髖部骨折老人出院過渡期主要照顧者照顧經驗之探討

Study of Caregiving Experiences for Hip Fracture in Elderly Patients During Discharge transitional Stage

本研究目的在探討髖部骨折老人出院過渡期主要照顧者之照顧經驗。採用質性設計，在老人出院後一週，對18位老人的主要照顧者，進行面對面訪談及參與式觀察，並以內容分析法進行資料分析。結果發現：（一）照顧工作內容：1.曰常生活照顧，2.協助復健、走路訓練，3.協助患腿正確擺位，4.注意安全，5.協助老人返診，6.處理老人情緒問題；（二）照顧工作對照顧者的衝擊：1.睡眠受影響，2.情緒受影響，3.身體健康變壞，4.社交生活受影響，5.工作受影響，6.個人作息受影響、沒有自己時間，7.額外的工作要做。本研究結果可作為出院準備服務之參考，讓專業人員了解家庭照顧者的困境，計畫有效的介入護理措施。The purpose of this study was to explore the caregiving experiences for hip fracture in elderly patients during the discharge transitional stage. Qualitative research was designe. 18 caregivers were interviewed and participated in observation after one week following discharge. Data analyzed using Miles & Huberman method. The main results were categorized as follows: l.care tasks, including: ADL care, walking training and rehabilitation, maintain hip in right position, safety, OPD follow up, emotional care. 2 .the impact of caring, including: sleep, emotional and physical health, social activity, job, individual time, extra work. The results can guide discharge planning for elderly patients with hip fracture Professional personnel should understand the difficulties of caregivers, and propose effective intervention plans for them.