Nursing care that improves QOL of the elderly patient with stroke in rehabilitation ward

研究目的：探讨以增能及提高老年脑卒中患者生活质量为目的之护理。在康复病房进行了如下研究。(1)通过文献调研，结合先进的康复设施，阐明了老年脑卒中康复病房的护理现状及存在的问题。(2)以促进脑卒中患者自我发展的护理理论为基础，开发了临床应用模式。针对康复病房护士的教育计划和工作簿是根据（3）（1）和（2）制定的。将此练习册作为教材，在两个康复病房的护士中进行了介绍。研究参与者为A医院的14人和B医院的23人。在半年的时间里，一个人总共参加了四次教育项目。从对参与者的访谈和工作满意度调查等的护理质量评价方面检查了学习成果。从结果、教育计划结束后的访谈以及参与者对沿着的描述性数据中证实了患者评估变得多样化，并对焦点和护理帮助进行了确认。此外，在工作的自我效能感和责任的关怀和信心方面也有所改善。另一方面，工作满意度没有变化。当这个教育计划被引入康复病房时，重要的是要理顺准备工作，以便确定引入的时间。

Research purpose is to developing nursing care that aimed the empowerment and the improvement of QOL of the elderly patient with stroke. It was researched in the rehabilitation ward as follows. (1) The realities and the problem of nursing in the rehabilitation ward to the elderly patient with stroke were clarified from the survey of the document and an advanced model facilities. (2) The clinical application model was developed based on the nursing theory that promoted the stroke patient's ego development. The education program and the workbook intended for nurse in the Rehabs ward were developed based on (3)(1) and (2). This workbook was made a teaching material, and the education program was introduced for nurse in two the Rehab ward. The research participant was 14 in hospital A and 23 in hospital B. It participated in the education program of four times in total a person during half a year. The learning outcome was examined from the aspect of the evaluation of the quality of caring for the interview to the participant and the job satisfaction investigation etc. The patient assessment became diversification, and making to the focus and the caring of help were confirmed from the result, the interview after an education program had ended, and the participant descriptive data to the along with it. Moreover, there is an improvement for the execution of the self- effecicacy concerning work and caring and confidence concerning the duty has improved, too. On the other hand, the change was not in the job satisfaction. When this education program was introduced in the Rehab ward, it was important to straighten the preparation so that the timing of the introduction may be ascertained.