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Impact of Interprofessional Collaborative Practice on Functional Improvements Among Post-Acute Stroke Survivors: A Retrospective Cross-Sectional Study.

作者信息

Chen Tsen-Pei, Lin Ying-Jia, Wang Yu-Lin, Wu Li-Min, Ho Chung-Han

机构信息

Department of Nursing, Chi Mei Medical Center, Tainan City, Taiwan.

School of Nursing, Kaohsiung Medical University, Kaohsiung City, Taiwan.

出版信息

J Multidiscip Healthc. 2024 Aug 13;17:3945-3956. doi: 10.2147/JMDH.S467777. eCollection 2024.


DOI:10.2147/JMDH.S467777
PMID:39161540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11331037/
Abstract

BACKGROUND: Stroke survivors in post-acute care frequently experience physiological dysfunction and reduced quality of life. This study aims to assess the impact of the Post-Acute Care Interprofessional Collaborative Practice (PAC-IPCP) program across different care settings, and to identify sensitive tools for assessing physiological functions among post-acute stroke survivors. METHODS: This retrospective study involved 210 stroke survivors in Taiwan. Participants who self-selection for their preferred between hospital care setting and home care setting under PAC-IPCP. Multiple assessment tools were utilized, including the Barthel Index (BI), Functional Oral Intake Scale (FOIS), Mini Nutritional Assessment (MNA), EQ-5D-3L, and Instrumental Activities of Daily Living (IADL). The logistic regression was used to estimate the odds ratios of various functional assessment tools between hospital and home care settings. Additionally, the area under the ROC curves was used to determine which functional assessment tools had higher accuracy in measuring the association between care settings. RESULTS: Of the study population, 138 stroke survivors (65.71%) selection hospital care setting and 72 stroke survivors (34.29%) selection home care setting. The PAC-IPCP program was equally effective in both care settings for physical function status and quality of life improvements. Specifically, the BI emerged as the most sensitive tool for assessing care settings, with an adjusted OR of 1.04 (95% CI:1.02-1.07, p < 0.0001; AUC = 0.7557). IPCP-based hospital and home care models are equally effective in facilitating improved functional outcomes in post-acute stroke survivors. CONCLUSION: The PAC-IPCP program is versatile and effective across care settings. The BI stands out as a robust assessment tool for physiological functions, endorsing its broader clinical application. Future studies should also consider swallowing and nutritional status for a more holistic approach to rehabilitation.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0af6/11331037/5e9d349a1e3a/JMDH-17-3945-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0af6/11331037/8bff56c2d864/JMDH-17-3945-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0af6/11331037/7dab4e6d9e05/JMDH-17-3945-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0af6/11331037/5e9d349a1e3a/JMDH-17-3945-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0af6/11331037/8bff56c2d864/JMDH-17-3945-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0af6/11331037/7dab4e6d9e05/JMDH-17-3945-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0af6/11331037/5e9d349a1e3a/JMDH-17-3945-g0003.jpg

相似文献

[1]
Impact of Interprofessional Collaborative Practice on Functional Improvements Among Post-Acute Stroke Survivors: A Retrospective Cross-Sectional Study.

J Multidiscip Healthc. 2024-8-13

[2]
A multicenter study to compare the effectiveness of the inpatient post acute care program versus traditional rehabilitation for stroke survivors.

Sci Rep. 2022-7-27

[3]
Post-acute care for stroke - a retrospective cohort study in Taiwan.

Patient Prefer Adherence. 2017-8-1

[4]
Combined Functional Assessment for Predicting Clinical Outcomes in Stroke Patients After Post-acute Care: A Retrospective Multi-Center Cohort in Central Taiwan.

Front Aging Neurosci. 2022-6-17

[5]
Comparison of Cost-Effectiveness between Inpatient and Home-Based Post-Acute Care Models for Stroke Rehabilitation in Taiwan.

Int J Environ Res Public Health. 2021-4-14

[6]
Functional Recovery Patterns of Hemorrhagic and Ischemic Stroke Patients Under Post-Acute Care Rehabilitation Program.

Neuropsychiatr Dis Treat. 2020-8-13

[7]
An extended stroke rehabilitation service for people who have had a stroke: the EXTRAS RCT.

Health Technol Assess. 2020-5

[8]
Robot-assisted training compared with an enhanced upper limb therapy programme and with usual care for upper limb functional limitation after stroke: the RATULS three-group RCT.

Health Technol Assess. 2020-10

[9]
Functional Outcomes, Subsequent Healthcare Utilization, and Mortality of Stroke Postacute Care Patients in Taiwan: A Nationwide Propensity Score-matched Study.

J Am Med Dir Assoc. 2017-8-10

[10]
Functional outcome prediction of ischemic stroke patients with atrial fibrillation accepting post-acute care training.

Front Neurol. 2022-9-23

本文引用的文献

[1]
Inpatient Rehabilitation After Acute Severe Stroke: Predictive Value of the National Institutes of Health Stroke Scale Among Other Potential Predictors for Discharge Destination.

Adv Rehabil Sci Pract. 2023-5-20

[2]
Home-based rehabilitation versus hospital-based rehabilitation for stroke patients in post-acute care stage: Comparison on the quality of life.

J Formos Med Assoc. 2023-9

[3]
Intermittent physical recovery has similar benefits to continuous physical recovery in patients in the acute and early sub‑acute stages following a stroke.

Exp Ther Med. 2023-4-25

[4]
Predictors of Discharge Destination After Stroke.

Neurorehabil Neural Repair. 2023-5

[5]
Determining the factors influencing the selection of post-acute care models by patients and their families: a qualitative content analysis.

BMC Geriatr. 2023-3-28

[6]
Impact of Clostridium difficile infection on stroke patients in rehabilitation wards.

Infect Dis Now. 2023-8

[7]
Global stroke statistics 2022.

Int J Stroke. 2022-10

[8]
A multicenter study to compare the effectiveness of the inpatient post acute care program versus traditional rehabilitation for stroke survivors.

Sci Rep. 2022-7-27

[9]
Combined Functional Assessment for Predicting Clinical Outcomes in Stroke Patients After Post-acute Care: A Retrospective Multi-Center Cohort in Central Taiwan.

Front Aging Neurosci. 2022-6-17

[10]
Cost Utility Analysis of Multidisciplinary Postacute Care for Stroke: A Prospective Six-Hospital Cohort Study.

Front Cardiovasc Med. 2022-3-30

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