Идёт набор NCT06437587

Effects of Appropriate Technology for Home-based Rehabilitation in Patients With Post-stroke Physical Dysfunction

Без фазы С лечением Stroke

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Home-based rehabilitation appropriate technology (S-HRAT) training.
Кому может быть актуально: Состояния в реестре: Stroke. Базовые параметры: от 18 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Китай
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

The goal of this clinical trial is to assess the effect of S-HRAT to improve patients' motor function and activities of daily living.

Подробное описание

Limb dysfunction is the primary disability factor among stroke patients. However, due to various factors, most stroke survivors do not receive sufficient rehabilitation training after discharge. Home-based rehabilitation appropriate technology (S-HRAT） training could be a strategy to meet the patients' requirements for rehabilitation after hospital discharge. This study aims to assess the effect of a nursing intervention based on Cox's Interaction Model of Client Health Behavior (IMCHB) with the application of S-HRAT to improve patients' motor function and activities of daily living.

In this pilot trial, 36 stroke survivors with limb dysfunction will be screened for inclusion before hospital discharge and randomly assigned to the experimental or control group with their informed consent. The control group(n=18) will receive the usual care provided by the hospital. The experimental group(n=18) will receive usual care and an 8-week S-HRAT training program. This nursing interventions use Cox's IMCHB as a theoretical framework that consists of rehabilitation exercises and the provision of health information. Baseline assessments will be conducted on the day before hospital discharge, and outcomes will be assessed at 8 weeks and 12 weeks after discharge. The primary outcome is change in motor function 8 weeks after discharge, and the secondary outcomes include the activities of daily living, anxiety, depression, exercise adherence, and patient satisfaction.

This study is the first of its kind conducted in China to use Cox's IMCHB as a framework to guide the development of the S-HRAT training program. Our pilot will determine if such an approach is feasible and effective in enhancing motor function and improving the activities of daily living post-stroke after discharge.

Вмешательства

Другое Home-based rehabilitation appropriate technology (S-HRAT) training
The S-HRAT training instruction consists of two phases: in-hospital training and post-discharge remote home training. Based on the S-HRAT list, we select individualized home rehabilitation training exercises for the participants and conduct five offline training instruction sessions one week before discharge to ensure that the participants master the correct method for each exercise and clarify precautions. At discharge, participants will receive an S-HRAT brochures, which will include detailed

Первичные конечные точки

Motor Function [Срок оценки: baseline (T0), 8-week post-intervention (T1), and 12-week follow-up (T2).]
Balance [Срок оценки: baseline (T0), 8-week post-intervention (T1), and 12-week follow-up (T2).]

Вторичные конечные точки (4)

Activity of Daily Living [Срок оценки: baseline (T0), 8-week post-intervention (T1), and 12-week follow-up (T2).]
Exercise Adherence [Срок оценки: baseline (T0), 8-week post-intervention (T1), and 12-week follow-up (T2).]
Patient Satisfaction [Срок оценки: baseline (T0), 8-week post-intervention (T1), and 12-week follow-up (T2).]
Anxiety and Depression [Срок оценки: baseline (T0), 8-week post-intervention (T1), and 12-week follow-up (T2).]

Критерии участия

Критерии включения

Age≥18;
Patients diagnosed with cerebrovascular disease who have cerebral infarction or cerebral hemorrhage based on cranial CT or MRI and meet the diagnostic criteria;
Patients are in the non-acute phase, meaning between two weeks and six months after the onset of the disease;
Patients with limb dysfunction.