Exploration and practice of home care mode for elderly with stroke disability based on ICF theory

Abstract Objective Most of the research on the care of stroke disabled elderly families is limited to the training of care skills,and the health promotion service is not combined with the function and rehabilitation needs of patients. Methods Seventy cases of mildly to moderately disabled elderly with stroke and primary caregivers admitted to one healthcare group from September2023 to October 2024 were selected for the study,and the 104 groups of disabled elderly families were divided into a control group (52 families) and an experimental group (52 families) by applying the computerized random number table method.The control group performed routine inpatient care and discharge follow-up,while the experimental group implemented a home care intervention program based on the ICF theory for stroke-incapacitated elderly,assessing the quality of survival and the family care index of the incapacitated elderly and the care burden and caregiving ability of the family's primary caregiver 2 weeks before the intervention (discharge preparation) and 2 weeks after the discharge (at home),respectively. Results The control group performed routine inpatient care and discharge follow-up,while the experimental group implemented a home care intervention program based on the ICF theory for stroke-incapacitated elderly, assessing the quality of survival and the family care index of the incapacitated elderly and the care burden and caregiving ability of the family's primary caregiver 2 weeks before the intervention(discharge preparation) and 2 weeks after the discharge(at home),respectively.Two weeks after the intervention,the caregiver burden score in the control group(74.31±7.00)and the caregiver burden score in the intervention group (63.54±10.41),with statistically significant differences(p<0.01);the caregiving ability score in the control group(50.84±5.85)and the caregiving ability score in the intervention group (61.02±7.73), with statistically significant differences (p<0.01); quality of survival score of the disabled elderly in the control group (68.21±9.38), and quality of survival score of the disabled elderly in the intervention group (78.54±8.77), the difference was statistically significant (p<0.01);family care index in the control group (12.88±2.49),and family care index in the intervention group (14.06±2.62),the difference was statistically significant (p<0.01). Conclusion This study constructs a model based on the ICF theory, and the home care program for the mild to moderate disabled elderly constructed by the model is applied to the long-term family caregivers of the disabled elderly,which can effectively reduce their caregiving burden, improve their caregiving ability, and enhance the quality of survival and family care index of the disabled elderly with stroke.