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日常活動功能對老人出院後安療養院安置之影響

The Impact of the ADLs of Elderly Patients on their Disposition after Discharge

摘要


人口快速老化使得失能老人安置課題更形重要。本研究的目的在探討出院後採用安療養院安置老人與日常活動功能之關係,以及影響採用安療院安置之因素。採病例對照研究設計(case-control study),共選取50位內科擬出院老人為研究對象,應用結構式問卷於研究對象出院前以病歷查證、面對面觀察及訪談方式進行資料收集。結果顯示,超長住院、入院前居住於安療養、出院時身上有管路、日常活動功能高度依賴者採用安療養院安置有顯著相關,並以入院前居住於安療養院與超長住院為出院採用安療養安置之重要影響力因素。本研究結果可提供醫政單位建構我國長期照顧人力資源之參考,並藉以呼籲長期照護服務人員關切日常活動功能維持亦為機構安養照護重點,以幫助出院後老人與照顧者成功的照護與維持家庭之功能。

並列摘要


The purpose of the study was to explore the relationship between the capability of the managing the activity of daily living (ADL) of elderly patients and the decision of the disposition of these patients to a sanatorium following discharge from the hospital. A case-controlled study was used and 50 patients who were planning for discharge were selected. A structured survey was used and the data collected were also from the patients’ medical records, interviews and observation. The results show that the issues, which impact the decision for the disposition after hospital discharge were: the length of stay in the hospital, stayed in sanatorium prior to their admission, the accompaniment of surgical items such as drainage tubes and the level of dependence on the ADLs of the patients. The most significant findings were that patients who stayed in sanatorium prior to their admission and those with long periods of hospitalization were likely to be discharged to a sanatorium. The results provide information for the medical department in taking into consideration the need to develop a long-term care resource center. Moreover, it is also necessary to educate and train caregivers of patients who have been hospitalized for a long time.

被引用紀錄


秦鳳桐(2008)。終身住宅室內空間規劃研究 ─以集合住宅住宅單位為例〔碩士論文,中原大學〕。華藝線上圖書館。https://doi.org/10.6840/CYCU.2008.00399
徐菊容(2008)。出院居家安全指導提升老人跌倒預防之成效探討〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831/TMU.2008.00087
曾怡萍(2011)。護理之家老年住民不施行心肺復甦術之決策意向影響因素探討〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2011.00196
熊曉芳(2010)。失能者居家護理使用之研究〔博士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2010.00711
湯澡瑛(2008)。探討中高齡長者入住機構意願之影響因素〔碩士論文,亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-0807200916274886

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