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Rehabilitation Practice and Science

Translated Title

中部地區居家照護病患之復健治療需求

Abstract

All cases of home care under the service of the Nurse Assiciation of Taichung City from Oct. 1989 to Dec. 1991 were collected to evaluate sex, age distribution, major caretaker, main disease entities, referral source, service items and prognosis. Questionaire was made for home care nurses of Taichung area to evaluate their training back grounds; disease items of clients and the percentage of the individial items; rehabilitation items that they think they could do, want to learn to do and hope the involvement of rehabilitative specialists; and the major causes interfering the receivement of rehabilitative home care.In 171 cases collected, the major age distribution range was between 70-80 year-old (32.2%); 70.8% of cases was between 60-90 year old. The main disease entities were cerebral vascular accident (83 cases) and terminal stage of cancer (34 cases). The m3or service items were simple rehabililitative exercise (105 cases), on nasogastric tube (95 cases) and on foley (77 cases). The majority of cases (132 cases) was referred from hospital. The major caretakers were son, the wife of son and/or daughter (91 cases) and the client's partner (60 cases). Stabilization or improvement could be found in 107 cases. 59 case resulted in death. There were 5 cases readmitted due to the complications of disease. The training back grounds of home care nurses were variable except two months of preoccupational training. No nurse had recived more than two months' rehabilitation training. They learned simple rehabilitative techniques from symposiums done later during occupation, and still wanted to learn more techhniques about feeding, bladder and activities of daily living training. The major etiologies that their clients could not receive rehabilitative home care were: family cause, disease severity and patient refusal, in order. The another etiology provided by nurse was: no available source of rehabilitative home care. In one word, rehabilitative potential of home care has its developmental space, especially if supported by medicare, medicad and other insurrance. Training of rehabilitative nursing could not only improve the quality of care, but also help the involvement of rehabilitation specialists.

Language

Traditional Chinese

First Page

99

Last Page

104

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