Effect of community-and-family based rehabilitation guidance on ability of activity of daily living of stroke patients

Objective: To explore the effects of community -and -family based rehabilitation management on the activities of daily living (ADL) of stroke patients. Method: A total of 276 stroke patients were divided randomly into the community-based rehabilitation management group (treatment group, n=141) and the control group (n=135), The patients of the community -based rehabilitation management group were treated with rehabilitation and following -up, those of the control group were only by following -up. Both groups were evaluated with modified Barthel index before and 2, 5 months after treatment. Result: The ability of ADL in treatment group were more remarkable better than that in control group in the following-up after 5 months treatment (P0.01). In treatment group the Barthel index of the patients with a history of 3 to 18 months was significantly higher than that of 3 months (P0.01). The data showed that the effect of the disease time has no difference(P0.05) after 2,5 months of treatment, whereas the mark of the treatment group was higher in each stage after 5 months of treatment (P0.01). Conclusion: Community-based rehabilitation management has significant effect on the ADL in stroke patients. The regular community-based rehabilitation management also has positive effect on the patients with a history of 3 to 18 months.