轉銜期照護模式對腦中風病患之成效探討

The Effect of Transitional Care on Stroke Patients

10.6225/JNHR.09.2.116

林佳淑(Chia‐Shu Lin)；吳麗珍(Lee‐Jen Wu Suen)

轉銜期照護模式 ； 腦中風 ； 病患 ； 出院準備 ； transitional care model ； stroke ； patients ； discharge planning

護理暨健康照護研究

9卷2期（2013 / 06 / 01）

116 - 126

繁體中文

Background: Stroke patients recently discharged from the hospital often face difficulties performing activities of daily living (ADLs). Providing effective transitional care may help patients manage their physical and psychological changes and accelerate recovery. Purpose: This paper examines the effect of ”transitional care” on daily activity skills, care outcomes, and fall incidence. Methods: A quasi‐experimental design was used. Thirty‐six patients in the experimental group received ”transitional care” and 34 patients in the control group received standard discharge education. Outcome measures included the Barthel Index, the Care Outcome Scale, and the fall incidence rate one month after hospital discharge. Chi‐square test, independent t‐test and paired t‐test were used for data analysis. Results: The post‐test showed the Barthel Index score increment was greater in the experimental than the control group (38.75 vs 32.80). However, the difference did not reach statistical significance. The experimental group earned a significantly higher total score on the Care Outcome Scale than the control group (32.56 vs. 31.26; t = ‐3.00, p ＜ .01) and had a significantly lower fall incidence rate than the control group (0.896 per mille vs. 4.744 per mille; Z = 1.711, p ＜ .05). Conclusion: This study found that providing transitional care improved daily living skills and function in stroke patients, but that the level of improvement did not reach statistical significance. The effects of transitional care on patient care outcomes and the rate of fall incidence, however, were significant. Study results can be used to improve stroke patient home care.

Background: Stroke patients recently discharged from the hospital often face difficulties performing activities of daily living (ADLs). Providing effective transitional care may help patients manage their physical and psychological changes and accelerate recovery. Purpose: This paper examines the effect of ”transitional care” on daily activity skills, care outcomes, and fall incidence. Methods: A quasi‐experimental design was used. Thirty‐six patients in the experimental group received ”transitional care” and 34 patients in the control group received standard discharge education. Outcome measures included the Barthel Index, the Care Outcome Scale, and the fall incidence rate one month after hospital discharge. Chi‐square test, independent t‐test and paired t‐test were used for data analysis. Results: The post‐test showed the Barthel Index score increment was greater in the experimental than the control group (38.75 vs 32.80). However, the difference did not reach statistical significance. The experimental group earned a significantly higher total score on the Care Outcome Scale than the control group (32.56 vs. 31.26; t = ‐3.00, p ＜ .01) and had a significantly lower fall incidence rate than the control group (0.896 per mille vs. 4.744 per mille; Z = 1.711, p ＜ .05). Conclusion: This study found that providing transitional care improved daily living skills and function in stroke patients, but that the level of improvement did not reach statistical significance. The effects of transitional care on patient care outcomes and the rate of fall incidence, however, were significant. Study results can be used to improve stroke patient home care.