運用多元策略提升腦中風急性後期病人自主復健運動執行率

Using Multiple Strategies to Improve the Execution Rate of Self-rehabilitation Exercise in Patients with Post-acute Stroke

早期復健介入有助急性腦中風病人身體功能恢復及減少失能，本專案建構「標準化照護指引」、「資訊化提示會診作業」、「多媒體復健教學影帶」及「客製復健日程表」等多元策略，提升腦中風病人自主復健運動執行。結果顯示病人自主復健執行率由37%提升至97%、復健評估及治療比率94.6%提升至97.5%、病人及照顧者復健指導滿意度70%提升至95.2%，附加效益為病人出院復健整體恢復功能(MRS)由3分降至2分(中度→輕度失能)；亦因流程簡化後，病人平均住院天數由7天降至6.8天，整體成效顯著。謹以此經驗分享並增強病人及其照護者共同參與復健作業降低肢體失能，維持良好生活品質。

This project aims to improve the execution rate of rehablitation exercise for patients with acute stroke, To increase post-stroke self-rehabilitationt rate, we use varieties of strategieslike construction of standardized care guidelines,rehabilitation exercise multimedia video tapes and customized personal ehabilitation programs, The results revealed that patients' self-rehabilitation rate increased from 94.6% to 97.5%,and patients' and caregivers' satisfaction with rehabil-itation exercise guidance increased from 70% to 95.2%, In-addition, the modified rankin scale (MRS) at discharge decreased one point (from threepoints to two points) and the duration of hospitalizetion also decreased one day (from seven days to six days), Inconclusion, the results revealed reducing the degree of post-stroke physical disability and great improvement of overallquality of nursing care following early post-stroke rehabilitation.