The effects of home nursing program intermediate care of patients with stroke on the occurrence of complications patients in the community area of Mueang Ratchaburi District

Abstract

        This quasi-experimental research aimed to compare complications in patients with mid-stage stroke between a group that received regular home nursing care and a group that received a home nursing program for intermediate care of patients with stroke. The sample group consisted of stroke patients admitted to Ratchaburi Hospital. Divided into an experimental group and a control group, each group had 30 patients. The research instrument were patient information record form and home nursing program for mid-term care of patients with stroke, consisting of 2 steps: 1) before the patient was discharged. Evaluate patients and families To plan before selling 2) steps after selling It is a total of 4 home visits, within 2 weeks, 2, 4, and 6 months, respectively. Passed a content validity check from 3 experts, obtained an index of consistency (IOC) between .67-1.0 and a confidence value of .843. Data were analyzed using percentages, means, standard deviations, t-test, and chi square test.

        The results showed that 6 months after discharge, the experimental group had significantly fewer complications than the control group. The experimental group did not develop complications from pneumonia from aspiration and joint stiffness. 3.30% had urinary tract infections and 3.30% pressure ulcers. In the control group, 6.70% had complications from aspiration pneumonia, 10.00% had joint stiffness, and 13.30% had urinary tract infections. and pressure ulcers, 16.70%.