護理之家住民願意接受復健治療相關因子研究

Willingness to receive rehabilitation among the residents in nursing home

賴仲亮(Lai Chung-Liang)

指導教授 ： 鄭文輝

亞洲大學/健康學院/健康產業管理學系健康管理組/碩士(2004年)

摘要

本研究旨在探討護理之家住民或家屬其接受復健治療的意願，並分析瞭解其相關因素。本研究以台中地區二家護理之家住民為樣本，主要以結構式問卷調查其人口特質、疾病、功能、社會生理狀況和復健經驗、認知，與其接受復健治療意願的相關性。對於住民Mini Mental State Examination(MMSE)大於13者，以面對面訪談；對於住民MMSE小於等於13者則由電訪中家屬代答。在180份問卷中，住民自答者有80位，佔44%，由家屬代答者有100位，佔56% 。在是否願意接受復健治療方面，住民自答者中有53位，佔住民自答的66.2%，而由家屬代答者，則有85位，佔家屬代答的85.0%，表示願意接受復健治療。研究分析中可知護理之家住民或住民家屬雖大部分有復健經驗(佔78%)，但復健認知仍嫌不足。在住民自答部分，入住護理之家的時間愈短、為本省籍、對自己功能恢復有信心、以前有復健經驗或認為復健對自己有幫助者，其接受復健治療的意願會較高。在家屬代答部分，住民疾病數目較多、日常生活功能較低、以前有復健經驗和認為復健對住民有幫助者，則家屬有較高的意願讓住民接受復健治療。

關鍵字

護理之家 ； 復健

並列摘要

This study aims to find out the willingness to receive rehabilitation among residents or their family members in nursing home, and to analyze the associated factors. Samples of this study were taken from two nursing homes in the Taichung area, using constructive questionnaires as a research tool. The questionnaires sought information about individual characteristics, diseases, functions, socio-psychological conditions, the experiences of rehabilitation and perception of rehabilitation, as well as the correlations between the above-mentioned factors to the willingness in rehabilitation. Data was collected through face-to-face interview with residents in nursing home themselves if their MMSE (Mini Mental State Examination) were above 13. The guestionnaires answered by their family members instead when MMSE below or equal to 13 through telephone. Among 180 samples, 80 (44%) and 100 (56%) were completed by residents themselves and their family members respectively. Family members (85%) had higher willingness comparing with resident (66.2%) who answered by themselves. We found out that the majority (78%) of the residents or family members of the two nursing homes have had experiences in rehabilitation; however, they still lack the perception of rehabilitation. Of those who answered the guestionnaires residents themselves, the shorter the length of stay in nursing home, Taiwanese in nationality, more confidence in recovery, having previous experiences and confidence in rehabilitation, had higher willingness to receive rehabilitation. Residents who had more diseases, poor functions, having previous experiences and confidence in rehabilitation had higher willingness to receive rehabilitation in family members-answered group.

並列關鍵字

Nursing home ； Rehabilitation

參考文獻

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