Development of a Hand-Bathing Care Model for Stroke Patients

这项研究的目的是为恢复期的中风患者开发一个洗手护理结果模型。符合纳入标准的恢复期康复病房的中风患者随机分为洗手组和对照组。重复测量方差分析显示，洗手组在主观手部运动方面有明显改善。通过重复测量阳性形容词比例的方差分析，观察到干预与测量点之间的交互作用，洗手组的结果显著高于洗手组。路径模型表明，洗手对手部运动的主观改善具有主要影响，积极叙述的比例增加，在社会关系增加、满意度和健康感增加方面具有次要影响。

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.