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基于安卓系统的家庭康复在印度尼西亚亚齐省当地政府医院脑卒中患者独立性提升中的应用。

Home rehabilitation using android-based system as booster on the independences of stroke patients in local government hospital in Aceh, Indonesia.

机构信息

Department of Nursing, Faculty of Nursing, Syiah Kuala University.

Department of Medical Science, Faculty of Medicine, Syiah Kuala University, Banda Aceh, Indonesia.

出版信息

Acta Biomed. 2023 Apr 24;94(2):e2023083. doi: 10.23750/abm.v94i2.13605.

Abstract

BACKGROUND AND AIM

The independence of stroke patients played the main role in not only preventing the asymptomatic attacks which delayed assistance but also enhancing their quality of life by reducing their dependence on family members or caregivers. However, the inaccessibility and expense of treatment prevented stroke patients from continuing their rehabilitation and exercise after returning home. Thus, the purpose of this study was to provide an efficient system for alternative home rehabilitation to boost the self-care Independence of stroke patients by designing Android-based home rehabilitation.

METHODS

The quantitative research was conducted using a non-randomized trial where the patients were purposively sampled. 70 participants were joined and divided into two groups: the control and intervention groups. The intervention group will have SIMTROKE application on their smartphone as the home rehabilitation process where control group would not have SIMTROKE installed. The effect of home rehabilitation was assessed by univariate, bivariate analysis and the correlation matrix to analyze home rehabilitation effect to the participants' self independences.

RESULTS

The result showed that the independent intervention in post-stroke patients has a significant effect on increasing the independence of stroke patients to improve their quality of life of stroke patients. The highest improvements were found in urination and toileting followed by defecation, dressing, active and phase motion range, self-care, stepping to stairs, mobilization, showering, and eating abilities.

CONCLUSIONS

The result proved that home rehabilitation utilizing an Android-based system could be employed as an alternate method to assist stroke patients in improving their independence and quality of life. (www.actabiomedica.it).

摘要

背景与目的

脑卒中患者的独立性不仅对防止无症状发作(这些发作可能会延误治疗)起到主要作用,而且还可以通过减少对家庭成员或护理人员的依赖来提高他们的生活质量。然而,治疗的不可及性和费用使得脑卒中患者在返回家中后难以继续进行康复和锻炼。因此,本研究旨在通过设计基于 Android 的家庭康复,为脑卒中患者提供一种有效的替代家庭康复系统,以增强他们的自我护理独立性。

方法

本研究采用非随机试验的定量研究方法,通过目的性抽样选择患者。共纳入 70 名参与者,并将他们分为两组:对照组和干预组。干预组将在智能手机上使用 SIMTROKE 应用程序作为家庭康复过程,而对照组则不会安装 SIMTROKE。通过单变量、双变量分析和相关矩阵分析家庭康复对参与者自我独立性的影响,评估家庭康复的效果。

结果

结果表明,对脑卒中后患者进行独立干预对提高脑卒中患者的独立性、改善其生活质量有显著效果。在提高脑卒中患者的独立性方面,最高的改善是在排尿和如厕方面,其次是排便、穿衣、主动和被动运动范围、自我护理、上下楼梯、移动、洗澡和进食能力方面。

结论

研究结果证明,利用基于 Android 的系统进行家庭康复可以作为一种替代方法,帮助脑卒中患者提高其独立性和生活质量。(www.actabiomedica.it)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee5d/10210552/26b66d543f98/ACTA-94-83-g001.jpg

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