Development of a Hand-Bathing Care Model for Stroke Patients

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The purpose of this study was to develop a hand-bathing care outcome model for stroke patients in the convalescent phase. Stroke patients in convalescent-phase rehabilitation wards who met the inclusion criteria, were randomly allocated to hand-bathing or control groups. Repeated measures analysis of variance showed significantly greater improvement in subjective hand movements in the hand-bath group. An interaction effect between intervention and point of measurement was observed from repeated measures ANOVA for the proportion of positive adjectives, with significantly higher results in the hand-bathing group. The path model indicated that hand-bathing had primary effects for subjective improvement in hand movements and an increase in the proportion of positive narratives and secondary effects in terms of increased social relationships and increased satisfaction and sense of health.