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后老年人家庭继续居家照护的影响。27例病例参与了这项研究。病人的。采用功能独立性量表（FIM）对ADL进行调查，并根据“主观疲劳症状调查”对护理人员的疲劳程度进行评估。本文还对出院教育进行了个案分析。根据患者的ADL分为向上组（18例）和向下组（9例）两组进行分析。得到了以下结果：1)大多数研究报告两组出院教育无统计学差异。2)出院后2 ~ 3个月，护理人员均继续在家护理，但5例患者心理疲劳得分较高。我们担心他们会放弃继续在家照顾。老年照护者得分较高，因此在出院教育中，护士给予家庭支持是重要的。3)向上组老年患者自我照顾项目的FIM得分和浴缸/厕所转移能力均有提高。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、适时地进行引导。

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.