title: [The education influence on effects of rehabilitation in patients after stroke].
abstract: Patients after stroke face a new situation where some educational and pedagogical actions should be reinitiated. Stroke often causes a break away from the previous lifestyle. It the acute phase it excludes the possibility of employment or performance of household duties that were carried out before or indulging in previously preferred ways of spending free time. Patients often abandon the habits that they developed before stroke, inclusive of hygienic habits. Therefore, it is an important objective of rehabilitation to reinstate in stroke patients behaviours characteristic of their peers, which would mark the beginning of their own care for health. The pedagogic and educational activities should lead to a transformation in the patient. This could be one of the factors in facilitating the patient's return to previous forms of activity.
  
  
  OBJECTIVE
  The aim of this study was to analyze progress in patient's rehabilitation and satisfaction, to assess impact of health education on higher satisfaction and better knowledge in stroke patients as well as on their recovery. Another aim was to assess the factors that maximize the patients' chances of returning to the labor market.
  
  
  METHODS
  The study involved 30 patients after stroke, 8 women and 22 men, over 40 years of age, who underwent either early or late rehabilitation, the type of which affected the time of treatment. The minimal duration of the patient's stay was 21 days, in which time an individually tailored way of education, rehabilitation, treatment and care was implemented. The study used a questionnaire and the Bartel and the Rankin scales. The subject of the analysis consisted of 22 questions that were based on hypotheses. They assessed the facts, the sources of information, knowledge and subjective feelings of the patients concerning the education carried out by the rehabilitation team and its impact on the patients' rehabilitation.
  
  
  RESULTS
  A highly significant (p<0,01) improvement to patients' health and an increase in their knowledge were observed in the rehabilitation.
  
  
  CONCLUSIONS
  During the rehabilitation patients gained a significant improvement to their health, which resulted in more independence in daily living. The implemented health education has an effect on the scope of the patients' knowledge during and after rehabilitation, which translates into a higher satisfaction from the patient's education. The acquired knowledge and skills increase the chances of the patient to return to activities and participation in social life at a satisfactory level. The members of the rehabilitation team, especially the physicians, play an important role in health education of patients.
authors.affiliation: Departyment of Rehabilitation and Physical Medicine, Military-Medical Faculty of Medical University of Łódź, Poland.
authors.forename: Sabina
authors.initials: S
authors.lastname: Dudka
authors.affiliation: University of Jan Kochanowski in Kielce, Branch in Piotrków Trybunalski, Faculty of Social Science.
authors.forename: Piotr
authors.initials: P
authors.lastname: Winczewski
authors.affiliation: Departyment of Rehabilitation and Physical Medicine, Military-Medical Faculty of Medical University of Łódź, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Janczewska
authors.affiliation: Departyment of Rehabilitation and Physical Medicine, Military-Medical Faculty of Medical University of Łódź, Poland.
authors.forename: Anna
authors.initials: A
authors.lastname: Kubsik
authors.affiliation: Departyment of Rehabilitation and Physical Medicine, Military-Medical Faculty of Medical University of Łódź, Poland.
authors.forename: Marta
authors.initials: M
authors.lastname: Woldańska-Okońska
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000328:Adult; D001294:Attitude to Health; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D010361:Patients / Q000523:psychology*; D011044:Poland; D020521:Stroke / Q000628:therapy*; D000071939:Stroke Rehabilitation / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: education; rehabilitation; rehabilitation team; stroke