Cited by 30Stroke Rehabilitation and RecoveryMedical Practices and RehabilitationNursing care and research

The DOI matches its Crossref record; 18 of the 19 references it cites were found in a registry or an index.

Application effect of the hospital-community integrated service model in home rehabilitation of stroke in disabled elderly: a randomised trial

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Feng, Weijiao, Yu, Hui, Wang, Jun, Xia, Jingfang·2021·Annals of Palliative Medicine

Abstract

BACKGROUND: Disabled elderly with stroke usually have difficulty in obtaining professional rehabilitation intervention after being discharged from the hospital, and their self-health management ability is low, so their illness is prone to relapse. The hospital community-integrated service model (HCISM) is a scientific model designed to meet the needs of home care after discharge from the hospital, improve the quality of life of patients after discharge from the hospital, ease the burden on the family, and improve the service capabilities of community medical staff. The purpose of this study is to explore the effect of HCISM in home rehabilitation of stroke disabled elderly. METHODS: From September 2019 to September 2020, 120 the disabled elderly patients with stroke admitted to Affiliated hospital of Jiangnan University were selected and divided into two groups with a random number table method, with 60 cases in each group. Both groups underwent home rehabilitation after discharge, the control group was given routine intervention, and the observation group was given HCISM intervention. The changes of self-care ability, compliance behavior, self-efficacy, and adverse mood before and after intervention were compared between the two groups. RESULTS: The modified Barthel Index (MBI) score of the observation group after 3 months of intervention was higher than that of the control group (P<0.05). In the observation group, the changes in the proportion of medication, reasonable diet, moderate exercise, and regular return visits after 3 months were higher than those in the control group (P<0.05). The General Self-efficacy Scale (GSES) score of the observation group was higher than that of the control group after 3 months of intervention (P<0.05). Zung's Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores in the observation group were low after 3 months of intervention than those in the control group (P<0.05). CONCLUSIONS: HCISM applied to the home rehabilitation of the disabled elderly patients with stroke can improve life self-care ability and self-efficacy, improve medical compliance behavior, and reduce negative emotions, thus making it worthy of further promotion.

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Crossref · 10.21037/apm-21-602

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Metadata

Authors
Feng, W., Yu, H., Wang, J., & Xia, J.
Affiliations
Wuxi Fourth People's Hospital (CN)
Venue
Annals of Palliative Medicine
Published
2021-04
Volume
10
Issue
4
Pages
4670-4677
ISSN
  • 2224-5820 (ISSN-L)
  • 2224-5839
OpenAlex
W3158382936
Cited by
30
References
19
Citations by year
2026: 5 · 2025: 8 · 2024: 12 · 2023: 1 · 2022: 3 · 2021: 1
FWCI
2.24
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Annals of Palliative Medicine (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
  • Health Sciences › Nursing › Research and Theory › Nursing care and research
Keywords
stroke rehabilitation, home-based rehabilitation, older adults with disabilities, self-care ability, self-efficacy, medication adherence, anxiety and depression, post-discharge care
MeSH terms
Stroke Rehabilitation, Activities of Daily Living, Aged, Hospitals, Humans, Quality of Life, Stroke

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