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篇名 居家復健護理方案對中風病患主要照顧者之成效
卷期 2:2
並列篇名 The Effectiveness of a Home Rehabilitation Nursing Program in Caregivers of Stroke Patients
作者 郭雅雯蔣立琦吳聖良郭憲文
頁次 109-118
關鍵字 復健護理主要照顧者中風個案照護行為Rehabilitation nursingCaregiverClient with strokeCare behaviorTSCI
出刊日期 200606

中文摘要

本就究的目的為探討居家復健護理方案對中風病患主要照顧者的復健護理知識、效能預期、結果預期及復健照護行為之影響。本研究採用類實驗性研究設計法,以二個月的復健護理訓練為介入措施,研究對象於介入前後以會談填寫結構式問卷並用觀察方式以行為檢核表進行評分。研究樣本還自某醫學中心社區健康部接受居照護中風病患之主要照顧者,實驗組28人,對照組27人。兩組成效之比較以GEE之迴歸模式檢定。結果顯示:實驗組在介入後相較於介入前,復健護理的知識由平均13.7分增加至19.4分(p<.0001)、效能預期由63.2分增加至67.3分(p<.0001)、結果預期由63.8分增加至67.3分(p<.0005)及復健照顧行為由31.5分增加至68.8分(p<.0001),期改變優於對照組且達統計上顯著差異;整體而言,復健護理方案可以提昇主要照顧者的知識、效能預期、結果預期進而提昇復健之照護行為;此結果可作為臨床護理人員設計教育課程的參考,加強主要照顧者對於復健護理的認識,也滿足主要照顧者在居家復健護理方面的教育需求,值得進一步推廣。

英文摘要

The purpose of the study was to explore the effectiveness of a home rehabilitation nursing program on knowledge, efficacy expectation, outcome expectation, and care behavior of primary caregivers who care for stroke patients. A quasi-experimental design with pre-post control group design was used in this study. Two months of rehabilitation nursing training served as an intervention. There were two periods of data collection: pre-test and post-test during follow-up. Both groups were interviewed and observed using structured questionnaires and a behavioral checklist. Twenty-eight caregivers in the experimental group and 27 in the control group were recruited from among the caregivers of home care stroke patients of the community health department of a medical center. The comparison of effectiveness was evaluated statistically using generalized estimating equation analyses. The comparison of effectiveness was evaluated statistically using generalized estimating equation analyses. The results showed that average score for knowledge was increased from 13.7 to 19.4 (p<.0001), efficacy expectation was increased from 63.2 to 67.3 (p<.0001), outcome expectation of rehabilitation was increased from 63.8 to 67.3 (p<.0005), and rehabilitation care behavior was increased from 13.7 to 19.4 (p<.0001). There were significant improvements in the experimental group compared to the control group. In summary, the home rehabilitation nursing program improved the caregivers’ knowledge, efficacy expectation, outcome expectation, and rehabilitation care behavior effectively. The study findings can help clinical nurses design education programs to improve patients’ and families’ knowledge of rehabilitation nursing, and to cater t caregivers’ need for home rehabilitation nursing. Further application of this program is warranted.

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