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

研究目的是开展以赋权和提高老年脑卒中患者生活质量为目标的护理。在康复病房进行了如下研究。(1)通过对文献和先进示范设施的调研，明确老年脑卒中患者康复病房护理的现状和存在的问题。(2)以促进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方案和手册是根据第(3)(1)和(2)项制定的。这本练习册被制作成教材，并介绍了两个康复病房的护士教育计划。研究对象为A医院14人，B医院23人，半年内共参加了4次教育项目。从护理质量评价、对学员的访谈、工作满意度调查等方面考察学习效果，患者评价变得多样化，从评价结果、教育项目结束后的访谈、学员的描述性数据中确定关注的重点和关怀的帮助。此外，工作自我效能感的执行力有所提高，对职责的关爱和信心也有所提高。另一方面，变化并不是在工作满意度上。当这项教育计划在康复病房引入时，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.