Integrative Method In Addressing The Functional Recovery Of Stroke Survivors: The Role Of Nursing Care, Physiotherapy, And Psychological Support

Background: The approach in managing a stroke patient encompasses all the facets of their life; a combination of physical, cheerful and social rehabilitation is most definitely required. The evaluation focusses on the management of intertwining sectors through a multidisciplinary rehabilitation program while contrasting it with standard care administered in a tertiary care facility. Methods: There were two designated groups for this strategy; control and new strategy, both were quasi experimental and consisted of 100 stroke survivors. This group did not receive advanced management strategies and were provided only basic care as compared to the other group whom were given advanced care for a time period of three months. Assessment Tools used were Barthel Index (BI), Functional Independence Measure (FIM), Hospital Anxiety and Depression Scale (HADS), Zarit Burden Interview (ZBI), and Stroke Specific Quality of Life Scale (SS-QOL). Results: In terms of the Barthel Index (BI) scores, which saw an increase of over 88.9% in comparison to the Functional Independence Measure (FIM) scores which improved by 60% in contrast to the control group. Other highlights include a rise of 41.7% in Stroke Specific QOL, with a significant alternate between depression and anxiety in caregivers alongside HADS lowering to 46.7% while the control stood at the 20% mark. Shifted focus for the caregivers saw over 12.5% of the burden remain in the control group as compared to a decrease of 37.5%. Conclusion: The multidisciplinary rehabilitation program was associated with greater improvements in physical recovery, mental health, and care quality for the patients while alleviating the burden on the caregivers. These results warrant a shift towards an integrated care approach in the management of stroke patients.