- 期刊
出院準備服務對中風老人主要照顧者生活品質的影響
The Effect of Discharge Planning on Quality of Life of Primary Caregivers of Elderly Stroke Patients
摘要
本研究主要目的是探討「出院準備服務計畫」之介入措施，對於中風老人主要照顧者返家後六個月內生活品質的影響。以縱貫式類實驗性研究設計法，在北台灣某醫學中心的神經內科病房以便利取樣的方式，總共收案人數為103位，運用SF-36 (short form-36)健康生活品質量表為測量工具。研究結果發現：（一）主要照顧者的生活品質，於返家後六個月內都是以「身體功能」得分最高，「活力狀況」得分最低，而且，實驗組於六個月的「整體健康感受」較控制組好；（二）出院率備服務對主要照顧者生活品質的影響，於三個月時「社交功能」及「整體健康感受」之生活品質，在組別問的得分差異會隨著時間的變化而不同；於六個月時「身體功能」及「社交功能」之生活品質，在組別問的得分差異會隨著時間的變化而不同；在控制「時間」因素後，出院率備服務對主要照顧者返家後的生活品質，並沒有造成組別間差異；在控制「組別」因素後，於六個月時「身體疼痛」，會隨著時間的變化，對於生活品質造成負向的影響。建議往後的研究，除了以縱貫性的追蹤方式之作，並能增加支持團體與社工師的參與，以提升主要照顧者心理層面之生活品質。
並列摘要
The purpose of this study was to examine the effect of discharge planning on the quality of life of primary caregivers of elderly stroke victims for six months after the latters' discharge from hospital The study used a longitudinal quasi-experimental design One hundred and three caregivers from four neurological wards of a medical center in northern Taiwan were enlisted Short form-36 (SF-36) health status was used to measure quality of life The results showed that the highest scores for quality of life of primary caregivers for six months after their patient's discharge were for physical function and the lowest were for vitality Also, caregivers' general health was better in the experimental group than in the control group on the sixth month Scores for caregivers' social function and general health varied between the two groups on the third month Scores for caregivers' physical function and social function varied between the two groups on the sixth month After the time factor was controlled, however, discharge planning showed no effect on differences between the two groups in terms of caregivers' quality of life after discharge After the group factor was controlled, discharge planning showed a negative effect on caregivers' body pain on the sixth month after discharge The results of this study suggest that discharge planning programs should not only involve longitudinal follow-up, but also support groups and social workers to promote the mental dimension of caregivers' quality of life.