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Program development and its Evaluation of Effectiveness to Support Stroke Patients and their Families by Nursing Intervention

通过护理干预支持中风患者及其家人的计划开发及其有效性评估

基本信息

批准号：
13672492
负责人：
KAWAHARA Kayoko
金额：
$ 1.79万
依托单位：
Tokyo Metropolitan University of Health Sciences
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2002
项目状态：
已结题

项目摘要

In Japan, stroke patients account for about 70% of all patients at home care setting. Nursing care to prevent patients at home from falling into a bedridden state is the most important and essential care for the improvement of QOL of patients. Though a large number of studies on standing balance and/or walking ability have been reported, they are few studies on a positional motion of "getting up from supine position and maintaining sitting position on the edge of the bed". Moreover, relatively large analytical devices used traditionally were difficult to apply to the practical site of home care. We conducted this study to develop a quantitative method to evaluated the efficacy of nursing intervention to prevent patients from falling into a bedridden state at home care site, and to verify its usefulness at care setting.The study had two stage:1) A device to measure the change in position that can be used at the site of homecare was developed. In order to verify the reliability and valid … More ity of this device experiment was performed where the following two motions(test motions) were measured and compared between normal subjects and mimic patients who emulated hemialgia.a) to maintain sitting position on the edge of the bed, and b) to stand up from sitting position on a wheelchair. 2) The test motions were measured at two points (in the interval of about one month) in stroke center.1) Reliability and validity of a device to measure the change in position consisted of a piezoelectric vibrating gyro, amplifier and PC: Changes in the angle, angular speed and power were measured in two female subjects, and the results revealed significant differences in the angle, mean angular speed, power and motion time as compared with those in normal subjects. 2) The test motions were measured in 12 stroke patients, and longitudinal changes in the angle and angular speed in each case were determined, which revealed changes in position specific for cerebrovascular disease.Results of the basic and clinical experiments demonstrated that the measuring device developed in this study was effective for quantitative and visual determination of changes in position. It was also indicated that its applicability in the site of home care would allow visual presentation of the effect of training to stroke patients, their family and care providers at home, which may serve as the indicator for motivating the patients and setting the target of care for care providers. Less

在日本，中风患者约占家庭护理环境中所有患者的70%。防止居家病人陷入卧床不起状态的护理是提高病人生活质量最重要、最基本的护理。虽然已经报道了大量关于站立平衡和/或行走能力的研究，但是关于“从仰卧位起身并在床边保持坐姿”的位置运动的研究很少。此外，传统上使用的相对较大的分析设备难以应用于家庭护理的实际现场。本研究旨在发展一种量化的方法来评估护理干预对防止病人在家庭护理场所陷入卧床不起状态的效果，并验证其在护理环境中的有效性，本研究分为两个阶段：1）开发一种可在家庭护理场所使用的测量体位变化的装置。为了验证其可靠性和有效性， ...更多信息进行该装置的实验，其中在正常受试者和模拟偏侧疼痛的模拟患者之间测量并比较以下两种运动（测试运动）：a）保持在床边的坐姿，和B）从轮椅上的坐姿站起来。2)在两个点测量测试运动（间隔约一个月）。1）由压电振动陀螺、放大器和PC机组成的位置变化测量装置的可靠性和有效性：测量了两名女性受试者的角度、角速度和功率的变化，结果显示角度、平均角速度、功率和运动时间与正常人相比。2)对12例脑卒中患者进行了测试运动，并测定了每例患者的角度和角速度的纵向变化，揭示了脑血管疾病特有的位置变化，基础和临床实验的结果表明，本研究开发的测量装置是有效的，可以定量和直观地确定位置变化。研究还表明，其在家庭护理现场的适用性可以直观地向中风患者、其家人和家庭护理提供者展示培训的效果，这可以作为激励患者和制定护理目标的指标。护理提供者。少