Home-visit nursing techniques for preventing relapse and restructuring lifestyles among patients with cerebrovascular disorder and verification of their effects

对脑血管病患者实施家庭访视护理技术，并验证其效果。研究结果如下：1.在神奈川县，共有32.7%的脑血管疾病患者在出院后一年内使用了家访护理服务2。在使用家访护理服务的患者中，38%的护理需求水平为5，约68%的日常生活标准为B或C，约48%的老年痴呆患者的日常生活标准为II至IV 3。以预防复发、挛缩及并发症为目的，实施包括观察、评估、调整、教育指导、心理支持、康复等内容的家庭护理。这些护理服务的频率因护理水平而异。护理重点是对护理需求水平为3和4级的患者进行ADL维持和培训，并提供康复援助， ...更多信息 儿童护理，以及为护理需求水平为5.4的人提供家庭支助。根据上述结果，制定脑血管病患者家庭访视护理方案。该计划包括11个与脑血管疾病患者相关的领域，四个与家庭照顾者相关的领域，以及一个与社会资源应用相关的领域。选择以下指标用于评估家庭护理状况：1）生命体征、体重、营养状况、口腔和吞咽功能; 2）JSS-DE（抑郁和情绪障碍量表）; 3）抑郁量表; 4）Euro QOL; 5）照顾者疲劳（CSFI）。一项比较研究开始为传统的家访护理组（对照组）和家访护理程序组（干预组）。结果：虽然合作，从19个护理站，只有6例患者满意的条件，因为很少有患者使用家访护理服务的一个月内出院或设施。对对照组3例患者进行6个月的观察，结果显示，继发于脑血管疾病的严重后遗症患者在3个月后废用综合征进展。未观察到抑郁量表或抑郁量表的变化。3个月后Euro QOL增加，护理负担减轻。干预组仍处于早期阶段。我们将继续观察一年，并比较两组。少

We implemented home-visit nursing techniques for patients with cerebrovascular disorder and verified their effects. The following findings were obtained:1. A total of 32.7% of patients with cerebrovascular disorder (in Kanagawa Prefecture) used home-visit nursing services within a year of discharge from hospitals or facilities2. Among patients who used home-visit nursing services, 38% had a care requirement level of 5, approximately 68% had a daily living criteria of B or C, and approximately 48% had a daily living criteria for elderly dementia patients of II to IV3. Home-visit nursing was conducted with the objectives of preventing relapse, contracture, and complications, and consisted of observation, evaluation, adjustment, education and guidance, mental support, and rehabilitation. The frequency of these nursing services varied depending on care level. Care focused on ADL maintenance and training for patients with care requirement levels of 3 and 4, and on toileting assistance, hygi … More ene care, and family support for those with a care requirement level of 5.4. A home-visit nursing program for patients with cerebrovascular disorder was created based on the above results. The program comprised 11 areas related to patients with cerebrovascular disorders, four areas related to family caregivers, and one area related to the application of social resources.5. The following indicators were selected for evaluating the condition of homecare: 1) vital signs, body weight, nutritional status, oral and swallowing functions; 2) JSS-DE(a scale for depression and emotional disorders); 3) FIM; 4) Euro QOL; and 5) caregiver fatigue (CSFI).6. A comparative study was initiated for the conventional home-visit nursing group(control group) and the home-visit nursing program group (intervention group).Results: Although cooperation was obtained from 19 nursing stations, only six patients satisfied the conditions as very few patients used home-visit nursing services within one month of discharge from hospitals or facilities. Observation of three patients in the control group for six months showed that disuse syndrome progressed after three months in patients with severe sequelae secondary to cerebrovascular disorder. No changes were observed for FIM or the depression scale. Euro QOL increased after three months, and care burden was reduced. The intervention group is still in its early stages. We will continue observation for one year and compare the two groups. Less