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【論文摘要】Functional Improvement After Post-Acute Care Program for Stroke: A Retrospective Study at Chi Mei Medical Center, Liouying

【論文摘要】中風急性後期照護後之功能性進步:以柳營奇美醫院為例之回顧性研究

摘要


Background and Purpose: Patients with stroke usually have functional disability after acute medical treatment, furthermore would have great burden or dependent on the care of health care system, family and society. Therefore, Taiwan's National Health Insurance (NHI) launched a post-acute care (PAC) program in 2014 in regional or community hospitals, mainly at maximizing functional progress, reduce disability and decrease the subsequent medical expenses. The purpose of this study was to explore the initial achievement of functional improvement in patients who received PAC in 2017 at a Southern Taiwan regional hospital. Methods: This was a retrospective study conducted at Chi Mei Medical Center, Liouying. The basic hospitalization data and scores of functional activity performance (Barthel Index [BI] and Berg Balance Scale [BBS]) at admission and before discharge were recorded. Results: This study collected complete data from a total of 45 patients received PAC in 2017. Of the patients, 64.44% were male and the average age was 62.47 years. The mean days after stroke were 17.98 d. After the program, patients show significant improvement in the Modified Rankin Scale (MRS), BI and BBS. The mean scores of BI and BBS at admission were 38.44 and 18.33, before discharge the scores were 64.33 and 34.31, respectively. Further, one of the patients could do the activities of daily living independently before discharge. Conclusion: This study showed that the PAC program could effectively promote stroke patients' functional recovery during the post-acute phase and thus reduce the burden on caregivers. Clinical Relevance: Our results gave an evidence that stroke patients who have the potential for functional recovery can be suggested to receive the PAC program after discharge from acute wards in the regional or community hospital to maximize the recovery of functional activities.

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