Home Care Assessment of Stroke and SCI Evaluated by ESCROW Profile |
Jin Lee, M.D., Eun Soo Cho, M.D., Young Seom Kim, M.D., Dong Yeon Kim, M.D. , Chung Yong Yang, M.D. |
Department of Rehabilitation Medicine, Presbyterian Medical Center, Chonju, Korea |
ESCROW에 의한 죄졸중 및 척수손상 환자의 퇴원후 가정재활실태 평가 |
이진, 조은수, 김영섬, 김동연, 양충용 |
전주예수병원 재활의학과 |
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Abstract |
Continued rehabilitation treatment and care after being discharged from the hospital are extremely important for patients to achieve an effective and successful rehabilitation management. For this cause, the Department of Rehabilitation, Presbyterian Medical Center has organized home visiting group and send them to the houses of its discharged patients to reeducate them and their assistants. The home visiting group has also evaluated their home care status by using home visit evaluation forms. However, due to the difficulties in evaluating their home care status objectively with our own evaluation forms, this study has utilized the ESCROW Profile to evaluate the home care status and compared with the MBI. A sample of 47 stroke patients and 23 spinal cord injury (SCI) patients was selected and evaluated by both MBI at the time of being discharged and ESCROW profile when visiting their homes. The results are as follows; 1) The mean scores of the MBI at the time of being discharged were 42.44 for the stroke and 51.95 for the SCI. The mean scores of ESCROW when visiting patients' homes were 14.36 for the stroke and 12.17 for the SCI. These results indicate that the mean score of the ESCORW for the SCI was getting better home care than the stroke patients. 2) The study shows that the result of MBI and ESCORW profile were inversely correlated and that the mean score of MBI for the successful home care group was higher than that of the unsuccessful group. These findings suggested that the more the functional activity, the better the home care status. 3) The study also shows that there are significant differences between the stroke and the SCI in the categories of 'outlook' and 'work or school status' among ESCORW profile. |
Key Words:
ESCROW, Home care, ESCROW, Barthel index, Stroke, Spinal cord injury |
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