We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
A PROCESS EVALUATION OF PATIENT CARE NEEDS USING THE POST-STROKE CHECKLIST: A PROSPECTIVE STUDY.
- Authors
AMATYA, Bhasker; ELMALIK, Alaeldin; Su Yi LEE; SONG, KRYSTAL; GALEA, Mary P.; KHAN, Fary
- Abstract
Objective: To assess the utility of the modified Post-Stroke Checklist (mPSC) to identify impairments and care needs of patients with stroke (PwS) in an inpatient rehabilitation setting. Methods: Prospective observational design with consecutive admission of PwS (n = 44) at a tertiary rehabilitation facility. The post-stroke checklist was administered at hospital discharge (T1) and 3 months post-discharge (T2). Furthermore, validated questionnaires assessed function and participation, including the Clinical Functioning Information Tool (ClinFIT) on admission (T0), T1 and T2. Results: Participants' mean age was 67.7 years (standard deviation; SD) 14.6), 58% of participants were female, and the mean length of inpatient stay was 32.7 days (SD 22.4). At T1, 80% and at T2 only 60% of participants reported ≥1 stroke-related problem (mean 5.3 (SD 3.3) and 3.6 (SD 2.8), respectively). Half of participants were referred to physiotherapy/occupational therapy, and 36% to specialist clinics following discharge. The most prevalent problems included: life after stroke (62.2%), fatigue (55.6%), activities of daily living, and mobility (51.1% each). Compared with T1, at T2 there was an observed reduction in all mPSC items, except pain and incontinence. Participants showed improved function at T1 and T2 (Extension Index, ClinFIT set), from T0 to T1 and T0 to T2 (p<0.001, with large effect sizes). Conclusion: The mPSC is feasible to implement in an inpatient rehabilitation setting and community. It can identify relevant stroke-related problems, and hence facilitate targeted intervention.
- Subjects
VICTORIA; EVALUATION of medical care; STATISTICS; SCIENTIFIC observation; PATIENT participation; ACQUISITION of data; ACTIVITIES of daily living; FUNCTIONAL assessment; STROKE rehabilitation; QUESTIONNAIRES; MEDICAL records; STROKE patients; PHYSICAL mobility; DESCRIPTIVE statistics; NEEDS assessment; FATIGUE (Physiology); DATA analysis; DATA analysis software; MEDICAL needs assessment; LONGITUDINAL method
- Publication
Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation), 2022, Vol 54, p1
- ISSN
1650-1977
- Publication type
Article
- DOI
10.2340/jrm.v53.349