應用護理照護藍圖於居家腦中風病患照護之探討

Application of Nursing Care Map in Caring for Stroke Patients at Home

10.7081/NR.200004.0249

周碧琴(Pi-Chin Chou)；陳靜敏(Ching-Min Chen)；盧美秀(Meei-Shiow Lu)

腦中風 ； 居家護理 ； 護理照護藍圖 ； 照護品質 ； Stroke ； home health care ； nursing care map ； quality of care

護理研究

8卷2期（2000 / 04 / 01）

249 - 259

繁體中文

The aim of the study was to utilize the “nursing care map” (NCM) for home care stroke patients. A longitudinal research model was used in this study. The sample consisted of 31 stroke patients and their care- givers. The findings of the study indicated: (1) 2.8% variance was found. Patient condition and family financial stress were major facfors for variance in employing NCM (92%). (2) Patient complications were improved significantly by applying the nursing care map (OR=17, p＜0.001). Incidence of pressure sores was most significantly decreased. The caregivers’ competence in caring were also significantly improved, (3) Families’ average satisfaction toward the nursing care was 4.13 (M=4, range 1-5) Significant factors influencing quality of home health care included: preexisting complications, caregiver’s educational level and family income. In conclusion, the nursing care map could provide a suitable patient care model for home care stroke patients.

The aim of the study was to utilize the “nursing care map” (NCM) for home care stroke patients. A longitudinal research model was used in this study. The sample consisted of 31 stroke patients and their care- givers. The findings of the study indicated: (1) 2.8% variance was found. Patient condition and family financial stress were major facfors for variance in employing NCM (92%). (2) Patient complications were improved significantly by applying the nursing care map (OR=17, p＜0.001). Incidence of pressure sores was most significantly decreased. The caregivers’ competence in caring were also significantly improved, (3) Families’ average satisfaction toward the nursing care was 4.13 (M=4, range 1-5) Significant factors influencing quality of home health care included: preexisting complications, caregiver’s educational level and family income. In conclusion, the nursing care map could provide a suitable patient care model for home care stroke patients.

1. Albrecht, M. N.(1990).The Albrecht nursing model for home health care: Implication for research, practice and education.Public Health Nursing,7(2),118-126.
2. Chiu, L.(1997).Family caregiver`s satisfaction with home care in the Taipei metropolitan area.Public Health Nursing,14(1),42-50.
3. Creaser, T.,Kemph, R.,Burns, D.(1993).Nursing care management in a rural setting.The Kansas Nurse,68(3),3-4.
4. Franty, A.(1994).The cardiac care step-down unit at home.Caring Magazine,13(10),42-51.
5. Marrelli, T. M.,Hilliard, L. S.(1996).Home care and clinical paths effective care planing across the continuum.St. Louis, MO:Mosby.
6. Ogilvie-Harris, D. J.,Botsford, D. J.,Hawker, R. W.(1993).Elderly patients with hip fractures: Improved outcome with the use of care maps high quality medical and nursing protocols.Journal of Orthopedic Trauma,7(5),428-437.
7. Rozell, B. R.,Newman, K. I.(1994).Extending a critical path for patients who are ventilator dependent.Home Healthcare Nurse,12(4),21-25.
8. Stanphone, M.,Lancaster, J.(1995).Community health nursing in home health and hospice care.Community health nursing,805-831.
9. 行政院衛生署(1997)。衛生白皮書－跨世紀衛生建設老年人保健。作者:
10. 李怡娟(1997)。城鄉社區老人使用居家護理服務情形及其預測因子之探討。護理雜誌，45(2)，127-135。
11. 邱啟潤、呂淑宜、許玉雲、朱陳宜珍、劉蘭英(1988)。居家中風病人之主要照顧者負荷情形及相關影響因素探討。護理雜誌，35(1)，69-81。
12. 徐亞瑛、張媚、楊玉玟、黃久美(1992)。都市型及鄉村型社區中居家殘病老人照顧者之負荷及相關影響因素。護理雜誌，39(3)，99-105。
13. 翁淑娟、王瑞霞(1997)。第十四次護理研究論文發表會摘要集。台南:國立成功大學醫學院。
14. 陳彩鳳(1996)。護理專業導論。台北:匯華。

1. 駱麗華、曾紀瑩、高碧霞、李雅玲(2000)。癌症兒童主要照顧者所關注的居家健康照護需求。The Journalof Nursing Research，8(6)，673-684。