《老年护理学》教学中开展养老院护理实践的效果评价

目的观察养老院护理实践对学生学习《老年护理学》知识和技能的影响。方法选取2006级护理专业98名学生作为研究对象,结合教学大纲按理论教学进程制定20学时的实践活动内容,护理实践结束后对理论成绩及实践成绩进行分析,并结合调查问卷了解学生对养老院护理实践教学的评价。结果 98名学生理论成绩平均为82.15分,成绩优良者51名;实践考核成绩优良者73名;87名认为开展养老院护理实践活动有利于激发学习兴趣;88名认为有利于巩固理论知识和实践技能;80名认为提高了人际沟通能力;75名认为提高了健康宣教能力;66名认为增强了社会责任感。结论养老院护理实践可以提高学生学习兴趣,增强专业知识和技能水平,培养独立思维能力,提高创新能力等,增强社会责任感,有利于提高《老年护理学》教学效果。     

澳大利亚养老院护理工作见闻及借鉴

本文介绍了澳大利亚养老院护理工作模式.老人在入住养老院前,需对老人进行评估,确定护理级别.提供高端护理服务的养老院,根据老人的营养状态、食欲、吞咽障碍程度,确定饮食种类、性质和量;将老人的活动能力分为7个等级,根据不能活动能力提供不同的照顾;使用布里斯托大便分类表记录老人排便情况,及时处理便秘;在晨间护理、洗澡、穿衣、喂饭、户外活动等各个工作环节注重与老人的沟通,使其得到充分尊重;针对养老院老人无聊、孤独和无助的问题,实施个性化护理.笔者针对国内养老护理现状,提出了相应的借鉴建议.     

英国养老院见闻

笔者经中国卫生部国际人才交流中心的推荐,于2006年到英国东南部的一个名叫Michaelstowe Hall的养老院进行了为期1年的培训学习。通过学习,不仅开阔了我的眼界,更让我深刻体会到了英国养老制度的先进和完善。1先进而完善的配套设施该养老院是一家私立机构,共设有70张床位。依据     

英国养老院见闻

笔者经中国卫生部国际人才交流中心的推荐,于2006年到英国东南部的一个名叫Michaelstowe Hall的养老院进行了为期1年的培训学习.通过学习,不仅开阔了我的眼界,更让我深刻体会到了英国养老制度的先进和完善.……     

西部地区养老院护理现状分析及前景展望

[目的]对西部欠发达地区养老院护理现状进行调查分析。[方法]采用自制表格对老年公寓内老人进行问卷调查。[结果]内蒙古自治区赤峰市老年公寓现状统计,院内入住率达到95%,共入住180名老人,生活完全自理老人120人,养护员15名,与入住老人的比例为1∶12,远在全国平均水平之下。[结论]西部地区养老院护理主要需要在健康指导、心理护理和养护员培训方面有待提高。     

西部地区养老院护理现状分析及前景展望

[目的]对西部欠发达地区养老院护理现状进行调查分析。[方法]采用自制表格对老年公寓内老人进行问卷调查。[结果]内蒙古自治区赤峰市老年公寓现状统计,院内入住率达到95％,共入住180名老人,生活完全自理老人120人,养护员15名,与入住老人的比例为1：12,远在全国平均水平之下。[结论]西部地区养老院护理主要需要在健康指导、心理护理和养护员培训方面有待提高。     

维也纳养老院护理见闻

1997年我被公派到维也纳进行为期两年的护理学交流,在工作之余走访了维也纳各大养老院,实地考察、了解当地养老院的体制及运营情况,现介绍如下。     

天津市南开区民营养老院养老护理现状与对策

目的:了解天津市南开区民营养老院养老护理现状,为养老护理教育及研究提供参考,为政府部门提供建议,促进养老护理工作与养老机构的和谐发展。方法:对南开区民营养老院进行单纯随机抽样,抽取8家养老院进行实地考察,并对其中的养老护理员及意识清晰的老年人进行问卷调查。结果:南开区民营养老院养老护理员年龄偏大,学历偏低,职业待遇偏低,养老护理工作的全面化不足,心理护理不到位,养老护理模式存在缺陷。结论:目前养老护理工作需要政府支持,养老护理员整体素质亟待提高,养老护理模式有待改善。     

中西医结合护理问题探讨

中西医结合治疗疾病，解决了不少单纯中医或单纯西医不能解决的问题。责任制护理的试行；如何正确地制定护理问题并如何从中西结合的理论来考虑护理程序，确定护理问题，制定护理措施是一个新课题。下面谈一谈肤浅看法。     

中西医结合养老护理在老年院的实践与思考

目的将中西医结合养老护理在老年院进行实践,探索出一条适合我国国情的最佳养老模式。方法对中西医结合养老护理在老年院中的实施情况、特点、现实意义及存在问题进行探讨。结果老年人的生存质量、生活满意度明显提高。结论中西医结合养老护理模式科学、实用、可行,能有效提高老年人生存质量,深受老年人欢迎。     

居家护理的远程监控模式探讨

介绍无线射频识别(RFID)技术的工作原理,利用 RFID 技术构建出居家护理远程监控系统,对于出院居家护理的病人以及老年人进行跟踪,跟进病人康复情况,建立病人居家与医院无间断的联系,使医院对病人情况有更加深入的了解,利于病人康复。     

Predictors of nursing home placement and home nursing services utilization by elderly patients after hospital discharge in Taiwan

BACKGROUND: Providing appropriate follow-up health/long-term care services after hospital discharge for elderly persons is important to enhance health and quality of life. Therefore, identifying factors that affect follow-up service utilization has become an important concern. Most studies of predictors of follow-up service utilization for elderly persons after discharge were conducted in the United States of America (USA). Taiwan differs substantially from the USA in health care system, clinical practice, case-mix, culture, and social organization; thus the findings from the USA need to be validated in Taiwan to ensure appropriate discharge referrals. AIM: To investigate pre-discharge predictors of follow-up care including home nursing services and nursing home placement for elderly patients, discharged from hospitals in Taiwan. METHODS: A prospective study with a case-control design was used. FINDINGS: The strongest predictors of institutionalization in a nursing home at 1, 3 and 6 months after discharge were the elderly person's pre-admission institutionalization (0.33 to 0.48) and the caregiver's preference for institutional displacement (0.23 to 0.85). The strongest predictors of use of home nursing services were the elder's self-care ability (0.69 to 0.76), conscious level (0.51 to 0.73), and tubes remaining before discharge (0.58 to 0.79). These predictors were stable at 1, 3 and 6 months after discharge and could correctly classify 60-89% of sample. CONCLUSIONS: When taking nursing home and home nursing utilization into considerations at the same time, the elderly person's pre-admission institutionalization and the caregiver's preference for institutional displacement strongly predicted nursing home utilization after hospital discharge. The elder's self-care ability, conscious level, and tubes remaining before discharge strongly predicted the use of home nursing services after discharge.     

Functional levels and nurse workload of elderly awaiting nursing home placement and nursing home residents: a comparative study

The aim of this study was twofold: to compare the functional levels of elderly awaiting nursing home placement and nursing home residents, and to compare their nurses’ physical and psychological workloads. In Norway, the demand for nursing home placement has increased greatly. Elderly awaiting placement can receive care from home health care services and/or from their families. Documenting elderly’s functional levels may illuminate the extent of the carers’ workloads and the need for support during the waiting period. The study was conducted in 2005 on two groups in northern Norway. Using the Multi‐Dimensional Dementia Assessment Scale to assess functional levels, one group of nurses assessed elderly awaiting nursing home placement (n = 36) and another group of nurses assessed nursing home residents (n = 47). The nurses also reported physical and psychological workloads in caring for these elderly. A comparison of the functional levels between elderly awaiting nursing home placement and nursing home residents showed few statistically significant differences. Nursing home residents had two lower motor functions, needed more assistance with activities of daily living, more regular administration of enemas, were more often unable to speak, and showed lower orientation levels. Clinically significant similarities were found in five motor functions, including rising from lying to sitting, rising out of bed and walking, and in behavioural and psychiatric symptoms. Both groups of elderly had a high prevalence of sadness and fearfulness. The results of this study indicate that elderly awaiting nursing home placement can be as frail as nursing home residents. These results highlight the elderly’s need for assistance and reveal the need for more nursing home beds. Nurses in home health care and nursing homes rated physical and psychological workloads similarly. As many carers provide care 24 hours a day, these results also illuminate the need to support carers during the waiting period.     

农村养老院失能老年人对“智慧医养结合”的期待研究

目的深入了解农村养老院失能老年人对智慧医养结合服务内容及运行的期待,为进一步推行农村智慧医养结合服务,提升失能老年人生活质量提供参考依据。方法采用目的抽样和滚雪球抽样的方法,选取河南省某市下属农村养老院13名失能老年人进行半结构式访谈,以描述性现象学研究法分析转录稿,运用Colaizzi七步分析法归纳主题。结果提炼出3个主题:对健康促进服务充满期待;对智慧医养结合平台的期待,包括平台界面适老化、服务模式多样化2个亚主题;对智慧医养结合运行机制的期待,包括组建专业服务团队、纳入医疗保险报销范畴、开通绿色转运渠道3个亚主题。结论农村养老院失能老年人对智慧医养结合服务的需求及期待较高,亟待构建乡土化、个性化、适老化、便捷化的服务供给体系,以多模态供给形式提供全周期、全方位的智慧医养结合服务。     

我国家庭护理的现状

对家庭护理的概念、需求、管理等内容进行了综述,分析了我国家庭护理的现状,提出家庭护理有广阔的发展前景。     

CHC患者中医护理适宜技术居家护理服务需求的质性研究

目的了解社区卫生服务中心就诊患者对中医护理适宜技术居家护理服务的需求情况,为完善该服务模式提供参考依据。方法 通过对9家社区卫生服务中心就诊的15名患者进行面对面深入访谈,采用Colaizzi七步分析法分析资料、提炼主题。结果共提炼出社区患者对居家护理项目了解程度低、认为居家护理有诸多优势、对中医护理适宜技术充满信任和期待、对开展居家中医护理服务存在不同程度的顾虑、希望制订合理的出诊收费标准、希望提供规范、高质量的居家服务六个主题。结论社区卫生服务中心患者对中医护理适宜技术居家护理服务了解程度低但需求度较高,安全与费用是患者主要担忧问题,相关部门应加大对该服务的推广力度,根据患者实际需求,完善该服务模式。     

癌症化疗患者家庭护理的实施效果评估

目的探讨癌症化疗患者的家庭护理服务效果。方法于2003年10月-2004年5月采用自行设计的调查问卷,对169例癌症化疗患者的家庭护理服务需求进行调查。针对需求采取相应措施,并与实施前比较效果。结果患者对能解决实际问题的深静脉置管化疗护理、不良反应的护理干预,用药指导、饮食指导、心理调控等家庭服务需求较多;护士上门服务,电话咨询、书信受到欢迎。家庭护理服务实施前后效果分别经字2检验,P<0.01,有显著性差异,提示实施后效果优于实施前。结论针对癌症化疗患者的需求,开展家庭护理服务,能基本满足癌症化疗患者的生活需求。