Effects of personal follow-up guidance based on case management on functional outcome and treatment compliance of elderly stroke patients

Abstract

Objective To explore the effects of personal follow-up guidance based on case management on functional outcome and treatment compliance of elderly stroke patients, and lay the foundation of stroke case management (CM) work. Methods Totally 169 elderly stroke patients were randomly divided into the the experimental group(n=83)and the control group (n=86). Patients in the control group were given routine follow-up guidance, while patients in the experimental group were given the personal follow-up guidance based on case management. The activities of daily living and functional outcome of patients in two groups were evaluated by modified Barthel index (MBI) and modified Rankin scale(MRS) at the time of joining the group, 1 month, 3 months, and 6 months after discharge. The compliance was evaluated by self-designed compliance questionnaire. Results There was no significant difference in MBI and MRS score between the experimental and the control group when joining the study and 1 month after discharge(P>0.05). The MBI score of the experimental group was significantly higher and the MRS score of the experimental group was significantly lower than that in the control group at 3 months and 6 months after discharge (P 0.05), and was significantly different besides balanced diet at 3 months after discharge (P 0.05). Conclusions The personal follow-up guidance based on the case management model can improve the activities, functional outcome and compliance of elderly stroke patients. Key words: Stroke; Elderly; Rehabilitation; Case management; Personal follow-up guidance; Compliance