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卒中后残疾老年患者居家护理服务需求的质性研究

A qualitative study on the needs of home care service for disabled elderly patients after stroke

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【作者】 左登霞左登芹姜金霞董晗琼杨欣施雁

【Author】 ZUO Dengxia;ZUO Dengqin;JIANG Jinxia;DONG Hanqiong;YANG Xin;SHI Yan;School of Medicine, Tongji University;Changhai Hospital Hongkou Hospital District Division-Level Cadre Ward,Shanghai;Department of Emergency, the Tenth People′s Hospital of Tongji University;Department of Nursing, the Tenth Hospital Affiliated to Tongji University;

【通讯作者】 姜金霞;

【机构】 同济大学医学院上海长海医院虹口院区师干病房同济大学附属第十人民医院急诊科同济大学附属第十人民医院护理部

【摘要】 目的探讨卒中后残疾老年患者居家护理服务需求,为相关部门制订切实可行的居家护理服务政策和措施提供参考。方法应用现象学研究方法,采取目的抽样法对2019年1~4月上海某三甲医院神经内科就诊的15例卒中后残疾老年患者进行深入访谈,采用Colaizzi分析法对访谈资料进行分析、归纳、提炼主题。结果访谈共析出4个主题:脑卒中疾病知识需求、延续性护理服务需求、居家康复护理需求、家庭与社会支持需求。结论卒中后残疾老年患者对居家护理服务需求较高,应加快和完善卒中后残疾老年患者居家护理服务项目的推进,以促进康复,减轻家庭负担,提高其生活质量。

【Abstract】 Objective To discuss the needs of home care for disabled elderly patients after stroke, and to provide reference for relevant departments to formulate practical home care policies and measures. Methods Based on the phenomenological research methods, 15 elderly patients with post-stroke disability who were admitted to the Department of Neurology of a Third Class Hospital in Shanghai from January to April 2019 were interviewed by objective sarapling.Colaizzi analysis method was used to analyze, summarize and refine the topics of the interview data. Results The interview revealed four topics: the need for knowledge of stroke disease, the need for continuous nursing services, the need for home-based rehabilitation and nursing, and the need for family and social support. Conclusion Elderly patients with post-stroke disability have a high demand for home-based nursing services, it is necessary to accelerate and improve the home-based nursing services for elderly patients with post-stroke disability, so as to promote rehabilitation,reduce family burden and improve their quality of life.

【基金】 上海市重中之重临床医学中心和重点学科建设项目(沪卫计科教〔2017〕24号)
  • 【文献出处】 中国医药导报 ,China Medical Herald , 编辑部邮箱 ,2020年16期
  • 【分类号】R473.2
  • 【被引频次】5
  • 【下载频次】421
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