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Rehabilitation Practice and Science

Translated Title

影響腦中風患者使用居家復健服務相關因素之探討

Abstract

This study explores the factors correlated to the use of home-based rehabilitation services by stroke patients for whom care is provided according to the state policy pertaining to the 10-year long-term care plan.During July 2008–June 2010, data were collected from 759 stroke patients by using a long-term care management service evaluation form. These patients had initially applied for services at the long-term care centers of the Bureau of Public Health in Taichung County. Of these, 119(15.7%) eventually used home-based rehabilitation services. Using the Andersen health behavior model, we investigated how various factors influence the use of home-based rehabilitation services by stroke patients.Logistic regression analysis showed that from the key factors influencing the use of home-based rehabilitation services, age and marital status are predisposing factors; source of income and current use of home services are enabling factors; and the number of chronic diseases, impairment of cognitive function, necessity for safety maintenance, range of joint motion rehabilitation exercises, application of home services and home care are necessitating factors.The willingness of stroke patients to use home-based rehabilitation services was found to be affected by their varying requirements and was also significantly affected by economic factors.Under the state policy pertaining to the 10-year long-term care plan, the agencies provide stroke patients reliable home rehabilitation services and upgrade the safety levels in their homes according to their disabilities. The agency's goal is to promote independent performance of activities of daily living among stroke patients. The current results indicate that agencies must establish financial subsidies for economically disadvantaged families in order to ensure efficient delivery and adequate allocation of long-term care services and to ensure the quality of long-term care services.

Language

Traditional Chinese

First Page

147

Last Page

159

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