| Objective: To investigate the effect of community rehabilitation staffs' involvement on home assistive devices for stroke patients in Shanghai. Methods: 120 stroke patients from 12 communities in Yangpu district, who had certificates of disability, were randomly divided into intervention group and control group. Both groups were given assistive devices in their family. In the intervention group, relative education was additionally given to the community rehabilitation clerks, stroke patients and their family members, and the well-trained community rehabilitation doctors followed up the whole process. Barthel index (BI) and 36-item Short-Form Health Survey (SF-36) were assessed for both groups at the baseline and 3 months after the assistive devices were equipped. The Quebec Use Evaluation of Satisfaction with Assistive Technology (QUEST ) and utilization rate were also assessed after 3 months to see whether the patients were satisfied with the devices. Results: The independent activity of daily life in both two groups was significantly improved (P<0.05). And the intervention group showed better result. BI of intra group comparison and between group comparison showed significant change (P<0.05). Besides, SF-36 index was also improved in both two groups after the assistive devices were equipped (P<0.05), of which intervention group's improvement was more significant (P<0.05). Further, Quest results and utilization rate of the intervention group were better than those of the control group (P<0.05). Conclusion: Integrating community rehabilitation resources and educating the community rehabilitation staffs, stroke patients and their family members can significantly help the stroke patients improve their independent activity of daily life and quality of life after equipped with assistive devices, but also improve the utilization rate and satisfaction of assistive devices. |
