家人照顧者於失能老人出院過渡期之需求、需求滿足變化探討

Changes in Discharge Needs and Satisfaction of Family Caregivers of Frail Elders during the Discharge Transition

曾明月(Ming-Yueh Tseng) ； 徐亞瑛(Yea-Ing Lotus Shyu) ； 史麗珠(Lai-Chu See) ； 陳獻宗(Sien-Tsong Chen)

《護理研究》 9卷3期 (2001/06) Pp. 311-321

https://doi.org/10.7081/NR.200106.0311

摘要

本研究旨在了解住院老人家人照顧者於出院前、出院後一週及一個月出院需求與滿足之變化情形。採立意取樣，於北部某醫學中心社經內科病房以結構性問卷收集資料，共收集131位失能老人照顧者爲研究對象。問卷內容包括失能老人與照顧者人口學資料、照顧者出院需求及照顧者出院需求滿足問卷。統計方法包括：描述性統計、成對t檢定、重複測量變異數分析。研究結果顯示(1)出院前總需求及各類需求都高於出院後一週及一個月，各類需求排序依次爲醫療照護相關訊息、醫療服務、情感支持、人力支持服務需求。(2)出院後一週及一個月需求滿足狀況相當，未隨時間改變而有顯著差異，滿足程度依序爲醫療服務、醫療照護相關訊息、人力支持服務、情感支持。本研究結果建議出院前的過渡期階段是照顧者需求最多亦是發展介入性措施計劃的重要時機，而「照顧者出院需求與滿足評估問卷」可作爲臨床失能老人照顧者出院需求與滿足評估之工具。

關鍵字

出院過度期 ； 出院需求 ； 出院需求滿足

並列摘要

This longitudinal study was designed to explore the discharge needs and needs satisfaction of frail elders family caregivers during the discharge transition. A total of 131 pairs of frail elders and their family caregivers from neuro-medical wards in a teaching hospital in northern Taiwan were interviewed using a structured questionnaire. Descriptive statistics, paired t-test, and repeated measure ANOVA were used to analyze the data. The results showed that: (1) The total needs and specific needs were higher before discharge than one week and one month after discharge. The rank order of the discharge needs, from high to low, was health care information services, health care services, emotional support services, and manpower support services. (2) The needs satisfaction at one week after discharge was the same as at one month after discharge. The rank order of needs satisfaction, from high to low, was health care services, health care information services, manpower support services, and emotional support services. The findings of this study suggest that during the discharge transition before discharge is the time of most needs and is an important time for developing nursing interventions. The “caregiver discharge needs and satisfaction assessment tool” can be used in clinical for practice assessment of the discharge needs and needs satisfaction of frail elders’ family caregivers during the discharge transition.

並列關鍵字

discharge transition ； discharge needs ； discharge needs satisfaction

參考文獻

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