Abstract WP326: Randomized-Controlled Study on the Effects of Hand Bathing on Stroke Patients in Convalescence - Subjective Improvements in Hand Movement and Increased Positiveness in Talking
Background and Purpose: Depressed stroke patients are more likely to drop out of rehabilitation. Hand bathing is a term used to describe a uniquely Japanese hygiene care in which a nurse washes and stimulates the patient’s hands in warm water while talking to each other. The purpose of this study was to verify, by a randomized-controlled study, the hypothesis indicated in the author’s preliminary studies that hand bathing makes stroke patients more conscious of their hand movement on the affected side and talk more positively.
Methods: Stroke patients in convalescent phase in the Brunnstrom stages I to V were randomly allocated to the hand-bathed group (23 patients) or the control (21 patients). Both groups received a 15-minute intervention four times within a week. Before and after each intervention, the visual analogue scale (VAS) was assessed for hand movement, edema, and numbness/pain, the tip palm distance was measured, and the QOL was assessed using the QUIK-R. The t-test and repeated measures ANOVA were used to analyze the data. A verbatim record of all conversation was subjected to morphological analysis, TF-IDF, and TF analysis of nouns and adjectives.
Results: The hand-bathed group felt improved hand movement significantly more after the first and fourth interventions (F=4.41,p=.013). No significant difference was detected between the two groups in the VAS for edema, numbness/pain, and heavy feeling in hands. Positive adjectives were used more often by the hand-bathed group after the second, third and fourth interventions (F=3.58, p=.016). In the hand-bathed group, the average score of QOL questions on socializing and sense of contentment/well-being improved significantly after interventions (p=.003)
Conclusions: The finding supported the said hypothesis in that hand bathing leads to subjective improvement in hand movement of stroke patients in convalescent phase and makes them talk more positively. It has additionally been indicated that hand bathing also helps them become more sociable and have a better sense of contentment and well-being.
- © 2012 by American Heart Association, Inc.