Care Needs and Level of Care Difficulty Related to Hip Fractures in Geriatric Populations during the Post-Discharge Transition Period
Resource
THE JOURNAL OF NURSING RESEARCH v.14 n.4 pp.251-260
Journal
THE JOURNAL OF NURSING RESEARCH
Journal Volume
v.14
Journal Issue
n.4
Pages
251-260
Date Issued
2006
Date
2006
Author(s)
LIN, PI-CHU
HUNG, SHIH-HSIN
LIAO, MENG- HSUEH
SHEEN, SHU-YI
JONG, SHWU-YUAN
Abstract
本研究目的在了解髖部骨折老人出院過渡期照顧需求和照顧困難度，以及老人人口學 基本資料、身體功能狀態和照顧需求之相關性。本研究採立意取樣，共收案71名髖部 骨折老人及其主要照顧者，在老人出院前、出院後一周以問卷收集資料。統計方法包 括描述性統計、相關分析、one-way ANOVA、和paired t-test 等。研究結果：(1)出 院時老人大部分須依賴家人照顧，身體功能平均得分6.99 (0-18)分，出院一周時有 明顯進步，平均10.27分，paired t=−7.956, p<. 000。(2)主要照顧者平均年 齡51.72(SD=14.05)歲，女性47人(66.2%)，與老人之關係，以配偶22人(31.0%)最多 。(3)老人的照顧需求包括「協助看病或返診」、「隨時注意安全」、「協助維持環 境之整潔」等。(4)主要照顧者感到較困難的照顧工作，包括「協助上下樓梯」、「 協助處理情緒問題」、「協助走路訓練」、「協助做復健」、「協助處理疾病有關的 緊急狀況」。(5)照顧需求及照顧困難度和老人身體功能呈顯著負相關。根據研究結 果建議在老人出院前，應指導主要照顧者居家照顧知能及強化社會支持系統。 The objective of this study was to understand the following: (1) the specific care needs of geriatric hip fracture patients; (2) the level of care difficulty during the transition period following discharge; and (3) the correlation amongst demographics, the physical function status of the elderly, and care needs. Purposive sampling was used, and a total of 71 hip fracture cases and their caregivers were selected. A survey was carried out to collect data just before discharge and one week following discharge. Statistical methods included descriptive statistics, correlation analysis, one- way ANOVA, and a paired t-test. Results were as follows: Most geriatric patients depended upon care from family members before discharge, with an average physical function status score of 6.99 ( 0 to 18) that improved significantly after one week to 10.27; paired t=-7. 956 (p<.000). The mean age of primary caregivers was 51.72 years old (SD= 14.05). Most caregivers (47, or 66.2%) were female. The relationship between elderly participants and their primary caregiver was predominantly that of husband and wife (22 people; 31.0% ). Participant care needs identified included return visit assistance, awareness of safety at all times, assistance with cleaning and maintaining living quarters, and so on . Caring tasks that were identified as more difficult for the primary caregivers includes providing stair climbing assistance, emotional problems management assistance, walking training assistance, rehabilitation assistance, and emergency disease management assistance. The care needs of the elderly in this study and level of execution difficulty for caregivers was found to be negatively related to the physical function status of the elderly. The study results suggest that providing patient-related home care knowledge to primary caregivers prior to discharge from the hospital and enhancement of the social support system are both needed .
Subjects
髖部骨折
老人
照顧需求
hip fracture
geriatric population
care needs