Technology-assisted toilets: Improving independence and hygiene in stroke rehabilitation

Background and Purpose Dependence on assistance for toileting is a widespread problem for persons receiving healthcare. Technology-assisted toilets, which hygienically wash and dry the perineal region, are devices that could improve toileting independence in a variety of patients. The objective was to investigate whether technology-assisted toilets improve toileting independence, quality of life, and whether technology-assisted toilets can provide sufficient toileting hygiene in stroke rehabilitation. Methods This pilot study was carried out in a stroke rehabilitation unit. Thirty participants were recruited. Participants had a bowel movement and cleaned themselves using the technology-assisted toilet on one to three occasions. Participants rated their toileting before using the technology-assisted toilet and after each technology-assisted toilet use with the Psychosocial Impact of Assistive Devices Scale (PIADS). After each session, participants were rated for cleanliness. Results PIADS scores were analyzed from eight individual participants, five of whom completed the full protocol. PIADS scores were significantly higher with the technology-assisted toilet than with the participants’ regular toileting routine (p < 0.05). Technology-assisted toilets cleaned effectively in 73% of cases (16/22, p < 0.05). Conclusion Technology-assisted toilets improved stroke patients’ psychosocial outcomes compared to standard toileting and completely cleaned participants in the majority of cases. A larger study should confirm technology-assisted toilet’s benefit in stroke rehabilitation through improved independence and hygiene.

Download Full-text

A Study on the Oral Health and Oral Health Related Quality of Life of Stroke Patients in a Rehabilitation Ward: A Pilot Study

Journal of dental hygiene science ◽

10.17135/jdhs.2016.16.2.127 ◽

2016 ◽

Vol 16 (2) ◽

pp. 127-133 ◽

Cited By ~ 1

Author(s):

Eun-kyong Kim ◽

Min-Seon Kim ◽

Hee-Kyung Lee

Keyword(s):

Quality Of Life ◽

Oral Health ◽

Pilot Study ◽

Health Related Quality ◽

Stroke Patients ◽

Related Quality ◽

Health Related ◽

Rehabilitation Ward

Download Full-text

Sexuality in Stroke Care: A Neglected Quality of Life Issue in Stroke Rehabilitation? A Pilot Study

Sexuality and Disability ◽

10.1007/s11195-005-8929-9 ◽

2005 ◽

Vol 23 (4) ◽

pp. 213-226 ◽

Cited By ~ 31

Author(s):

John McLaughlin ◽

Alison Cregan

Keyword(s):

Quality Of Life ◽

Pilot Study ◽

Stroke Rehabilitation ◽

Stroke Care ◽

Life Issue

Download Full-text

Function and quality of life following stroke rehabilitation: have our stroke patients gained optimum recovery?

BMC Public Health ◽

10.1186/1471-2458-12-s2-a7 ◽

2012 ◽

Vol 12 (S2) ◽

Author(s):

Nor Azlin Mohd Nordin ◽

Noor Azah Aziz ◽

Saperi Sulong ◽

Syed Mohamed Aljunid

Keyword(s):

Quality Of Life ◽

Stroke Rehabilitation ◽

Stroke Patients ◽

Optimum Recovery

Download Full-text

Early interdisciplinary intensive rehabilitation significantly improves the quality of life of stroke survivors: a multi-center study

Asian Biomedicine ◽

10.5372/1905-7415.0801.266 ◽

2014 ◽

Vol 8 (1) ◽

pp. 87-95

Author(s):

Krisna Piravej ◽

Nipaporn Konjen ◽

Vasana Cowintaveewat ◽

Vilai Kuptniratsaikul ◽

Patcharawimol Srisa-an Kuptniratsaikul

Keyword(s):

Quality Of Life ◽

Family Relationships ◽

Stroke Rehabilitation ◽

Stroke Survivors ◽

Domain Family ◽

Stroke Patients ◽

Rehabilitation Programs ◽

Environment Domain ◽

Intensive Rehabilitation

AbstractBackground: Interdisciplinary and intensive stroke rehabilitation programs have been shown to be positively correlated with improved functional outcomes. However, data regarding their combined use on the quality of life (QOL) of stroke survivors appears scant.Objective: To evaluate whether interdisciplinary intensive rehabilitation programs for stroke survivors can improve their health-related QOL (HRQOL) scores and whether the timing of the interdisciplinary intensive rehabilitation has a significant effect on HRQOL scores.Materials and Methods: This was a multi-center, prospective study. Patients were retrospectively selected from the Thai Stroke Rehabilitation Registry database. Three hundred seventy-six stroke patients from nine main tertiary hospitals in Thailand who had received acute stroke rehabilitation were screened between March and December 2006. Two hundred seven patients completed World Health Organization Quality of Life scale abbreviated Thai version (WHOQOL-BREF-Thai) questionnaires and were divided into two groups based on the time after onset of stroke to start interdisciplinary intensive rehabilitation: sub-acute (<1 month) and chronic (≥1 month). WHOQOL-BREF-Thai questionnaires were composed of four domains (physical health, psychological well being, social relationships and environment satisfaction), which were administered to the patients before and after interdisciplinary intensive rehabilitation to assess QOL.Results: After interdisciplinary intensive rehabilitation, patients from both groups showed significant improvement in their quality of life in all domains, sex life and family relationships. However, patients from the sub-acute group had more significant improvement in their environment domain, family relationships and overall WHOQOL scores than those in the chronic group.Conclusion: Early interdisciplinary intensive stroke rehabilitation can significantly improve environment domain, family relationships and overall WHOQOL of stroke patients.

Download Full-text

Integrated Care Pathways and Quality of Life on a Stroke Rehabilitation Unit

Stroke ◽

10.1161/01.str.0000017144.04043.87 ◽

2002 ◽

Vol 33 (6) ◽

pp. 1600-1604 ◽

Cited By ~ 52

Author(s):

David Sulch ◽

Anne Melbourn ◽

Inigo Perez ◽

Lalit Kalra

Keyword(s):

Quality Of Life ◽

Integrated Care ◽

Stroke Rehabilitation ◽

Care Pathways ◽

Rehabilitation Unit ◽

Integrated Care Pathways

Download Full-text

Meridian Acupuncture in Stroke Rehabilitation: A literature review

International Journal of Nursing and Health Services (IJNHS) ◽

10.35654/ijnhs.v2i2.100 ◽

2019 ◽

Vol 2 (2) ◽

pp. 48-54 ◽

Cited By ~ 1

Author(s):

Deny Prasetyanto ◽

Sri Yona

Keyword(s):

Quality Of Life ◽

Literature Review ◽

Stroke Rehabilitation ◽

Neurological Deficits ◽

Cochrane Library ◽

Acupuncture Points ◽

Stroke Patients ◽

Leading Role ◽

Acupuncture Meridian

Abstract Rehabilitation therapy has an important role in restoring bodily functions comprehensively due to stroke which aims to restore function so as to reduce disability. One therapy that nurses can do is to use acupuncture meridian points. Acupuncture is considered to play a leading role in the treatment of symptoms related to stroke. This literature review aims to analyze the benefits of the acupuncture points in stroke rehabilitation. The research method used by the author is a literature review using several databases namely Pubmed, Cochrane Library, EbscoHost, Proquest and Google Scholar from 2008 to 2018. An article that discusses rehabilitation of stroke patients using acupuncture meridian points is used as a medium of rehabilitation. The literature search results show that the rehabilitation of acupuncture meridian points provides the benefits of recovery of stroke symptoms such as hemiparese, dyspagia, dementia, and reduced volume and infarction including neurological deficits so as to improve the quality of life for stroke patients. Keywords: stroke, rehabilitation, quality of life, acupuncture, meridians

Download Full-text

Identification of Good Practices in Long-Term Exercise-Based Rehabilitation Programs in Stroke Patients

BioMed Research International ◽

10.1155/2021/9202716 ◽

2021 ◽

Vol 2021 ◽

pp. 1-12

Author(s):

Dimitra Mameletzi ◽

Maria Anifanti ◽

Kristina Baotić ◽

Andrea Bernetti ◽

Hrvoje Budinčević ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Stroke Rehabilitation ◽

Chronic Stroke ◽

Stroke Patients ◽

Good Practices ◽

Rehabilitation Programs ◽

High Adherence

Physical activity is an important factor for primary and secondary stroke prevention. The process of stroke rehabilitation includes early and late physical activity and exercise, which prevents further stoke and improve patients’ quality of life. MY WAY project, an ERASMUS+ SPORT program, is aimed at analyzing and developing or transferring best innovative practices related to physical activity and exercise enhancing health in poststroke patients. The aim of the study was to identify, analyze, and present the good practices and strategies to encourage participation in sport and physical activity and engage and motivate chronic stroke patients to perform physical activity changing their lifestyle and to maintain a high adherence to long-term exercise-based rehabilitation programs. Our results demonstrated that unified European stroke long-term exercise-based rehabilitation guidelines do not exist. It seems that low training frequency with high aerobic exercise intensity may be optimal for improved physical performance and quality of life in combination with a high adherence. It is important to optimize the training protocols suitable for each patient. The continuous education and training of the specialized professionals in this field and the presence of adequate structures and cooperation between different healthcare centers are important contributors. The clear objective for each country should be to systematically make the necessary steps to enhance overall exercise-based stroke rehabilitation attendance in the long term. Long-term interventions to support the importance of physical exercise and lifelong exercise-based rehabilitation in chronic stroke patients should be created, what coincides with the goal of the MY WAY project.

Download Full-text