Establishment of a continuous medical care model for home caregiversand development of an index for medical care dependency

我们对104名依赖医疗护理的居家患者（包括他们的家人）进行了听力调查。患者平均年龄79岁，家属平均年龄67岁。与患者的关系为妻子、女儿、丈夫等。医疗包括提供药物和治疗胃瘘、褥疮等。患者生活满意度与自我效能感呈显著正相关。研究人员提出的医疗照护依赖得分与医疗专业人员评估的医疗照护依赖得分之间存在一定的关系，提示该建议的实用性。如果家庭照顾者有兴趣并且没有疾病，他们的负担感就会减少。有兴趣也能提高生活满意度。但与负担感也存在负相关，提示有兴趣、减轻照顾负担的必要性。

We conducted a hearing investigation of 104 patients living at home who are dependent on medical care, including their families. The average age of the patients was 79, and 67 for family. The relationships to the patients were wife, daughter, husband etc. Medical treatment included providing medicine, and treatment for gastric fistula, bedsores etc. The life satisfaction of patients showed a positive correlation with self-efficacy. There was a relationship between the medical care dependency score proposed by the researchers and medical care dependence as evaluated by medical professionals, suggesting the usefulness of the proposal. Family caregivers experience less feeling of burden if they have interests and are free of illness. Having interests also increased life satisfaction. However, there is also a negative correlation with the feeling of burden, suggesting the necessity of having interests and alleviating the burden of care.