Browse > Article
http://dx.doi.org/10.22683/tsnr.2020.9.2.087

Effect of Home-Visit Occupational Therapy on Community Dwelling Stroke Survivors: A Case Study  

Jeong, Eun-Hwa (Dept. of Occupational Therapy, College of Health Science, Far East University)
Publication Information
Therapeutic Science for Rehabilitation / v.9, no.2, 2020 , pp. 87-98 More about this Journal
Abstract
Objective : The purpose of this study was to verify the effectiveness of home-visit occupational therapy in stroke patients. Methods : Two patients with stroke who applied for home-based occupational therapy services at a health center in Seoul were enrolled. The home-visit occupational therapy program evaluates the subject's daily living, task performance, cognitive, and emotional functions, sets occupational therapy goals and plans interventions based on a client-centered approach. Occupational therapy programs consisted of 12 sessions based on the client's major problems. Results : COPM scores improved in both cases, there was an improvement in COPM scores, and in Case 2 there were improvements in MBI and K-MMSE scores. There was also an improvement in KGDS scores in Case 1. Conclusion : Home-visit occupational therapy was found to be effective in improving daily activities, cognition, and mental function of stroke patients. During home and community integration, continuous and continuous rehabilitation services need to be activated from institutional rehabilitation to community-based rehabilitation. Active home-visit occupational therapy is needed to promote physical, cognitive, mental and social access in stroke patients discharged from hospitals.
Keywords
Case study; Community-based occupational therapy; Community-based rehabilitation; Home-visit occupational therapy; Stroke;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Carpenter, L., Baker, G. A., & Tyldesley, B. (2001). The use of the Canadian Occupational Performance Measure as an outcome of a pain management program. Canadian Journal of Occupational Therapy, 68(1), 16-22. doi:10.1177/000841740106800102   DOI
2 Choi, H. S. (2005). Need on home-based occupational therapy for person with stroke. The Journal of Korean Society of Occupational Therapy, 13(2), 9-21.
3 Creek, J. (1990). The knowledge base of occupational therapy in occupational therapy and mental health. New York: Churchill Livingstone.
4 De Coninck, L., Bekkering, G. E., Bouckaert, L., Declercq, A., Graff, M. J., & Aertgeerts, B. (2017). Home-and community-based occupational therapy improves functioning in frail older people: A systematic review. Journal of the American Geriatrics Society, 65(8), 1863-1869. doi:10.1111/jgs.14889   DOI
5 Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Mini-mental state": A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198.   DOI
6 Gilbertson, L., & Langhorne, P. (2000). Home-based occupational therapy: Stroke patients'satisfaction with occupational performance and service provision. British Journal of Occupational Therapy, 63(10), 464-468. doi:10.1177/030802260006301002   DOI
7 Gillen, G. (2013). Cerebrovascular accident/Stroke. Pendleton, H. M., & Schultz-Krohn, W. Pedretti's occupational therapy-e-book: Practice skills for physical dysfunction(7th ed., pp. 844-880). St. Louis: Mosby.
8 Gillen, G. (2015). Stroke rehabilitation: A function-based approach. New York: Elsevier Health Sciences.
9 Ham, M. Y., Choi, K. S., & Ryu, E. J. (2000). Analysis of nursing studies about stroke research in Korea. The Korean Journal of Rehabilitation Nursing, 3(2), 154-168.
10 Pollock, N. (1993). Client-centered assessment. American Journal of Occupational Therapy, 47(4), 298-301.   DOI
11 Rostami, H. R., & Malamiri, R. A. (2012). Effect of treatment environment on modified constraint-induced movement therapy results in children with spastic hemiplegic cerebral palsy: A randomized controlled trial. Disability and Rehabilitation, 34(1), 40-44. doi:10.3109/09638288.2011.585214   DOI
12 Tombaugh, T. N., & McIntyre, N. J. (1992). The mini-mental state examination: A comprehensive review. Journal of the American Geriatrics Society, 40(9), 922-935.   DOI
13 Townsend, E. A., & Polatajko, H. J. (2007). Enabling occupation II: Advancing an occupational therapy vision for health, well-being, & justice through occupation. Ottawa, Ontario: CAOT Publications ACE.
14 Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., ... Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49.   DOI
15 McGuire, M. J. (1997). Documenting progress in home care. American Journal of Occupational Therapy, 51(6), 436-445.   DOI
16 Jackson, B. N. (1992). Home-based occupational therapy: Then and now. The American Journal of Occupational Therapy, 46(1), 84-85.   DOI
17 Ahn, Y. H., Jang, S. J., & Choi, G. (2006). Outcome assessment of a demonstration project on integration of home visiting health care and social welfare services. Journal of Korean Public Health Nursing, 20(1), 5-15.
18 An, T. G., & Kim, K. U. (2016). Need on home-based occupational therapy and caregiving burden: Busan and South Gyeongsang areas centered around. Humanities and Social Sciences 21, 7(4), 117-132. doi:10.22143/HSS21.7.4.7   DOI
19 Horneffer, K. J., & Jamison, P. W. (2002). The emotional effects of writing about stressful experiences: An exploration of moderators. Occupational Therapy in Health Care, 16(2-3), 77-89. doi:10.1080/J003v16n02_06   DOI
20 Jang, C., Song, M., Sa, G., & Byeon, S. (2015). A study on the activities of daily living and life quality of stroke patients after the client-centered occupational therapy intervention according to the periods of its outbreak. Journal of The Korean Society of Integrative Medicine, 3(2), 79-87. doi:10.15268/ksim.2015.3.2.079   DOI
21 Park, E. O. (2019). Current state and the future tasks of home visit nursing care in South Korea. Journal of Agricultural Medicine and Community Health, 44(1), 28-38.   DOI
22 Ju, J. Y., & Kim, H. S. (2015). The effect of home visiting physical therapy based on wellness on ADL, depressive disorder, quality of life in chronic stroke patients. Journal of the Korea Entertainment Industry Association, 9(4), 423-430. doi:10.21184/jkeia.2015.12.9.4.423   DOI
23 Jung, I. K., Kwak, D. I., Jeo, S. H., & Lee, H. S. (1998). A preliminary study on standardization of Korean form of geriatric depression scale(KGDS). Journal of Korean Neuropsychiatry Association, 37(2), 340-351.
24 Jung, H. Y., Park, B. K., Shin, H. S., Kang, Y. K., Pyun, S. B., Paik, N. J., ... Han, T. R. (2007). Development of the Korean version of modified barthel index (K-MBI): Multi-center study for subjects with stroke. Journal of the Korean Academy of Rehabilitation Medicine, 31(3), 283-297.
25 National Rehabilitation Center (2012). 2012 Community based rehabilitation health center business plan. Seoul: Ministry of Health and Welfare.
26 Bang, Y. S. (2007). The effects of task-oriented activities on the cognitive function and performance of activities of daily living in stroke patients. The Journal of Korean Society of Occupational Therapy, 15(3), 49-61.
27 Kim, K. S., Seo, H. M., & Kang, J. Y. (2000). The effects of community based self-help management program on the activity of daily life, muscle strength, depression and life satisfaction of post-stroke patients. The Korean Journal of Rehabilitation Nursing, 3(1), 108-117.
28 Kang, Y. W., Na, D. L., & Han, S. H. (1997). A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. Journal of the Korean Neurological Association, 15(2), 300-308.
29 Kim, J. H. (2011). The service of community-based rehabilitation in stroke patient : A case study. The Journal of Korean Society of Community-Based Occupational Therapy, 1(2), 31-43.
30 Kim, D. M., Nam, E. S., Bae, S. S., Shin, D. S., & Choi, Y. J. (2016). Effects of peer support home visiting for older adults living alone in a rural area. Mental Health & Social Work, 44(4), 35-63.
31 King, R. B. (1996). Quality of life after stroke. Stroke, 27(9), 1467-1472. doi:10.1161/01.STR.27.9.1467   DOI
32 Law, M., Polatajko, H., Pollock, N., McColl, M., Carswell, A., & Baptiste, S. (1994). Pilot testing of the canadian occupational performance measure: Clinical and measurement issues. Canadian Journal of Occupational Therapy, 61(4), 191-197. doi:10.1177/000841749406100403   DOI
33 Lee, H. Y., & Sagong, B. (2015). The effect of home based rehabilitation program on activities of daily living, self-efficacy, quality of life among chronic stroke patients. Journal of Special Education & Rehabilitation, 54(3), 275-291. doi:10.15870/jsers.2015.09.54.3.275
34 Legg, L., Drummond, A., & Langhorne, P. (2006). Occupational therapy for patients with problems in activities of daily living after stroke. Cochrane Database of Systematic Reviews, (4), 1-36. doi:10.1002/14651858.CD003585.pub2.
35 Lincoln, N. B., Walker, M. F., Dixon, A., & Knights, P. (2004). Evaluation of a multiprofessional community stroke team: A randomized controlled trial. Clinical Rehabilitation, 18(1), 40-47.   DOI