test statistics. The results showed the experimental group had a different score of ability in daily activities mean scores of knowledge and satisfaction after experiment more higher than before experiment(M = -40.90, SD =22.45), (M = -3.36,SD =2.69) and (M = -.71, SD =.24) and the experimental group had different ability scores in daily activities mean  scores of knowledge and ability. The post-test satisfaction more higher than the comparison group(t =4.066, p=.001), (t =9.462, p =.000) and(t =3.253, p =.004) with statistical significance at level .05 after experiment; the experimental group had  less complications than before experiment and less than the comparison group. This research demonstrates effectiveness of continuing care program at home ability to perform daily activities of stroke patient able rehabilitate faster, Reduce complications, have better quality of life and can apply for patients other diseases