264399 Impact of Community-based Rehabilitation on Activity of Daily Life for Stroke Patients in YangPu, Shanghai

Monday, October 29, 2012 : 2:54 PM - 3:06 PM

Yi Wu, MD , Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China
Weibo Lu, MD , Department of Rehabilitation Medicine, YangPu Geriatic Hospital, Shanghai 200090, China, Shanghai, China
Yin Chen, MD , Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China
Yongshan Hu, MD , Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China
Lily Hsu, RN, MSN , Gobal health Department, Project HOPE, Shanghai, China
Jiawen Zhou, MD , Gobal health Department, Project HOPE, Shanghai, China
Jiali Zhang, MD , Gobal health Department, Project HOPE, Shanghai, China
Katie Kowalski, MPH , Gobal health Department, Project HOPE, Millwood, VA
Qian Geng, MPH , Gobal health Department, Project HOPE, Shanghai, China
Objective: To investigate the impact of Community Based Rehabilitation (CBR) on Activity of Daily Life (ADL) for post-stroke patients in YangPu District, Shanghai. Background: Stroke is highly prevalent in China and a leading cause of adult disability. Rehabilitation services are recommended to recover physical function and facilitate return to employment. Methods: A total of 346 patients with stroke were consecutive enrollees in a CBR program who were randomized into the appropriate rehabilitation treatment and had remained in the program for 6 months from ten Community Health Service Centers (CHSCs). Patients for post-stroke of participants occurred 4 weeks to 12 months prior to start of the study, and an average age was 72, from 26 to 95 old. Patients received the rehabilitation treatment weekly at CHSCs, service stations or at home. The ADL evaluation using modified barthel index (MBI) were applied to measure outcomes before and after treatment. Results: The ADL scores for an evaluation of activity of daily life was significantly increased in the patients after treatment (64.62 25.24 [mean SD]; P<0.01) than in the patients before treatment (52.25 27.66). Conclusion: CBR improved ADL for stroke patients. Rehabilitation services provided by community therapists can meet the basic needs of the increasing number of patients. Implications: As the Chinese government expands support to community health systems, CBR can be integrated as a practical approach for meeting the needs of stroke patients.

Learning Areas:
Chronic disease management and prevention

Learning Objectives:
To understand how Community-based Rehabilitation can improve the quality of life and the activity of daily life for stroke patients. To know about rehabilitation services are recommended to recover physical function and facilitate return to employment. To recognize ways to enhance stroke rehabilitation for patients in the community.

Keywords: Quality of Life, Strokes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the co-principal of NCD Management Program which included several clinical researches, education and training. The first author of this article and others can't attend the conference, so I'd like to give a oral presentation on behalf of Dr. Wu.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.