The  ผลของโปรแกรมการพยาบาลที่เน้นการฟื้นฟูการทำหน้าที่ด้านการรู้คิดต่อความสามารถในการปฏิบัติกิจวัตรประจำวันในผู้ป่วยโรคหลอดเลือดสมองตีบ

Sujittra Sachmanan; Rapin  Polsook

Authors

Sujittra Sachmanan Faculty of Nursing, Chulalongkorn University, Bangkok
Rapin Polsook Faculty of Nursing, Chulalongkorn University, Bangkok

Keywords:

rehabilitation, cognitive function, daily life activities, ischemic stroke patients

Abstract

The purpose of this quasi-experimental study, divided into pre- and post-experimental testings, was to determine the effect of rehabilitation nursing care focusing on cognitive function programs on daily life activities among ischemic stroke patients. The sample was 48 ischemic stroke patients who were recruited from inpatients at Wachira Hospital. The control group (n=24) and experimental group (n=24) were matched by gender and age. The experimental group attended the rehabilitation nursing care focusing on cognitive function programs for six weeks and the control group received conventional care. The instruments for collecting data were the socio-demographic profile and functional independence measurement to quantify daily life activities, and the monitoring of daily cognitive function practices by using a daily diary recording cognitive functions. Its Cronbach’s Alpha Coefficient was at .87 and the program found high congruence (100%) between the intervention protocol and the actual implementation. Data were analyzed using descriptive statistics and a t-test.

The results revealed that the mean score for carrying out daily life activities in ischemic stroke patients after attending the program was significantly higher than before attending the program (t = 29.4, p = .000). The mean score for carrying out daily life in the experimental group who attended the program was also significantly greater than the control group (t = 5.3, p = .000).

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