Factors and Preferences in Patient Selection of Rehabilitation Care Following Acute Stroke
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Patient preferences questionnaire
研究概览
简要总结
Background and Purpose Patients with stroke have to receive the rehabilitation care after medical condition has stabilized. In recent years, the long-term care policy offers more options available for rehabilitation care after stroke. However, the selection of care is mainly based on physcicians' advice. This study explores the factors and preferences in patient selection of rehabilitation care following acute stroke, in order to help clinical health professionals incorporate patients' preferences in patient-centred care to properly arrange the stroke rehabilitation care.
Methods This is a cross-sectional and predictive study. Purposive sampling of patients surviving acute stroke is taken in the general ward of a medical center in northern Taiwan. Data are collected with patients' characteristics, National Institutes of Health Stroke Scale (NIHSS), Barthel Index (BI), Modified Rankin Scale (mRS), and factors and preferences in patient selection of rehabilitation care questionnaire. Data are analyzed using IBM SPSS 26.0 for windows. Demographic and clinical characteristics, family support systems and health care systems are compared between patients' preference in the selections of rehabilitation care. Variables with p < .05 are included as potential predictor variables in the subsequent logistic regression analysis. The level of statistical significance is set at α=0.05.
Expected results Demographic and clinical characteristics, family support systems and health care systems are expected as potential predictors of patients' preference in the selection of rehabilitation care.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age≧18 years old.
- •Patients with stroke (International Classification of Disease, ICD 10th edition I60-I68, G45-G46) diagnosed by physicians within 2 weeks after the onset of stroke, including the first and second strokes.
排除标准
- •Those with a score of 5 on the Modified Rankin Scale (mRS).
- •Those who have been accepted as research subjects have been admitted to hospital again for stroke.
- •People living in rehabilitation wards.
- •Those with unstable vital signs.
- •Those receiving palliative care or care.
- •Patients or family members who cannot communicate in Chinese or Taiwanese.
结局指标
主要结局
Patient preferences questionnaire
时间窗: 2025/1/31
Patient preferences include：post-acute care, inpatient rehabilitation, outpatientrehabilitation, reablement at home.
次要结局
- Patients' characteristics(2025/1/31)
- Stroke severity(2025/1/31)
- Activities of Daily Living(2025/1/31)
- Level of post-stroke functional independence(2025/1/31)
- Factors and preferences in patient selection of rehabilitation(2025/1/31)
- social circumstances(2025/01/31)