The Effects of Discharge Education to the continuation of Home care by the families of Post-CVA Elderly.

本研究旨在探讨出院教育对OVA术后老人家庭持续照护的影响。27例患者参与本研究。病人的。采用功能独立性量表(FIM)评定日常生活活动能力，并根据《疲劳主观症状调查》评定照顾者的疲劳程度。通过案例分析，对退伍教育进行了分析。根据患者的日常生活活动能力(ADL)将受试者分为2组：上组(n=18)和下组(M9)。研究结果如下：1)大多数研究报告两组在出院教育方面没有统计学上的差异。2)所有照顾者在出院后2~3个月仍在家中照护，但5例心理疲劳感得分较高。我们担心他们会放弃继续家庭护理。老年照料者有较高的应激反应，护士对家属的支持和出院教育十分重要。(3)UP组老年患者的生活自理项目FIM评分和盆/厕转运能力均有改善。他们的家人正在接受家庭护理技术的培训。4)建议医务人员的出院计划不仅要明确个人角色，而且要根据家庭的需要适时、以适当的方式进行引导。

The purpose of this study was to investigate the effects of Discharge Education to the continuation of Home care by the families of Post-OVA Elderly. Twenty-seven cases participated in this study. The patients'. ADL was surveyed functional independence measure (FIM), and the caregivers' fatigue levels were assessed based on the 'inquiries into subjective symptoms of fatigue". We, also analyzed the discharge education by case study. The subjects were divided into 2 groups for analysis aecording to ADL of patients: a up group(n=18) and a down group(m9). The following results were obtained.1)The majority of studies reported no statistically significant differences in discharge education between two groups. 2)All caregivers continued caring in home as two or three months after discharge, but the pychological fatigue of five cases were high score. We are apprehensive that they will give up to continue on Home care. There was a strain of high score in aging caregiver, so it is importance that nurses give countenance to families, as of Discharge Education. 3)Elderly patients of the up group were improving in FIM score of self-care items and tub/toilet transfer ability. The families of them were training for home care technique. 4)We suggested that the Discharge plan by Medical staff is not only clear of individual role but guide at proper time and way for needs of families.