You're that fucking clueless that you UNDERSTAND NOTHING ABOUT SURVIVOR MOTIVATION! My god, I'd have you all fired for stupidity!
My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION/DEMORALIZATION, DO YOU? You create EXACT 100% recovery protocols, and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. I'd fire all of you for absurd incompetence! GET THERE!
Here's my email: oc1dean@gmail.com Tell me EXACTLY where I'm wrong! Difficulty in getting to those protocols will not be tolerated as an excuse. You've known of this problem of 100% recovery since your education, so you've had years if not decades to work on it! Comeuppance is going to be a bitch when you are the 1 in 4 per WHO that has a stroke? Then you just might want 100% recovery. Or you can be like me where half my life will be disabled!
Determinants of Rehabilitation Follow-up Non-adherence among Stroke Patients in Sibu, Sarawak
Abstract
Background:Methods:
Inpatient referrals to the Rehabilitation Medicine Department at Hospital Sibu between February 2022 and December 2024 were retrospectively analysed. To avoid competing risk bias, patients who died before their first follow-up were excluded. Factors associated with non-adherence, including functional status, socioeconomic background and travel time, were examined using multivariable binary logistic regression.
Results:
The analytic cohort comprised 631 survivors (mean age 56.7 ± 15.1 years). Overall, 50.4% (n = 318) defaulted on their first outpatient appointment. Multivariable analysis identified travel time as the dominant barrier: patients living > 30 minutes from the hospital had a 40-fold higher risk of default (adjusted odds ratio [aOR] = 39.81; 95% confidence interval [CI]: 22.46, 70.58; P < 0.001). Functional dependency also predicted attrition (aOR = 0.98 per Modified Barthel Index point; P < 0.001). Ethnic disparities emerged after adjusting for geography: Chinese ethnicity was associated with lower default risk (aOR = 0.63; P = 0.028), while Melanau ethnicity remained strongly protective (aOR = 0.35; P = 0.001).
Conclusion:
Post-stroke rehabilitation attrition in central Sarawak is high (50%). Although functional dependency and ethnicity were significant predictors, geographical inaccessibility is the primary driver of non-adherence. Decentralising care is critical to overcoming this logistical barrier.
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