| 제목 |
Implementation of RIC-FAS and RNLI for social function in stroke patient for community reintegration |
| 소속 |
National Rehabilitation Center and Hospital, Deparatment of Rehabilitation Medicine1, National Rehabilitation Center and Hospital, National Rehabilitation Research Institute2, National Rehabilitation Center and Hospital, Department of Community Reintegration Service3 |
| 저자 |
So Yeon Yu2*, In Yae Cheong1, Jeongwon Hwang1, MI JUNG KOO3, Seol Hee KIM3, Seung Yeon Lee3, Minkyoung Son1, Eunjoo Kim1† |
[Objective]
Obtaining the comprehensive information about stroke patients’ social function remains difficult. Rehabilitation Institute of Chicago functional assessment scale(RIC-FAS) evaluates social functions related to financial resources, housing, transportation, community placement, support network, guardianship and relevant legal issues, family understanding of disability, and family adaptation. And Reintegration to Normal Living Index(RNLI) is a patient-reported outcome measure that degree to which individuals achieve reintegration to normal social activities. The purpose of this study is to identify the clinical significance of RIC-FAS and RNLI by applying RIC-FAS and RNLI before and after the community reintegration programs in stroke patients.
[Methods]
The subjects were 15 adult stroke patients within 1 year of onset, and classified into 3 groups. Group 1: hospitalized within 3 months from onset and less than 2 weeks hospital stay; Group 2: hospitalized within 3 months from onset and 2 to 3 months hospital stay; Group 3: hospitalized after 3 months from onset. Through the pre-evaluation and consultation, the functional problems and needs of patients were identified. In the case conference, set goals and were designed a personalized community reintegration support programs. After applying the community reintegration support programs for 6 weeks in cooperation with a clinical expert, a post evaluation was conducted. Social functions were evaluated using RIC-FAS and RNLI. Wilcoxon signed rank test was conducted to compared before and after the program, and we identified the appropriateness and applicability of the evaluation tool in clinical setting.
[Results]
1) Among 15 patients, 9 returned to home and 4 moved to other hospital after discharge, and 2 were in hospital. 2) Total scores of RIC-FAS significantly increased from 24.47 to 26.00(P<.05). Group of returned to home showed higher score change in compared to the group of moved to other hospital(Fig. 1, 2). 3) The average total scores of RNLI significantly increased from 46.55 to 57.27 (P<.05). All 3 groups showed improvement, but only group 2 showed a statistically significant. Group of returned to home showed increasing from 48.18 to 68.28, while group of moved to other hospital showed decreased RNLI scores from 45.46 to 43.18(Fig. 3).
[Conclusions]
Even though we conducted the implementation with small sample size, we can find the applicability of the social function measurement tool for community reintegration support program with RIC-FAS and RNLI. It should be necessary to verify clinical significance by applying it to large-sized cases in the future. |
|
Fig 1. Comparison of change in RIC-FAS scores before and after program by group
Fig 2. Comparison of change in RIC-FAS scores between group of returned to home and group of moved other hospital
Fig 3. Comparison of change in RNLI score before and after program
|
