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題名:跌倒預防門診病人遵行醫療照護建議之探討
書刊名:榮總護理
作者:陳仕瑜林桑伊陳清惠 引用關係
作者(外文):Chen, Shih-yuLin, Sang-iChen, Ching-huey
出版日期:2012
卷期:29:1
頁次:頁1-9
主題關鍵詞:跌倒預防照護模式遵行性Fall preventionCare modelAdherence
原始連結:連回原系統網址new window
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  • 點閱點閱:6
跌倒預防門診為針對高跌倒危險病人有效的跌倒防治照護模式。然而其跌倒防治之成效與病人執行建議的遵行性息息相關。故本研究的主旨為探討接受跌倒預防門診服務之病人,對門診專業醫療人員所提供預防跌倒建議事項的遵行性與正確性。本研究為描述性研究,病人來源為某醫學中心接受跌倒預防門診照護服務滿六個月以上的病人,共42位,以結構式問卷進行訪問調查。結果顯示,整體的遵行性僅達38.6%,超過半數以上在醫療及藥物、運動、環境及其他建議等四類型建議事項皆未遵行,但只要能遵行,其正確率可高達70%以上。未來門診之照護宜強化病人對其跌倒危險因子之體認及提供能與病人生活習性相配合之照護建議。
Fall Prevention Clinic (FPC) is reported as an effective care model in preventing falls among high-risk subjects. The effectiveness of this service is highly correlated with the subjects' adherence to the advice provided by medical personnel. The aim of this descriptive study is to explore the adherence and accuracy of FPC subjects in conducting the clinical advice provided to them. Subjects having received FPC service over six months at a medical center were recruited. A structured questionnaire was used to collect data. The results showed that the overall adherent rate was 38.6%; more than 50% of the subjects reported not following the advice in four types of clinical recommendations, i.e. medical and medication, exercise, environmental and others. When subjects adhered with the advices, the accuracy rate could reach 70%. FPC should strengthen the subjects' perception towards the risk of falls and provide clinical advices as compatible with patients' life habits.
期刊論文
1.Chen, C. H.、Wu, J. R.、Yen, M.、Chen, Z. C.(2007)。A model of medication-taking behavior in elderly individuals with chronic disease。Journal of Cardiovascular Nursing,22(5),359-365。  new window
2.Clemson, L.、Cumming, R. G.、Kendig, H.、Swann, M.、Heard, R.、Taylor, K.(2004)。The effectiveness of a community-based program for reducing the incidence of falls in the elderly: A randomized trial。Journal of the American Geriatrics Society,52(9),1487-1494。  new window
3.Gillespie, L. D.、Robertson, M. C.、Gillespie, W. J.、Lamb, S. E.、Gates, S.、Cumming, R. G.(2009)。Interventions for preventing falls in older people living in the community。Cochrane Database Systemic Review,2,CD007146。  new window
4.Hill, K. D.、Moore, K. J.、Dorevitch, M. I.、Day, L. M.(2008)。Effectiveness of falls clinics: An evaluation of outcomes and client adherence to recommended interventions。Journal of the American Geriatrics Society,56(4),600-608。  new window
5.Kannus, P.、Sievanen, H.、Palvanen, M.、Jarvinen, T.、Parkkari, J.(2005)。Prevention of falls and consequent injuries in elderly people。Lancet,366(9500),1885-1893。  new window
6.Perell, K. L.、Manzano, M. L.、Weaver, R.、Fiuzat, M.、Voss-McCarthy, M.、Opava-Rutter, D.(2006)。Outcomes of a consult fall prevention screening clinic。American Journal of Physical Medicine and Rehabilitation,85(11),882-888。  new window
7.Puisieux, F.、Pollez, B.、Deplanque, D.、Di Pompeo, C.、Pardessus, V.、Thevenon, A.(2001)。Successes and setbacks of the falls consultation: Report on the first 150 patients。American Journal of Physical Medicine and Rehabilitation,80(12),909-915。  new window
8.Sze, P. C.、Cheung, W. H.、Lam, P. S.、Lo, H. S.、Leung, K. S.、Chan, T.(2008)。The efficacy of a multidisciplinary falls prevention clinic with an extended stepdown community program。Archive of Physical Medicine and Rehabilitation,89(7),1329-1334。  new window
其他
1.行政院衛生署國民健康局(2005)。94年國民健康訪問調查,http://olap.bhp.doh.gov.tw/index.aspx。  延伸查詢new window
 
 
 
 
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