Publication: Factors related to community participation by stroke victims six month post-stroke
Issued Date
2011-07
Resource Type
Language
eng
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Mahidol University
Rights Holder(s)
Faculty of Tropical Medicine Mahidol University
Bibliographic Citation
The Southeast Asian Journal of Tropical Medicine and Public Health. Vol.42, No.4 (2011), 1005-1013
Suggested Citation
Chutima Jalayondeja, Jaranit Kaewkungwal, Sullivan, Patricia E., Samart Nidhinandana, Sopa Pichaiyongwongdee, Sutthi Jareinpituk Factors related to community participation by stroke victims six month post-stroke. The Southeast Asian Journal of Tropical Medicine and Public Health. Vol.42, No.4 (2011), 1005-1013. Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/10386
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Title
Factors related to community participation by stroke victims six month post-stroke
Abstract
Participation in the community socially by stroke victims is an optimal
outcome post-stroke. We carried out a cohort study to evaluate a model for community
participation by Thai stroke victims 6 months post-stroke. Six standardized instruments were used to assess the patient’s status 1, 3 and 6 months after stroke. These were the modified Rankin Scale, the National Institute of Health
Stroke Scale, the Fugl-Meyer Assessment and the Berg Balance Scale. The performance
of activities of daily living and community ambulation were measured using the Barthel Index and walking velocity. Participation in the community was measured by the Stroke Impact Scale. The outcomes demographics and stroke related variables were analyzed using the Generalized Estimating Equations.
Of the 98 subjects who completed the follow-up assessment, 72 (86.5%) felt they had more participation in the community 6 months post-stroke. The level of disability, performance of independent activities and length of time receiving physical therapy were associated with the perceived level of participation in the
community among stroke victims 6 months post-stroke. To achieve a goal of good
participation in the community among stroke victims, health care planning should
focus on improving the stroke victim’s ability to independently perform daily activities. The average length of physical therapy ranged from 1 to 6 months, at 3 to 8 hours/month. Clinical practice guidelines should be explored to optimize participation in the community.