ArticleJMIR rehabilitation and assistive technologies2026
Introduction of Nurse-Led Rehabilitation Services for Patients With Stroke After Discharge to Improve Self-Care Management in Bangladesh: Pilot Randomized Controlled Trial.
Article in JMIR rehabilitation and assistive technologies, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06786559 (Post Discharge Nurse-led Rehabilitation to Improve Self-care Among Stroke Patients in Bangladesh), which is not on this map. Not yet cited in PubMed.
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Post Discharge Nurse-led Rehabilitation to Improve Self-care Among Stroke Patients in Bangladesh: A Pilot Randomized Controlled Trial
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10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundStroke is a leading cause of disability and death, resulting in a clinical, social, and economic burden upon families and the health system worldwide.
objectiveThis study aimed to introduce nurse-led rehabilitation services for patients after stroke to improve functional independence for self-care management.
methodsA pilot, open-label, 2-arm (1:1), randomized controlled trial was conducted at the National Institute of Neuroscience & Hospital in Bangladesh between March and August 2025. A total of 64 patients with stroke were enrolled using simple randomization. In the intervention group (IG), patients received rehabilitation education and assistive devices to improve activities of daily living. The control group (CG) received usual hospital care for stroke. Data were collected through a structured questionnaire. After discharge from the hospital, study nurses enrolled patients after stroke after a face-to-face assessment and provided rehabilitation education at the hospital and monthly rehabilitative education at home for 3 months. The study outcomes were improvement of functional independence, self-efficacy, social participation and reduction of caregivers' burden.
resultsAmong 64 participants, 47 (73%) completed the study. Results depict an increase in self-care capacity, self-efficacy, social involvement and a decrease in care burden in both groups from baseline to end line; nevertheless, there was no statistically significant difference between IG and CG (F
conclusionsIn this study, patients' self-care capability was improved after the intervention from baseline, and improvements were noted by using assistive devices based on patients' perceptions and responses. The study findings demonstrated the importance of early self-care management for patients with poststroke disabilities. Future research should focus on long-term, community-integrated strategies that involve primary care, enhanced technological support, and caregiver-focused disability adjustment programs to achieve better outcomes.
trial registrationClinicalTrials.gov NCT06786559; https://clinicaltrials.gov/search?id=NCT06786559.
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