Effects of an Intermediate-Care Nursing Model on the Progressed of Barthel Activity of Daily Living Index in Hemorrhagic Stroke Patients

Abstract

This quasi-experimental research aimed to examine the effects of an intermediate-care nursing model on the progressed of barthel activity of daily living index in hemorrhage stroke patients and multidisciplinary team, and family caregivers’ satisfaction. The model was developed based on Neuroplasticity and Stroke Intermediate Care by World Health Organization theory under nursing process. Sixty stroke patients were recruited by purposive sampling, and divided into 2 groups: 30 in the experimental group and 30 in the control group. The experimental group received services based on the intermediate-care nursing model and the control group received regular nursing care serivices. The effects of the model were evaluated when the stroke patients completed the questionnaires before, two weeks, and one month after receiving the services based on the intermediate-care nursing model. Data were analyzed with descriptive statistics and repeated measures ANOVA. The results revealed that stroke patients in the experimental group had significantly higher Barthel score (activity of daily living index) than those in the control group, both at 2 weeks and 1 mouth after applying the model. However, there was no difference in multidisciplinary team satisfaction between the experimental and the control groups. In contrast, the level of satisfaction was significantly different among hemorrhagic stroke patients and family caregivers’ between the experimental group and the control group.