頁籤選單縮合
題 名 | 老年住院病患護理需要之初探=The Investigation of Nursing Needs for Gerontological Patients |
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作 者 | 徐南麗; 馮容莊; 余雪賓; 林庭蕙; | 書刊名 | 榮總護理 |
卷 期 | 13:2 1996.06[民85.06] |
頁 次 | 頁170-179 |
分類號 | 419.76 |
關鍵詞 | 護理需要; 老年護理; Patient classification; Gerontological nursing; Discharge indicators; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究係國科會補助三年研究計畫之第一年報告,目的在依護理分類、病人情況, 瞭解老年住院病患的護理需求。研究目的:(1)瞭解急性醫療病房老年住院病患入院時的基本 特質,含生理、心理、社會行為及自我照顧能力等;(2)依住院老年病患情況及護理需求分類, 以做為未來單位護理人力分配考量;(3)衡量老年病患住院期間,護理需要改變情形,以做為 未來建立出院指標參考。研究調查對象是以某醫學中心泌尿外科、神經內科及腫瘤科三個病 房271位65歲以上的老年住院病人。研究時間自83年2月1日起至84年7月31日止。研 究工具採用「老年護理病歷」及「老年護理每日評估表」。信度採評分員信度,效度則採用專 家效度。研究結果顯示:(1)各專科老年住院病人在生理、心理、社會行為及自我照顧上有個 別差異。(2)依「老年護理每日評估表」中二十一項指標分成四類:第一類為可自我照顧、第 二類為小部份需要協助、第三類為大部分需要協助、第四類為完全需要協助。(3)由「老年護 理每日評估表」各分項(如排便型態、動靜脈注射周圍皮膚、活動及睡眠)求出入院差平均 值,以瞭解住院期之護理需求改變。研究結果可提供老年住院病人分類、出院指標建立及轉 介之參考。 |
英文摘要 | The main purpose of this study is to establish discharge indicators for gerontological patients and evaluate their care in different hospitals. The purpose of the first year of study was to build up the referral model by classifying patients by patient's condition, need of nursing care, and ability to care for themselves; and to find the variables that serve as discharge indicators. The research started on February 1, 1994 and ended on July 31, 1995. Data from 271 patients in three different wards, oncological, neurological, and genital - urinary, was collected. Test for inter – rater reliability were used. Validity was based on content validity and experts' opinions. The result showed: (1)There were significant differences between each patient's personal data, physical, and self – care ability. (2)Patients were classified into four types after evaluation according to 21 items of nursing care need, medical needs and self – care ability. (3)Urinary pain, Ⅳ care, skin care, activity and sleep pattern were shown to be discharge indicators. (4)Experts' opinions showed consciousness, respiration, emotion, urination, and appetite pattern were discharge indicators. The results will help nurses establish discharge indicators for gerontological patients to the benefit of both hospitals and patients. |
本系統中英文摘要資訊取自各篇刊載內容。