韩国老年中风患者日间护理中心的家庭参与和患者定制健康管理项目。
A family involvement and patient-tailored health management program in elderly Korean stroke patients' day care centers.
作者信息
Chang Ae Kyung, Park Yeon-Hwan, Fritschi Cynthia, Kim Mi Ja
机构信息
Chungbuk National University, Department of Nursing Science, Cheongju, South Korea.
Seoul National University, College of Nursing & The Research Institute of Nursing Science, Seoul, South Korea.
出版信息
Rehabil Nurs. 2015 May-Jun;40(3):179-87. doi: 10.1002/rnj.95. Epub 2013 May 29.
PURPOSE
This study aimed to examine the effects of a family involvement and functional rehabilitation program in an adult day care center on elderly Korean stroke patients' perceived health, activities of daily living, instrumental activities of daily living, and cost of health services, and on family caregivers' satisfaction.
DESIGN
Using one-group pre- and posttest design, dyads consisting of 19 elderly stroke patients and family caregivers participated in 12-week intervention, including involvement of family caregivers in day care services and patient-tailored health management.
FINDINGS
Outcomes of patients and caregivers were significantly improved (all p < .001). However, the cost of health services did not decrease significantly.
CONCLUSIONS
This program improved functional levels and health perception of elderly stroke patients and caregivers' satisfaction. However, results must be interpreted with caution, because this was only a small, single-group pilot study.
CLINICAL RELEVANCE
This program may be effective for elderly stroke patients and their caregivers.
目的
本研究旨在探讨成人日托中心的家庭参与和功能康复计划对韩国老年中风患者的健康认知、日常生活活动能力、工具性日常生活活动能力、医疗服务成本以及家庭照顾者满意度的影响。
设计
采用单组前后测设计，由19名老年中风患者及其家庭照顾者组成的二元组参与了为期12周的干预，包括家庭照顾者参与日托服务和针对患者的健康管理。
结果
患者和照顾者的结局均有显著改善（所有p <.001）。然而，医疗服务成本并未显著降低。
结论
该计划提高了老年中风患者的功能水平和健康认知以及照顾者的满意度。然而，由于这只是一项小型的单组试点研究，结果必须谨慎解读。
临床意义
该计划可能对老年中风患者及其照顾者有效。
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