CAJ | 학술논문

目的探讨65周岁以上老年脑血管病患者家庭护理中的服务需求及存在的健康安全问题,为家庭护理提供方向和依据.方法以78例出院2年的老年脑血管病后遗症患者为研究对象,对患者和家属进行一对一的访谈,发放自制调查问卷,将患者服务项目需求及存在的主要健康安全问题进行整理,实施相应的护理干预,1年后再进行走访、问卷调查.结果老年患者家庭护理中存在诸多健康安全问题,护理服务需求高,经给予相应的护理干预健康指导,有效减少患者误吸、跌倒、坠床、压疮、睡眠障碍、尿路感染的发生情况.结论依据脑血管疾病老年患者对家庭护理的需求,制定符合我国具体实际的家庭护理模式,从而提高老年患者自理能力及生存质量.
목적 탐토65주세이상노년뇌혈관병환자가정호리중적복무수구급존재적건강안전문제,위가정호리제공방향화의거.방법 이78례출원2년적노년뇌혈관병후유증환자위연구대상,대환자화가속진행일대일적방담,발방자제조사문권,장환자복무항목수구급존재적주요건강안전문제진행정리,실시상응적호리간예,1년후재진행주방、문권조사.결과 노년환자가정호리중존재제다건강안전문제,호리복무수구고,경급여상응적호리간예건강지도,유효감소환자오흡、질도、추상、압창、수면장애、뇨로감염적발생정황.결론 의거뇌혈관질병노년환자대가정호리적수구,제정부합아국구체실제적가정호리모식,종이제고노년환자자리능력급생존질량.
Objective To investigate the service requirements and health and safety problems in home care among senile cerebrovascular disease patients above 65 years old and provide the direction and basis for the home care.Methods 78 cases of elderly patients with cerebrovascular sequela 2 years after discharge were selected as the research objects.One-on-one interviews with patients and their families,the self-made questionnaire were sent out,the patients' service item requirements and the main health and safety problems were reorganized,then the corresponding nursing intervention was implemented.One year later,patients were revisited and investigated again.Results In elderly patients,there were many health and safety issues in home care,their nursing service demand was high.After giving corresponding nursing intervention of health guidance,the incidence of aspiration,fall,falling out of bed,bedsore,sleep disorders,urinary tract infection was effectively reduced.Conclusions The mode of family care should be established on the basis of demand of home care by elderly cerebrovascular disease patients,which conforms to the ac-tual situation of our country,in order to improve patients' self-care ability and life quality.