Annals of Rehabilitation Medicine

"Day hospital"

Original Articles

Long-term Effects of Day Hospital Program in Stroke Rehabilitation.: Choi, Yu Nam , Park, Si Woon , Choi, Seon ae , Son, Mi Ok , Lee, Hyoung Soo , Jung, So Nam , Lee, Kyu Bum , Jang, Soon Ja , Kim, Byung Sik; J Korean Acad Rehabil Med 2005;29(1):9-14.

Abstract
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Objective
Comprehensive poststroke rehabilitation includes continuum of care after discharge from hospital. Day hospital is a milieu-oriented outpatient rehabilitation program that offers continuous rehabilitation service to promote psychosocial adaptation and quality of life. This study is to evaluate long-term effects of day hospital program in stroke patients. Method: Forty-eight stroke patients who received day hospital program for 2 or more months after inpatient rehabilitation program and 42 control stroke patients, who received only inpatient rehabilitation program, responded telephone interview for the study. Outcome measurement included the Korean Activities of Daily Living (K-ADL), the Korean Instrumental Activities of Daily Living (K-IADL) and the Medical Outcome Study 8-item Short Form Survey (SF-8). Results: There was no difference in many item scores of K-ADL between day hospital group and control group, but the item scores of dressing, washing face and hands were significantly higher in control group. Among the item scores of K-IADL, except managing money, most item scores of K-IADL were no significant difference between day hospital group and control group. All item scores of SF-8 were significantly higher in day hospital group than control group. Conclusion: Day hospital is an effective rehabilitation program to enhance health-related quality of life for stroke patients. (J Korean Acad Rehab Med 2005; 29: 9-14)

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Evaluation of Day Hospital Program in the National Rehabilitation Hospital.: Park, Si Woon , Kim, Ji Young , Kang, Min Joung , Jang, Soon Ja , Kim, Byung Sik , Koh, Kwang Wook; J Korean Acad Rehabil Med 2000;24(5):1002-1009.

Abstract
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Objective: Day hospital program for the brain injured patients has been developed and conducted as a model project in the National Rehabilitation Hospital of Korea since August 1998. This article is to present our 1-year experience and evaluate the efficacy and effectiveness of the program.

Method: All patients treated in day hospital from August 1998 to July 1999 were included. Functional Independence Measure (FIM), ESCROW (Environment, Social support, Cluster of family members, Resources, Outlook, Work or School status), Medical Outcome Study 36-item Short Form Survey (SF-36) were assessed at admission and discharge. Patient satisfaction was surveyed at discharge. Program cost was compared with that of inpatient control group.

Results: 1) Among 51 subjects (32 males, 19 females, mean age 57), 48 suffered stroke and 2 had traumatic brain injury. Average length of stay was 10 weeks and 45 patients (88.2%) were discharged to home. 2) FIM total score, motor subtotal score and cognitive subtotal score were all incresed significantly (p＜0.01). 3) ESCROW score was also improved significantly (p＜0.01). 4) SF-36 showed significant improvement in physical functioning, role limitation-emotional, mental health and general health (p＜0.05). 5) 95.1% answered satisfaction with the program and 73.2% reported health enhancement. 6) Program costs were significantly lower than the inpatient group (p＜0.01).

Conclusion: Day hospital seems to be a useful program for comprehensive rehabilitation for the brain injured, and needs to be pervaded throughout the country with proper payment.