Study On The Status Quo And Intervention Of Assistive Products In Disabled Elders With Stroke

Objective:Adopt the method of survey to investigate the ADL and the using situation of assistive products,and further using case-control study to discuss the effect of operation guidance and health education of wheelchair on rehabilitation efficacy in disabled elders with stroke,in order to pay attention to the application of assistive products in the field of rehabilitation care,then provide a reference for optimizing rehabilitation and continuation of care.Methods:This study included 133 elderly patients with stroke who received rehabilitation from December 2015 to November 2016 during convalescence in our department by convenient sampling,the general information questionnaire and the assistive products' use status questionnaire were used to make an inventory survey upon basic data and assistive products.Except 12 cases for disabled elder stroke patients who don't use wheelchair,the intervention study included 121 patients who use wheelchair,divided into control group 61 cases and intervention group 60 cases by andomized blocks,two groups of patients had no significantly statistical difference in the general information,EDAS score and MMSE score data(P>0.05),the operation guidance and health education of assistive products were used in intervention group,and traditional health education in control group,then telephone follow-up for 3 months.The Barthel index rating scale,the body function SPPB,the social support SSRS,and the HAD scale were used to evaluate the effect of rehabilitation between two groups upon the operation guidance and health education of the mobile assistive products.Results:The survey showed totally 133 patients,male 71,female 62,age 65-89,an average of72.18 years old;24(18.05%)patients were severely disabled,75(56.39%)patients were moderately disabled and 34(25.56%)patients were mildly disabled;121(90.98%)patients using wheelchair,99(74.44%)patients were not accepted the health education of assistive products,and most patients has the potential safety hazard of the use of assistive products.Data analysis showed that the socre of ADL after the intervention is obviously higher than before the intervention for intervention group(P<0.05);After the intervention,Intervention group patients was higher than the control group on body function SPPB,social support SSRS,psychological HAD scores(P<0.05),and the difference was statistically significant in patients with different degree of disability.Conclusion:The health education of assistive products can effectively improve the clinical curative effect and the self-care ability for disabled elder stroke patients when they leaving hospital,can strengthen and deepen the importance of assistive products,can optimize the rehabilitation nursing,and at the same time provides a new way of thinking for maintaining the effect of the continuation nursing in the later stage.