Effectiveness of Home-based Rehabilitation Program Services on Improving the QoL of Post-stroke Patients Post the Covid-19 Pandemic in Malang City

Introduction: Patients suffering from a stroke undergo emotional and personality changes, which might affect their
cognitive impairment, while home-based rehabilitation is an alternative rehabilitation service that provides remote re�habilitation supervision and removes access constraints, particularly during the Covid-19 (coronavirus disease-2019)
epidemic. Thus, the purpose of this study is to assess the impact of home-based rehabilitation program services on
post-stroke patients' quality of life (QoL) following the Covid-19 pandemic. Materials and methods: Using a pro�spective longitudinal study design, this research tracked the patient's post-stroke status over three months (June–Sep�tember 2022). Purposive sampling was used to choose participants, and 84 recruited participants who satisfied the
inclusion criteria were included. During three months, the participants received home-based rehabilitation program
intervention five times a week for thirty minutes per session. Evaluation assessments were made during baseline (T0),
1st follow-up (T1), and 2nd follow-up (T2). These assessments are used to ascertain the patient's progress. The SF-36
(36-item Short Form Survey) questionnaire and a sociodemographic questionnaire (age, gender, BMI, and education
level) were used as research instruments. Data analysis used were the One-Way ANOVA test and Post-Hoc test to
find out significant differences between 2 treatments (p<0.05). Results: Based on One-Way ANOVA resulted that
respondents experienced significant improvements (p<0.05) regarding the assessment of 8 domains of QoL during
observations at T0, T1, and T2. Conclusion: The results of this research are highly recommended for the management
of the elderly and post-stroke health management to integrate home-based rehabilitation services for post-stroke
patients