A Study to Evaluate the Effectiveness of a Structured Teaching Programme on Knowledge Regarding Physical-Based Rehabilitation to Restore Functional Mobility Among Patients with Stroke in a Selected Hospital at Mangaluru
Authors: Cab Teena Anthon , Prathiba G 
Published: May 2024

Background of the study: Stroke is the second leading cause of death globally and the third leading cause of premature death and disability (DALY-Disability Adjusted Life Years). Annually, 15 million people worldwide suffer from stroke, among these 5 million experience mortality and the other 5 million are left permanently disabled placing a burden on family and community. Rehabilitation is vital for minimizing adverse effects after stroke as it aims to reduce impairments and disabilities.
Objectives of the study: To assess the level of knowledge regarding physical-based rehabilitation to restore functional mobility among patients with stroke.
Materials and Methods: A quantitative research approach was adopted to evaluate the effectiveness of a structured teaching programme. The investigator selected the pre-experimental one group pre-test post-test design. A simple random sampling technique was used to select 60 patients diagnosed with stroke admitted in a specialized neuro hospital. The knowledge level regarding physical based rehabilitation was assessed through a self- prepared semi-structured knowledge questionnaire by an interview method. A structured teaching programme regarding physical based rehabilitation was demonstrated and a booklet was distributed to the patients by the investigator. Post-test was conducted after a week using the same tool.
Results: In the pre-test, majority of 37 (62%) patients had inadequate knowledge, 20 (33%) had moderate knowledge and 3 (5%) of them had adequate knowledge. In the post-test, the majority of 35 (58%) patients had gained adequate knowledge and 19 (32) of them secured moderate knowledge and 6 (10%) patients attained inadequate knowledge. It was found that a demonstration session on physical based rehabilitation was useful for the patients diagnosed with stroke. The effectiveness of a structured teaching programme on knowledge regarding physical based rehabilitation was evaluated using paired “t” test and the obtained value was 20.64, which was greater than the table value at a p<0.05 level of significance. Hence it was concluded that the structured teaching programme on knowledge regarding physical based rehabilitation to restore functional mobility among patients diagnosed with stroke was effective.
Interpretation and conclusion: The study concluded that the post-test knowledge level among patients diagnosed with stroke was improved after the implementation of a structured teaching programme regarding selected physical exercises to restore functional mobility. Significant association was found with stage of illness and post-test knowledge (P<0.05). The overall findings of the study showed that the structured teaching programme was effective in improving the knowledge regarding physical based rehabilitation to restore functional mobility among patients diagnosed with stroke.

Keywords: Effectiveness; structured teaching programme; physical based rehabilitation; patients diagnosed with stroke; functional mobility.