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題 名 | 協助一位長照機構中風老人規律運動之發展=Assisting an Old Adult with Stroke in Developing Regular Exercise at a Long-term Care Institution |
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作 者 | 林淑娟; 陳淑銘; | 書刊名 | 長期照護雜誌 |
卷 期 | 16:3 2012.12[民101.12] |
頁 次 | 頁305-315 |
分類號 | 419.76 |
關鍵詞 | 長照機構; 中風老人; 規律運動; 跨行為理論模式; 太極氣功; Long-term care institution; Stroke older adult; Regular exercise; Transtheoretical model; Tai-Chi-Qui-Gong; |
語 文 | 中文(Chinese) |
中文摘要 | 本文旨在協助一位長照機構中風老人規律運動之發展。筆者於2011年5月10日至6月27日照護期間,藉由觀察、會談及身體評估方式收集資料,進行生理、心理、社會、靈性評估與分析,觀察到個案初到機構時能扶著床緣站立,但由於在機構長期於床上執行日常生活,下床完全依賴照顧服務員協助坐輪椅,有肢體廢用之健康問題。針對個案長期坐式生活型態,以跨理論模式評估個案正處於五個階段中的沉思期,運用十個改變方法、決策權衡與自我效能做為護理措施,並提供太極氣功十八式錄影帶的播放,以坐輪椅方式執行規律運動,目的在增強關節活動度與骨骼肌力。結果個案能由長期坐式生活型態,改變每週一、三、五早上參加規律運動,最後可自行下床坐輪椅或以助行器行走3-5步,進而增加個案重返家庭及社區的動機。本文運用跨理論行為模式策略,以太極氣功介入的成效,希望能引發更多長照機構重視中風老人規律運動與多元化規律運動的設計,提高中風老人參與的興趣,降低肢體廢用的產生。 |
英文摘要 | This study described a nursing intervention that employed a regular exercise in the care of an old stroke woman at a long-term care institution between May 10th and June 27th, 2011. Data collection was done through observations, interview and physical examinations. The patient was evaluated physically, psychologically, socially and spiritually. Major nursing problems identified included limb disuse and not regularly exercising. Because of the patient relied on nursing assistant to help daily routine such as moving from bed to wheelchair. The Transtheoretical Model was employed to deliver ten behavioral change strategies, decisional balance and self-efficacy which enhanced the ability of change in the stage of contemplation. The video teaching program was used to encourage and learn Tai-Chi-Qui-Gong18-style for sustaining regular exercise. After 3 days per week regular exercise for 18 weeks, the patient was able to move from bed to wheelchair, and walk 3-5 steps by herself. Patient became more confident in returning back to the family and the community. By sharing this case experience, it is hoped and recommended that healthcare providers should be more proactive and design a regular effective exercise program to help aged stoke people have an active living style and get back to the community. |
本系統中英文摘要資訊取自各篇刊載內容。