實施出院準備服務對跌倒後髖部骨折住院老人之成效：自我照顧知識、能力和健康照護滿足程度

The Effect of a Discharge Plan on Hospitalized Elderly Patients with Hip Fracture: Knowledge and Ability of Self-Care, and Health Care Satisfaction

10.6386/CGN.200409_15(3).0001

梁素華(Su-Hwa Liang)；黃子庭(Tzu-Ting Huang)

出院準備服務 ； 跌倒 ； 髖部骨折 ； 老人 ； discharge planning ； falls ； hip fractures ； elderly

長庚護理

15卷3期（2004 / 09 / 01）

237 - 247

繁體中文

The purpose of this study was to examine the effect of a discharge plan on hospitalized elderly patients with hip fracture due to falling. A quasi-experimental design with 69 hip fracture patients aged over 60 years, hospitalized due to falling, and discharge from a medical center in northern Taiwan were sequentially assigned to either usual care (n=35) or a discharge planning intervention (n=34). This discharge planning intervention included a self-care manual for educating and counseling, support for patients and their families, and coordination of an interdisciplinary team of providers. Major finding of the study included: (1) Experimental group had greater improvement in self-care knowledge than control group (t=15.82, t=-38.30, p＜.01); (2) The health care satisfaction and the ability of self-care (Activities of Daily Living (hADL) and Instrumental ADL were improved in both groups (F=90.45, p＜.01; F=165.20, p＜.01). This study showed that elderly patients with hip fracture could benefit from discharge planning intervention. Such plan could improve quality of care in nursing practices.

The purpose of this study was to examine the effect of a discharge plan on hospitalized elderly patients with hip fracture due to falling. A quasi-experimental design with 69 hip fracture patients aged over 60 years, hospitalized due to falling, and discharge from a medical center in northern Taiwan were sequentially assigned to either usual care (n=35) or a discharge planning intervention (n=34). This discharge planning intervention included a self-care manual for educating and counseling, support for patients and their families, and coordination of an interdisciplinary team of providers. Major finding of the study included: (1) Experimental group had greater improvement in self-care knowledge than control group (t=15.82, t=-38.30, p＜.01); (2) The health care satisfaction and the ability of self-care (Activities of Daily Living (hADL) and Instrumental ADL were improved in both groups (F=90.45, p＜.01; F=165.20, p＜.01). This study showed that elderly patients with hip fracture could benefit from discharge planning intervention. Such plan could improve quality of care in nursing practices.