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護理研究 MEDLINEScopus

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篇名 居家中風老人之家庭照護品質
卷期 3:2
作者 林美娜邱啟潤
頁次 138-148
關鍵字 家庭照護品質居家中風老人主要照顧者The quality of family careThe homebound stroke elderlyCaregiverTSCIMEDLINEScopus
出刊日期 199506

中文摘要

本研究之目的旨在探討中風老人的家庭照護品質及其相關因素。將老人照護品質視為 "老人需求被滿足的情形",以Maslow的生理及安全需求為架構設計家庭照護品質量表,其中生理需求照護品質包括個人衛生及修飾、營養與水分、排泄處置、關節活動與皮膚之完全書性(包括身體免於受虐待)4個次項;安全 需求照護品質包括環境安全、醫療、經濟支持3個次項,共有31小題。
本研究採立意取樣,對象為高雄市二家醫院出院的中風老人及其主要照顧者,先以電話訪問篩選出合乎研究條件者,同意受訪者再實際家訪收集資料,共訪問70位個案。研究結果發現,中風老人的家庭照護品質多屬良好程度;經逐步複迴歸法統計分析顯示四個變項最能預測老人之照護品質,解釋之變異量為42.99% '其中老人有保險、主要照顧者與老人之人際關係良好、老人中風期間短、主要l照顧者心理負荷程度低者照護品質愈好。

英文摘要

The purpose of this study was to explore the quality of family care and related factors of the elderly who have had a stroke. Using Maslow's physiological and safety needs as the basis, a family care quality scale was designed to assess if the needs of the elderly were being met. Physiologically, care quality includes personal hygiene and grooming, nutrition and hydration, elimination, joint activity and the skin's inttegrity as well as freedom from physical abuse. Safety needs include a safe environment, medical treatment, and financial support.
This research used purposive sampling and the subjects were the geriatric patients who were discharged after a hospitalization due to stroke from two Kaohsiung hospitals and their caregivers. The subjects were screened by telephone interviews and those who qualified for the study were then interviewed to gather pertinent data. There were a total of 70 cases. The results showed that the quality of family care for elderly stroke victims was above average. A stepwise multiple regression statistical analysis indicated that four variables which can explain 42.99 % variance, could best predict the quality of care for these elderly in dividuals. Those who can get better quality of family care possess the following characteristics: Having medical insurance, a good personal relaticimship between the primary caregiver and the elderly stroke victim, a shorter period after suffering stroke, and the lower psychological burden of the primary caregiver.

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