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題名 | 影響居家照護病患巴氏活動量表功能改變之因素探討=An Analysis of Factors that Influence on Patients' Bathel Score in a Home Health Care Setting |
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作 者 | 杜明勳; 王復維; | 書刊名 | 中華民國家庭醫學雜誌 |
卷期 | 8:1 1998.03[民87.03] |
頁次 | 頁1-10 |
分類號 | 419.7 |
關鍵詞 | 居家照護; 照顧者; 家庭功能; 壓力來源; 病患; 巴氏活動量表; Home health care; Caregiver; Family function; Stress sources; Barthel score; |
語文 | 中文(Chinese) |
中文摘要 | 為瞭解某醫學中心居家小組所照顧個案之家庭概況、主要照顧者壓力來 源、及照護後影響病患功能改變之因素為何,是以從事本研究。 1994年4月至1996年12月,以該院所有居家照護個案120位為調查對象, 收集病患、照顧者及家庭相關資料,並於照護兩個月後進行比較分析。 結果發現該院居家照護病患以男性(68.3%)居多,但照顧者卻以女性 (80.7%)為主,22戶(18%)家庭有看護協助照顧。其主要照顧者十項常見照顧 壓力來源中,平均3.87±2.50項為陽性,照顧之整體感受壓力評分為7.29± 2.23分。照顧者家庭功能指數平均值為5.70±3.48分。照護兩個月後,病患之 巴氏活動量表分數之改變未達顯著差異。 以逐步對數迴歸分析得知,影響照顧者主要壓力來源「壓力事件指數」 之因素有「每天照顧病患時數」及「家庭功能」;而影響「整體感受壓力評分」之因素為「 每天照顧病患時數」,「家中可以幫忙照顧人數」,及「與家人爭執之次數」。由逐步迴歸 分析得知,影響照護前病患巴氏活動量表分數之因素為「家庭經濟狀況」;而影響照護後巴 氏量表分數之因素則有「病患年齡」、「家中人口數」、「家庭功能」、及「看護照顧時數 」。照護後影響病患活動量表分數改變之因素有「照顧者年齡」、「家中可協助照顧之人數 」、「家庭經濟狀況」、及「照護前病患原本之活動功能」。對參與居家服務之醫療照護人 員,本研究對照顧者主要壓力來源及影響病患活動能力因素之探討將提供有用的參考。 |
英文摘要 | The purpose of this study was to understand caregivers' stress sources in a home healthcare setting and to understand factors that influenced patients' Bathel score after 2 months of home healthcare service. From April 1994 to December 1995, we collected 120 cases from the Home Healthcare Team in a medical center. We found that 68.3% of the patients were male, while 80.7% of the caregivers were female, and 18% of the families had care-assistants. From 10 common stress sources, caregivers perceived 3.87 ± 2.50 stressful items on average. The mean score of overall stress perceived was 7.29 ± 2.23. The mean APGAR Family Function Index was 5.70 ± 3.48. There was no statistically significant difference in the patients' Bathel score after 2 months of home healthcare service. From logistic regression, the caregiver's Stressful Event Index was related to the time spent in daily care and family function. Caregivers' perception of overall stress score were related to the time spent in daily care, assistance from family members, and dispute frequency within the family about how to care. With multivariate regression, we found that factors influencing patients' Bathel score prior to home health care service were related to family finance only, but factors influenced on the score after 2 months' service were related to patients' age, number of family members, family function and care hours from care-assistants. Factors associated with the interval changes of the patients' Bathel score were caregivers, age, number of helpful family members, family finance, and its score prior to home healthcare. This investigation explored caregivers' major stress items and factors that influenced patients' activity functioning during home health service. These findings may be a helpful reference for home healthcare workers. |
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