Study Of The Influence Of The Living Assistive Devices On Quality Of Life In The Elderly Stroke Patients With Hemiplegia

Objective:To explore the effects of living assistive devices on activities of daily life(ADL), self-efficacy and quality of life(QOL) in the elderly stroke patients with hemiplegia, in order to provide evidence for more effective rehabilitation therapy for clinical applications, family and society.Methods:62 elderly stroke patients with hemiplegia were adopted in this experimental research method. Those patients were randomly divided equally into two groups: intervention group and control group. Patients in the control group were treated with routine rehabilitation training, while those in intervention group received living assistive devices training in addition to routine rehabilitation training. All patients were assessed by using scale before and after intervention periods. The evaluating items included:Barthel Index(BI) scales, General Self-Efficacy Scale scale(GSES), the MOS item short from health survey (SF-36) scales. Analysis was performed using the statistical package of social science (SPSS), version 16.0. Statistical significance was set below the level of 5%. Measurement data were analyzed with descriptive,t test, chi-square test, rank sum test, linear correlation.Results:(1) The information of ADL, self-efficacy and QOL scores of the two groups patients had no significant difference when sampled, so the two groups have comparability (P>0.05).(2) The ADL, self-efficacy and QOL scores both in the two groups had a statistically significant difference after one month rehabilitation separately (P<0.05).(3) After one month rehabilitation, compared to the control group, the intervention group had a statistically significant difference in the ADL, self-efficacy and QOL scores (P<0.05).(4) After one month rehabilitation, compared to the control group, the scores of physical component summary(PCS) and mental component summary(MCS) in intervention group were better, and also to the domains'scores of physical functioning, role physical, bodily pain, validity, social function. It has statistically significant difference(P<0.05).(5) After one month rehabilitation, the total scores of ADL and QOL presented positive correlation(r=0.775, P<0.01), and also was highly correlated with role physical(r>0.70); the total scores of self-efficacy and QOL presented positive correlation(r=0.869, P<0.01), and also was highly correlated with role physical and validity(r>0.70).Conclusion:(1) Routine rehabilitation training is an effective method for improving activities of daily life in elderly stroke patients. While living assistive devices and routine rehabilitation training could be merged for improving the hemiplegia limb motor functions and the activities of daily life in the elderly patient with stroke effectively.(2) Self-efficacy of the elderly stroke patients with hemiplegia could be effectively improved with living assistive devices.(3) The use of living assistive devices has a positive impact on enhancing the quality of life for patients both in the physical health and mental health.(4) There are significant relationship among the ADL, self-efficacy and QOL of patient with stroke. It indicated that the improvement of ADL and self-efficacy is benefit to the activities of daily life in the elderly stroke patients with hemiplegia.