Disability, rehabilitation and after-care of stroke patients after discharge from hospital, Singapore 1983-84.

Annals of the Academy of Medicine, Singapore (Impact Factor: 1.22). 02/1987; 16(1):122-7.
Source: PubMed

ABSTRACT 135 new onset stroke patients admitted over a nine-month period to a medical unit in Singapore were studied with emphasis on their rehabilitation and community care after discharge. Follow-up visits were made to 79 survivors at third month after onset. 16.7% of the patients made apparently complete recoveries, 20.3% remained slightly disabled, 21.5% moderately disabled, and the remaining 41.8% severely disabled. Sixty-five patients were staying in private households at third month follow-up. The main care-givers were usually female relatives. These informal carers assisted a large proportion of patients in various activities of living: 62.0% in dressing, 54.4% in walking and toileting, 30.4% in feeding, and 22.8% in turning in bed. The study establishes the need to develop and strengthen supportive services to enable disabled stroke patients to be cared for in their own homes. These include the home nursing service, elderly day care service, home help service, and meals-on-wheel service.

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    • "Rehabilitation is reported to improve functional outcomes across a wide range of diagnoses with multiple demographic, clinical and social-cultural variables associated with primary functional outcome (Ng, Jung et al., 2007). Rehabilitation has been reported benefi cial in stroke (Tan, 1983), elderly (Fong et al., 1987; Ee et al., 1991) and young stroke patients (Kong et al., 1995) and those with brainstem stroke (Chua and Kong, 1996). Post-stroke depression was reported to be 55% (Ng et al., 1995) but decreased to 29% on discharge (Loong et al., 1995). "
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