應用護理照護藍圖於居家腦中風病患照護之探討

Application of Nursing Care Map in Caring for Stroke Patients at Home

周碧琴(Pi-Chin Chou) ； 陳靜敏(Ching-Min Chen) ； 盧美秀(Meei-Shiow Lu)

《護理研究》 8卷2期 (2000/04) Pp. 249-259

https://doi.org/10.7081/NR.200004.0249

摘要

The aim of the study was to utilize the “nursing care map” (NCM) for home care stroke patients. A longitudinal research model was used in this study. The sample consisted of 31 stroke patients and their care- givers. The findings of the study indicated: (1) 2.8% variance was found. Patient condition and family financial stress were major facfors for variance in employing NCM (92%). (2) Patient complications were improved significantly by applying the nursing care map (OR=17, p＜0.001). Incidence of pressure sores was most significantly decreased. The caregivers’ competence in caring were also significantly improved, (3) Families’ average satisfaction toward the nursing care was 4.13 (M=4, range 1-5) Significant factors influencing quality of home health care included: preexisting complications, caregiver’s educational level and family income. In conclusion, the nursing care map could provide a suitable patient care model for home care stroke patients.

關鍵字

腦中風 ； 居家護理 ； 護理照護藍圖 ； 照護品質

並列摘要

The aim of the study was to utilize the “nursing care map” (NCM) for home care stroke patients. A longitudinal research model was used in this study. The sample consisted of 31 stroke patients and their care- givers. The findings of the study indicated: (1) 2.8% variance was found. Patient condition and family financial stress were major facfors for variance in employing NCM (92%). (2) Patient complications were improved significantly by applying the nursing care map (OR=17, p＜0.001). Incidence of pressure sores was most significantly decreased. The caregivers’ competence in caring were also significantly improved, (3) Families’ average satisfaction toward the nursing care was 4.13 (M=4, range 1-5) Significant factors influencing quality of home health care included: preexisting complications, caregiver’s educational level and family income. In conclusion, the nursing care map could provide a suitable patient care model for home care stroke patients.

並列關鍵字

Stroke ； home health care ； nursing care map ； quality of care

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