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題名：Care Needs and Level of Care Difficulty Related to Hip Fractures in Geriatric Populations during the Post-Discharge Transition Period
書刊名：The Journal of Nursing Research
作者：林碧珠／洪世欣／廖孟雪／沈淑怡／鍾淑媛
作者(外文)：Lin, Pi-chu／Hung, Shih-hsin／Liao, Meng-hsueh／Sheen, Shu-yi／Jong, Shwu-yuan
出版日期：2006
卷期：14:4
頁次：頁251-260
主題關鍵詞：髖部骨折；老人；照顧需求；Hip fracture；Geriatric population；Care needs
原始連結：連回原系統網址new window
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  • 共同引用共同引用:113
  • 點閱點閱:50
本研究目的在了解髖部骨折老人出院過渡期照顧需求和照顧困難度，以及老人人口學基本資料、身體功能狀態和照顧需求之相關性。本研究採立意取樣，共收案71名髖部骨折老人及其主要照顧者，在老人出院前、出院後一周以問卷收集資料。統計方法包括描述性統計、相關分析、one-way ANOVA、和paired t-test 等。研究結果：(1)出院時老人大部分須依賴家人照顧，身體功能平均得分6.99 (0-18)分，出院一周時有明顯進步，平均10.27分，paired t=−7.956, p<.000。(2)主要照顧者平均年齡51.72(SD=14.05)歲，女性47人(66.2%)，與老人之關係，以配偶22人(31.0%) 最多。(3)老人的照顧需求包括「協助看病或返診」、「隨時注意安全」、「協助維持環境之整潔」等。(4)主要照顧者感到較困難的照顧工作，包括「協助上下樓梯」、「協助處理情緒問題」、「協助走路訓練」、「協助做復健」、「協助處理疾病有關的緊急狀況」。(5)照顧需求及照顧困難度和老人身體功能呈顯著負相關。根據研究結果建議在老人出院前，應指導主要照顧者居家照顧知能及強化社會支持系統。
The objective of this study was to understand the following: (1) the specific care needs of geriatric hip fracture patients; (2) the level of care difficulty during the transition period following discharge; and (3) the correlation amongst demographics, the physical function status of the elderly, and care needs. Purposive sampling was used, and a total of 71 hip fracture cases and their caregivers were selected. A survey was carried out to collect data just before discharge and one week following discharge. Statistical methods included descriptive statistics, correlation analysis, one-way ANOVA, and a paired t-test. Results were as follows: Most geriatric patients depended upon care from family members before discharge, with an average physical function status score of 6.99 (0 to 18) that improved significantly after one week to 10.27; paired t = -7.956 (p < .000). The mean age of primary caregivers was 51.72 years old (SD = 14.05). Most caregivers (47, or 66.2%) were female. The relationship between elderly participants and their primary caregiver was predominantly that of husband and wife (22 people; 31.0%). Participant care needs identified included return visit assistance, awareness of safety at all times, assistance with cleaning and maintaining living quarters, and so on. Caring tasks that were identified as more difficult for the primary caregivers includes providing stair climbing assistance, emotional problems management assistance, walking training assistance, rehabilitation assistance, and emergency disease management assistance. The care needs of the elderly in this study and level of execution difficulty for caregivers was found to be negatively related to the physical function status of the elderly. The study results suggest that providing patient-related home care knowledge to primary caregivers prior to discharge from the hospital and enhancement of the social support system are both needed.
期刊論文
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3.張梅蘭(19930300)。Home Health Care Needs Survey of Rehabilitation Inpatients after Discharge。中華民國物理治療學會雜誌，18(1)，1-18。  延伸查詢new window
4.Longman, A. J.、Atwood, J. R.、Sherman, J. B.、Benedict, J.、Shang, T. C.(1992)。Care needs of home-based cancer patients and their caregivers: quantitative findings。Cancer Nursing，15(3)，182-190。  new window
5.吳淑瓊、林惠生(1999)。臺灣功能障礙老人家庭照護者的全國概況剖析。中華公共衛生雜誌，18(1)，44-53。new window  延伸查詢new window
6.林碧珠(20010400)。髖骨骨折跌倒相關特性及其對老人影響之研究。公共衛生，28(1)，49-60。  延伸查詢new window
7.胡幼慧、郭淑珍、王孝仙(19960800)。老人長期病患照顧者對取代方案之考量：潛需求與因境之分析。中華公共衛生雜誌，15(4)，275-288。new window  延伸查詢new window
8.胡文郁、邱泰源、莊榮彬、陳慶餘、戴玉慈、陳月枝(19990900)。居家緩和醫療家庭主要照顧者之需求與滿意度。臺灣醫學，3(5)，527-537。  延伸查詢new window
9.湯麗玉(19920900)。痴呆症老人照顧者的負荷及其相關因素之探討。護理雜誌，39(3)，89-98。new window  延伸查詢new window
10.胡幼慧、王孝仙、郭淑珍(19950700)。家人照護失能老人的困境：一項質化與量化整合的研究。公共衛生，22(2)，99-113。  延伸查詢new window
11.陳玉敏(20010900)。獨居老年人之自我照顧需求。榮總護理，18(3)，223-233。new window  延伸查詢new window
12.Bull, M. J.(1992)。Managing the transition from hospital to home。Qualitative Health Research，2(1)，27-41。  new window
13.戴玉慈、楊榮森、曹昭懿、黃貴薰、楊麗花(2002)。髖部骨折之功能恢復：對接受綜合復健病患之6個月追蹤。臺灣醫學會雜誌，101(12)，846-853。  延伸查詢new window
14.Ingemarsson, A. H.、Frandin, K.、Mellstrom, D.、Moller, M.(2003)。Walking ability and activity level after hip fracture in the elderly - a follow-up。Journal of Rehabilitation Medicine，35(2)，76-83。  new window
15.Wolinsky, F. D.、Fitzgerald, J. F.、Stump, T. E.(1997)。The effect of hip fracture on mortality, hospitalization, and functional status: A prospective study。American Journal of Public Health，87(3)，398-403。  new window
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17.Taggart, H. M.(2001)。Rehabilitation after a Hip Fracture: Special Needs of the Elderly。Critical Care Nursing Clinics of North America，13(3)，411-419。  new window
18.Thorngren, K. G.、Norrman, P. O.、Hommel, A.、Cedervall, M.、Thorngren, J.、Wingstrand, H.(2005)。Influence of Age, Sex, Fracture Type and Pre-fracture Living on Rehabilitation Pattern after Hip Fracture in the Elderly。Disability and Rehabilitation，27(18-19)，1091-1097。  new window
19.Watson, R.、Modeste, N. N.、Catolico, O.、Crouch, M.(1998)。The Relationship between Caregiver Burden and Self-care Deficits in Former Rehabilitation Patients。Rehabilitation Nursing，23(5)，258-262。  new window
20.Williams, M. A.、Oberst, M. T.、Bjorklund, B. C.(1994)。Posthospital Convalescence in Older Women with Hip Fracture。Orthopaedic Nursing，13(4)，55-64。  new window
21.Anders, R. L.、Ornellas, E. M.(1997)。Acute Management of Patients with Hip Fracture: A Research Literature Review。Orthopaedic Nursing，16(2)，31-46。  new window
22.Bluvol, A.、Ford-Gilboe, M.(2004)。Hope, Health Work and Quality of Life in Families of Stroke Survivors。Journal of Advanced Nursing，48(4)，322-332。  new window
23.Bull, M. J.、Jervis, L. L.(1997)。Strategies Used by Chronically Ill Older Women and Their Caregiving Daughters in Managing Posthospital Care。Journal of Advanced Nursing，25，541-547。  new window
24.酒小蕙(1998)。以多元化方法探討出院過渡期脊髓損傷病患家屬角色緊張與需求。護理研究，6(6)，513-525。new window  延伸查詢new window
25.Cooper, C.(1997)。The Crippling Consequences of Fractures and Their Impact on Quality of Life。The American Journal of Medicine，103(2A)，12-19。  new window
26.Elinge, E.、Stenvall, M.、Von Heideken Wagert, P.、Lofgren, B.、Gustafson, Y.、Nyberg, L.(2005)。Daily Life among the Oldest Old with and without Previous Hip Fractures。Scandinavian Journal of Occupational Therapy，12(2)，51-58。  new window
27.林碧珠、張蘇鈺(2004)。髖部骨折手術後老人身體功能恢復狀態一年追蹤研究。護理研究（英文版），12(1)，72-82。  延伸查詢new window
28.Magaziner, J.、Simonsick, E. M.、Kashner, T. M.、Hebel, J. R.、Kenzora, J. E.(1990)。Predictors of Functional Recovery One Year Following Hospital Discharge for Hip Fracture: A Prospective Study。The Journal of Gerontology，45，101-107。  new window
29.Roder, F.、Schwab, M.、Aleker, T.、Morike, K.、Thon, K. P.、Klotz, U.(2003)。Proximal Femur Fracture in Older Patients-rehabilitation and Clinical Outcome。Age and Ageing，32，74-90。  new window
學位論文
1.Bundek, N. L.(1996)。An Investigation of Caregiver Sense of Control and Coping Strategies in Moderating the Effects of Caregiving Demands，0。  new window
 
 
 
 
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