Korean J Rehabil Nurs.  2003 Dec;6(2):213-225.

The Effects of the Health Promotion Program on Functional Status of the In-house Stroke Patients

• Bak HK

Abstract

The purpose of this study is to develop and evaluate the health promotion program to increase the functional status of the in-house stroke patients. The subjects for the experiment are 38 in-house stroke patients in a health center and welfare centers suffering from hemiplegia. The experimental group consists of 19 stroke patients and the control group consists of another 19 stroke patients. The program was applied to the experimental group for 8 weeks. The subjects were given health education at the first week. At the second and the fifth week they were given counselling on health by home visit. At the third. the fourth. the sixth and the seventh week they were interviewed by phone about health, and at the last week they shared their experiences through group meeting. The results of the study are as follows: 1. The degree of ADL in the experimental group increased significantly. compared with that of the control group. 2. In the experimental group the degree of Range of Motion in shoulder abduction, elbow flexion, hip flexion and ankle dorsiflexion increased significantly, compared with that of the control group. 3. In the experimental group the degree of muscle strength in elbow flexion. knee extension, and ankle dorsiflexion increased significantly, compared with that of the control group. 4. Systolic pressure, diastolic pressure in the experimental group decreased significantly. compared with that the control group. 5. HWR in the experimental group didn't decreased significantly. compared with that the control group. 6. The degree of depression in the experimental group decreased significantly. compared with that the control group. 7. The degree of social adaptation in the experimental group increased significantly. compared with that the control group. The results above show that the health promotion program for this study was effective in promoting the performance of lifestyle for health improvement of the in-house stroke patients. Therefore. it is considered that the program can be used as an efficient nursing intervention for the in-house stroke patients who need continuous health-improving behaviors.

MeSH Terms

Activities of Daily Living
Ankle
Blood Pressure
Depression
Elbow
Group Processes
Health Education
Health Promotion*
Hemiplegia
Hip
House Calls
Humans
Knee
Life Style
Muscle Strength
Nursing
Range of Motion, Articular
Shoulder
Stroke*