居家復健護理方案對中風病患主要照顧者之成效

The Effectiveness of a Home Rehabilitation Nursing Program in Caregivers of Stroke Patients

郭雅雯(Ya-Wen Kuo) ； 蔣立琦(Li-Chi Chiang) ； 吳聖良(Shang-Liang Wu) ； 郭憲文(Hsien-Wen Kuo)

《實證護理》 2卷2期 (2006/06) Pp. 109-118

https://doi.org/10.6225/JEBN.2.2.109

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 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 to caregivers' need for home rehabilitation nursing. Further application of this program is warranted.

關鍵字

復健護理 ； 主要照顧者 ； 中風個案 ； 照護行為

並列摘要

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 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 to caregivers' need for home rehabilitation nursing. Further application of this program is warranted.

並列關鍵字

rehabilitation nursing ； caregiver ； client with stroke ； care behavior