Influencing Factors of Home-based Rehabilitation in Rural Areas of Baise, Guangxi

Abstract

Objective: 1) To investigate the status of home-based rehabilitation in patients with stroke in rural areas. 2) To analyze the correlation between the patients’ social demographic data, disease-related data, neurological function, cognitive function, basic daily living activities, instrumental daily living activities, social support, and depression and the patients receiving home-based rehabilitation. Methods: Using a cross-sectional survey design, stroke patients from 12 counties (districts) in Baise, Guangxi, were conveniently selected from August 2021 to November 2021. Whether the participants received home-based rehabilitation was determined by whether they had received rehabilitation services from medical institutions or third-party institutions at their place of residence. Binary logistic multifaceted regression was used to analyze the factors affecting the participants’ receipt of home-based rehabilitation at the test level (α = 0.05). Results: 1) Among 271 rural stroke patients investigated, 39 cases had ever received home-based rehabilitation, and the rate was 14.4%. 2) The binary logistic regression results indicated that there were significant differences in the scores of the Social Support Scale and Hamilton Depression Scale between patients receiving home-based rehabilitation and those receiving home-based rehabilitation. 3) There are two themes: economic factors limit home-based rehabilitation, and negative emotions limit home-based rehabilitation. Conclusion: 1) The rate of home-based rehabilitation for stroke patients in rural areas of Baise, Guangxi, is low. 2) Social support and depression were independent factors influencing the acceptance of home-based rehabilitation for stroke patients. Patients with good social support tended to receive home-based rehabilitation, and patients with depression had a lower rate of home-based rehabilitation.