臺南地區腦中風患者居家生活及環境調查

An investigation of post-discharge stroke patients in tainan

盧俊良(Chun-Liang Lu) ； 薛澤杰(Tse-Chieh Hseuh)

《中華民國復健醫學會雜誌》 22卷2期 (1994/12) Pp. 7-15

摘要

本研究乃針對台南地區腦中風患者，利用實地居家訪視的方式，探討其出院後的居家照顧、住家環境適應、長期復健及安置問題。研究方法採用家庭訪視，對象包括病患及其照顧者。共收集30個病患，前後追蹤三次，時間長達三年以上。其中男性13人（43.3％），女性17人（56.7％）。年齡層分佈為50至86歲（平均年齡66.7歲）。結果發現病患的主要照顧者，起初以配偶為止，但後來逐漸轉變成以子女為主。在家庭生活中，有16例（54.4％）曾經有跌倒的經驗，地點依次為臥室、走廊和浴室。有6例（20％）曾對居住環境進行修改，修改地點以浴廁、走道加裝扶手，和去除門檻障礙為主。三次家訪中，發現有2病例被送治安養機構，而有30％的家屬有益願將病患送到安養中心作長期性照顧。

關鍵字

腦血管疾病 ； 安養機構 ； 跌倒 ； 主要照顧者

並列摘要

In order to realize the actual living condition of me stroke patients after discharge, we collected 30 patients who had been admitted to National Cheng Kung University Hospital (NCKUH) under the diagnosis of cerebral vascular accident from November 1988 to August 1990. We interviewed directly with the families and patients, and followed them for up to more than three years, so as to know the real problems encountered by the patients during the postdischarged period. For the purpose of improving the life quality of patients, we also investigated the adaptability of the living enviorment and
the necessity of persistent rehabilitation at home.To reduce the risk of accidental injuries, this study discovered the most frequent places where the stroke patients got a fall.
The quality of the caregiver usually influenced the outcome of stroke patients after disacharge. The psychological conflicts of families after long term care of the stroke patients were still undetermined.We would like to discuss with family about this topic.
At last, we also want to know the family's plans of patient placement after long term care. We hoped all the findings of this study could give some information to make a practical plan for the care and settle of the post-discharge stroke patients.

並列關鍵字

cerebrovascular disorder ； nursing institute ； main caregiver