Effectiveness of Comprehensive Nursing Rehabilitation Programme on Quality of Life Among Patient with Post - Acute Stroke - Pilot Study

Background: A Cerebral Vascular Accident (CVA) or stroke is a global health problem. It is the second commonest cause of death and fourth leading cause of disability worldwide. Objectives: Assess the effectiveness of Comprehensive Nursing Rehabilitation Programme on Improving the Quality Of Life among Patient with Post - Acute Stroke Design: Non randomized quasi experimental post test only with control group design was adopted for the study. Setting: post acute ischemic stroke patient admitted in KSDC and Meenakshi hospitals Thanjavur. Participants: 20 (10+10) Patients with post acute ischemic stroke fulfilling the inclusion criteria were selected by purposive sampling technique. Methods: Immediately after collection of baseline data, Comprehensive Nursing Rehabilitation Programme was given 5 days in a week for 2 weeks and post test was conducted at end of the 2nd week and 4th week by using coping inventory, ARAT scale, ADL Compliance checklist and SS-QOL Scale to assess the effectiveness of treatment. Collected data was analysed by using descriptive and inferential statistics. Results: In posttest, the mean score of the psychosocial aspect of quality of life in experimental group sample was 54.05 (SD= 9.612) and the control group mean score was 38.06 (SD = 5.330) with unpaired t test value of 8.599, the mean score of the physical aspect of quality of life in experimental group sample was 59.08 (SD= 9.080) and the control group mean score was 40.04 (SD = 4.788) with unpaired t test 'value of 5.908. This showed that the comprehensive nursing rehabilitation programme was effective in enhancing the quality of life of post acute stroke patients. There was significant association found between clinical variables of Severity of stroke, time since stroke and Compliance on treatment with quality of life in both groups. Conclusion: The study showed the feasibility and effectiveness of comprehensive nursing rehabilitation programme to enhance the quality of life among post acute stroke patients.