ผลของโปรแกรมพัฒนาทักษะในการช่วยฟื้นฟูสภาวะทางกายของผู้ป่วย โรคหลอดเลือดสมอง ในระยะเปลี่ยนผ่านหลังการจำหน่ายจากโรงพยาบาล เพื่อกลับไปฟื้นฟูสภาพที่บ้าน ของอาสาสมัครสาธารณสุขประจำหมู่บ้าน

บทคัดย่อ

           The purpose of this study quasi-experimental study with two group pretest-posttest design was to evaluate the effects of skills development program for village health volunteers on physical recovery of post-stroke patients during transitional period after hospital discharge for home rehabilitation. A simple random sampling was used to select VHVs in Song Phi Nong district, Suphan Buri province. The experimental group (n=28) received 2-week skill development program by applying the self- efficacy theory using a live model, educational training, demonstration and return demonstration of physical rehabilitation for post-stroke patients. The comparison group received such skill development activities at the end of the program. The data was collected using a self-administered questionnaire, at pretest-posttest and follow-up. The data were analyzed by using Chi-square, Independent T-test and Repeated Measure ANOVA.

            The results found that at posttest the experimental group had mean score of pressure sore prevention, fall prevention, mobilization, transferring and turn positioning, joint adhesion prevention, balance practice and muscle strength promotion significantly higher than the pretest and higher than that of the control group (p-value < .05). Findings suggest that the program could be applied to enhance the ability and confidence of VHVs to help restore the physical condition of post stroke patients in the community resulting in recovery to a state of normal conditions, minimize disability and dependency.