高屏地區腦中風病患養護環境之需求調查

Need of Caring Enviromrnt of Stroke in South Taiwan

梁秋萍(Chau-Peng Leong) ； 陳正岳(Cheng-Yueh Chen) ； 劉耀宗(Yiu-Chuag Lau) ； 張瑞昆(Ruey-Kuen Chang) ； 黃美涓(May-Kuen Wong)

《中華民國復健醫學會雜誌》 20期 (1992/12) Pp. 105-112

摘要

本研究為探討南台灣地區腦中風患者，於出院後的居家照顧，復健資源利用、需求與認知情形。以問卷調查、電話追蹤及家庭訪視的方式收集225個案。其中男性117位(52.0%)，女性108位(48.0%)，年齡層31至89歲(平均63.45±0.87歲)。結果發現，大多數(76.4%)的病患對其居家附近的復健醫療院所感到匱乏，這也是造成病患中斷門診的原因;而病患對復健需求的認知則是超過其供給的，大部份的病患願意前往復健中心接受復健(88%)或是接受居家復健的治療(61%)。年齡較輕或日常生活功能較佳的病患，前往安養中心的意願較低。而本研究中，絕大多數的病患在出院後都返回家中接受照顧。

關鍵字

腦血管疾病 ； 復健醫療資源 ； 養護環境

並列摘要

In order to understand the caring environment of the stroke patients and the utilization, need, demand and congition of the rehabilitation resoures, 225 stroke patients, who admitted to Kaohsiung Chang Gung Memorial Hospital from January 1986 to December 1990, 117 males (52%) and 108 females (48.0%) with the ages from 31 to 89 (mean 63.45 ±10.87) were evaluated by questionaires, telephone and home visit. From the view point of the patients, the rehabilitation resources were insufficient for them in communities (76.4%), and it was one of the main reasons causing loss of follow-up. The patients' cognition of the importance of the rehabilitation was greater than its availability. Most paitents prefered to go to rehabilitation centers in their communities (88.1%) or receive home visit rehabilitation (64.2%). The younger subjects and those who had better activities of daily living had the lower intention to the long-term care facilities. Almost all subjects in this study returned home after their discharges from the hospital.

並列關鍵字

cerebrovascular disorders ； rehabilitation resources ； caring environment