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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| acute stroke patient | If acute stroke patient test on the Short Portable Mental State Questionnaire, assessment results are cognitively complete (0-2 questions wrong) or mild (3-4 questions wrong) cognitive impairment, and the patients participate in the study with informed consent. |
| |
| acute stroke family | Family members of those with acute stroke patients are moderate (5-7 wrong answers) or severe (8-10 wrong answers) cognitive impairments assessed by the Short Portable Mental State Questionnaire (SPMSQ) participated in the study with informed consent. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| questionnaire | Other | This is a Relation Research. Use the patient decision aids for acute stroke rehabilitation, then 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 the patient selection of rehabilitation care questionnaire. |
| Measure | Description | Time Frame |
|---|---|---|
| Patient preferences questionnaire | Patient preferences include：post-acute care, inpatient rehabilitation, outpatientrehabilitation, reablement at home. | 2025/1/31 |
| Measure | Description | Time Frame |
|---|---|---|
| Patients' characteristics | Questionnaire include:gender, age, comorbidities, indwelling line, stroke type, day-onset stroke, times of stroke, pre-stroke functional level. | 2025/1/31 |
| Stroke severity |
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Inclusion Criteria:
Exclusion Criteria:
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Patients with stroke (International Classification of Disease, ICD 10th edition I60-I68, G45-G46)
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Li Ying-Ru, University | Contact | 02-23123456 | 272288 | tracy109488@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Recruiting | Taipei | Taiwan |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D057240 | Patient Preference |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
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National Institutes of Health Stroke Scale (NIHSS) The NIHSS score ranges from 0 to 42,with higher scores indicating greater severity of stroke symptoms.
| 2025/1/31 |
| Activities of Daily Living | Barthel Index (BI) It refers to the following 10 categories: feeding, bathing, grooming, dressing, bowel control, bladder control, toileting, chair transfer, ambulation and stair climbing. Items are weighted according to the level of nursing care required and are rated in terms of whether individuals can perform activities independently, with some assistance, or are dependent (scored as 10, 5 or 0). | 2025/1/31 |
| Level of post-stroke functional independence | Modified Rankin Scale (mRS). It consisted of a single item, with five grades representing no, slight, moderate, moderately severe, and severe disability. | 2025/1/31 |
| Factors and preferences in patient selection of rehabilitation | Questionnaire include: | 2025/1/31 |
| social circumstances | Questionnaire include: | 2025/01/31 |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D017060 | Patient Satisfaction |
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |