Program Abstracts from the GSA 2018 Annual Scientific Meeting "The Purposes of Longer Lives".
Program Abstracts from the GSA 2018 Annual Scientific Meeting "The Purposes of Longer Lives".
复制标题
GSA 2018 年度科学会议“长寿的目的”的议程摘要。
作者：
摘要背景与目的：香港每年约有22，000名中风患者出院至家居或院舍接受护理。现有的以中风病人为目标的循证服务大多是以病人为导向的。面向家庭的干预措施发展不足。中风不仅对患者，而且对整个家庭都造成了深远的影响。它经常破坏现有的家庭动态，影响到几乎每个家庭成员。我们发起了“WeRISE：中风家庭增能计划”，以测试一项以家庭为导向的护理管理干预措施，在减轻照顾者负担及加强家庭功能方面的成效。方法学：一个标准化的协议，病例转诊程序，纳入和排除标准的情况下招募，和五个护理管理干预会议的制定和执行。在12个月内对95个家庭进行了随机对照试验，其中实验组48个家庭，对照组47个家庭。在招募时、干预后即刻和2个月测量标准化评估，包括患者ADL、IADL和活动状态，以及照顾者负担、感知支持和家庭功能。调查结果：与控制组相比，实验组被试的支持感显著提高，学习负担显著减轻。结论：以家庭为导向的护理管理被认为是有效的支持家庭谁是照顾中风幸存者。服务的影响进行了讨论。
Abstract Background and Objective: Every year, around 22,000 people who suffer from stroke discharge to home or institutional care in Hong Kong. Existing evidence-based services targeting stroke patients are mostly patient-oriented. Family-oriented intervention is under-developed. Stroke causes profound impacts not only on the patient but also on the whole family. It often disrupts existing family dynamics, affecting almost each of the family member. We initiated “WeRISE: Stroke Family Empowerment Project” to test a family-oriented care management intervention on its effectiveness to reduce caregiver burden and enhance family functioning. Methodology: A standardized protocol on case referral procedure, inclusion and exclusion criteria for case recruitment, and five care management intervention sessions were developed and executed. A randomized controlled trial was piloted with 95 families within a twelve months of period, including 48 families in experimental group and 47 in control group. Standardized assessments including patients ADLs, IADLs and mobility status, and caregivers’ burden, perceived support, and family functioning at recruitment, immediately and 2 months after intervention were measured. Findings: As compared to control group participants, experimental group participants recorded significant increase on perceived support and reduced caregiving burden. Conclusion: Family-oriented care management is found to be effective in supporting families who are taking care of stroke survivors. Service implications were discussed.