Abstract:

Purpose: In this study, it was aimed to examine the effect of accessible home arrangements on recovery after stroke. Material and Method: Sixty patients admitted to Adana Seyhan State Hospital with acute stroke were included in the study (n=30, control group; n=30 study group). Brunnstrom assessment was used to evaluate motor recovery, Functional Independence Scale was used to determine functional level, Barthel Index was used to evaluate activities of daily living, and Beck Depression Inventory was used to determine depression level. For home accessibility assessment and regulation, a form was created that includes universal design standards and daily living activity aids. The patient's family was educated about the arrangements to be made at home. Home accessibility was evaluated in the study group before and after the training. Motor recovery, functionality, activities of daily living and depression level were evaluated in both groups at the beginning of the study, at the end of the 1st month and at the end of the 2nd month. Results: There was no significant change in upper extremity motor recovery in the study group with home accessibility adjustment (p=0.29). Lower extremity motor recovery (p=0.01), functional independence level (p=0.03), activities of daily living (p=0.04) increased statistically significantly. Depression level decreased statistically significantly (p=0.01). Discussion: In the post-stroke period, education on home accessibility arrangements should be given to patients and their relatives. Hospitals should employ experts who can provide training on this subject, and home accessibility control, training and regulation services should be included in home care programs.

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