Effectiveness of Home-based Rehabilitation Program Services on Improving the QoL of Post-stroke Patients Post the Covid-19 Pandemic in Malang City
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Abstract
Introduction: Patients suffering from a stroke undergo emotional and personality changes, which might affect their cognitive impairment, while home-based rehabilitation is an alternative rehabilitation service that provides remote rehabilitation supervision and removes access constraints, particularly during the Covid-19 (coronavirus disease-2019) epidemic. Thus, the purpose of this study is to assess the impact of home-based rehabilitation program services on post-stroke patients' quality of life (QoL) following the Covid-19 pandemic. Materials and methods: Using a prospective longitudinal study design, this research tracked the patient's post-stroke status over three months (June–September 2022). Purposive sampling was used to choose participants, and 84 recruited participants who satisfied the inclusion criteria were included. During three months, the participants received home-based rehabilitation program intervention five times a week for thirty minutes per session. Evaluation assessments were made during baseline (T0), 1st follow-up (T1), and 2nd follow-up (T2). These assessments are used to ascertain the patient's progress. The SF-36 (36-item Short Form Survey) questionnaire and a sociodemographic questionnaire (age, gender, BMI, and education level) were used as research instruments. Data analysis used were the One-Way ANOVA test and Post-Hoc test to find out significant differences between 2 treatments (p<0.05). Results: Based on One-Way ANOVA resulted that respondents experienced significant improvements (p<0.05) regarding the assessment of 8 domains of QoL during observations at T0, T1, and T2. Conclusion: The results of this research are highly recommended for the management of the elderly and post-stroke health management to integrate home-based rehabilitation services for post-stroke patients.
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