Stroke Clinical Trial
Official title:
Structured Patient Education in Combination With Physical Exercise as Part of the Integrated Care to Chronically Ill Patients With Chronic Obstructive Pulmonary Disease, Heart Failure and Stroke. A Randomized Controlled Intervention Trial.
This study addresses self management and maintenance of health through evaluation of a
program of patient education in combination with physical training and with a structured
follow-up.
It is hypothesized that such a program will:
1. improve quality of life, physical functioning, coping in everyday-life
2. reduce hospitalization and (re-)admissions for patients with chronic disease, reduce
consumption of home care services and can increase consumption of general practice and
physiotherapy services in primary health care.
3. improve patient satisfaction and health care providers satisfaction
Patients with chronically, long-lasting illness, have complex needs for treatment and care,
which none of the service providers can fulfill on their own. Both patients and their
relatives are in danger of experiencing severe lack of quality. Integrated care path
programs are increasingly put into use. There is insufficient research-based documentation
of the effect of such care paths.
The available documentation of different integrated care paths emphasizes early mobilization
and discharge, rehabilitation in familiar surroundings, more effective communication and
exchange of competence between the different service providers and educational
self-management for patients as main elements in order to expect effect.
There are no studies that evaluate the effect of quality of life, functional skills and
personal coping if group-based educational self management is combined with physical
exercise and patients with different chronically illnesses participate in the same group.
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