Development of a Care Model for Stroke Patients during Rehabilitation Song Phi Nong Hospital.

Abstract

      This research and development aimed to develop a care model for stroke patients during rehabilitation at Song Phi Nong Hospital. Participants were selected using a purposive sampling technique: 127 stroke patients during rehabilitation. The research instruments were: 1) A behavior, 2) ADL evaluation 3) the feasibility assessment form of the care model's implementation. The data were analyzed by descriptive statistics and inferential statistics.

      The results showed that the a Care Model for Stroke Patients during Rehabilitation included two main categories: 1) Process of a Care Model for Stroke Patients during Rehabilitation of Care from Hospital to the community 2) Developing competence based on the model by Bandura after Implementing the model, small and large experiments were considered. 1) Self-care behaviors were observed frequently every time. Overall, all patients exhibited self-care behaviors at a similar level of frequency. (= 4.24, SD = 3.00), (= 4.10, SD = 2.71) 2) ADL level (= 17.13, SD = 3.64), (= 18.11, SD = 2.47) and the ADL level is higher before a model the difference is statistically significant (p<0.001). Regarding complications, the small experimental group experienced recurrent complications in 12.50% of cases, with the majority (62.50%) not readmitted. Pneumonia and diabetic ulcer infections occurred in equally high rates (12.50%), and medication non-adherence was observed in 25.00% of cases. The large experimental group only experienced pneumonia (5.26%), diabetic ulcer infections (10.53%), and urinary tract infections (5.26%).