篇名 | Effectiveness of Family Care Intervention Program on Activity of Daily Living among Disabled Patients |
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卷期 | 9:5 |
並列篇名 | 家庭照護介入計劃對失能病患日常生活活動之成效 |
作者 | 洪麗珍 、 郭憲文 |
頁次 | 191-202 |
關鍵字 | 成效 、 家庭照護介入計劃 、 日常生活活動 、 失能病患 、 Effectiveness 、 Family care intervention program 、 Activity of daily living 、 ADL 、 Disabled patients 、 MEDLINE 、 Scopus 、 SSCI 、 TSCI 、 TSSCI 、 SCIE |
出刊日期 | 200112 |
本研究設計為前瞻式研究,其目的在探討家庭照護計劃介入時機的早晚,是否會影響失能病患日常生活活動 (activity of daily living, ADL) 之結果,並探討影響計劃介入後一年存活者ADL 得分之相關因素。研究對象來自衛生所之137位失能病患,其收案條件為巴氏量表 (Barthel index) 總分少於80分、且失能期程二年以內十八歲以上居民。依失能期間之長短分為早期組(失能後六個月以內開始介入) 及晚期組 (失能後7-24個月內開始介入),公衛護士於22週共計八次家訪之計劃期間,除提供相關照護及政策方面之訊息諮詢與醫療轉介外,介入之指導內容著重於照顧者居家照護知能,並記錄病患ADL得分,計劃結束後一年追蹤所有個案之資料及ADL得分。以共變數分析介入對病患ADL之影響,顯示計劃期間早期組ADL得分增加 (12.9) 高於晚期組3.0 (p < .000);一年後存活者之追蹤發現:早期組病患ADL得分增加幅度 (6.2) 仍大於晚期組 (1.3);而影響存活者ADL得分之因素為:年齡、收案時ADL得分及失能期程。研究建議介入計劃若能早期實施,對ADL之改善最具成效。
The objective of this prospective study was to compare the improvement of activity of daily living (ADL) scores between two groups of disabled patients who participated in a family care intervention program. 137 patients were selected from health stations and Activity of Daily Living (ADL) scores were assessed eight times over a period of 22 weeks. Family caregivers were trained to provide home nursing care for the disabled. The patients were divided into two groups: early-stage (intervention started less than 6 months from diagnosis) and late-stage (intervention started 7-24 months from diagnosis). Over the duration of the intervention program, the results, using ANCOVA test, showed that the ADL score of the early-stage had group increased by 12.9, compared to the later-stage group, which increased by 3.0 (p < .000). At one-year follow-up, the ADL score of the early-stage group increased by a greater extent (6.2) than the later-stage group (1.3). The factors that affected ADL scores of the survivals were as follows: age, baseline ADL score and duration of disability. The authors conclude that the intervention program was most effective in improving ADL score when intervention was implemented early.