首发脑卒中患者主要照顾者阶段性需求满足现况分析  

Periodical needs of main caregivers among patients with initial stroke

作　　者：孟刘晶 周嫣 徐励[2] 徐卓珺 Meng Liujing;Zhou Yan;Xu Li;Xu Zhuojun(Nursing Department,Shanghai East Hospital,Tongji University,Shanghai 200120,China;Chief Inspector of Nursing and Quality Safety,Shanghai Jiahui International Hospital,Shanghai 200233,China;Department of Neurology,Shanghai East Hospital,Tongji University,Shanghai 200120,China)

机构地区：[1]同济大学附属东方医院护理部,上海200120 [2]同济大学附属东方医院神经内科,上海200120 [3]上海嘉会国际医院护理与质量安全总监,200233

出　　处：《中华现代护理杂志》2018年第35期4229-4233,共5页Chinese Journal of Modern Nursing

摘　　要：目的 探讨上海市浦东新区9家医院首发脑卒中患者主要照顾者入院至居家过渡期的阶段性需求满足变化规律,并分析原因。 方法 采用方便抽样法,选取2017年5月—2018年1月上海市浦东新区9家医院的1 200例首发脑卒中患者及其1200名主要照顾者为研究对象,分别于入院时、出院时、出院后2周采用家庭照顾者需求调查表(FNQ)调查其需求满足变化情况。共发出问卷1200份,回收有效问卷1089份。 结果 1089名首发脑卒中患者主要照顾者入院时、出院时、出院后2周的总体需求重要性得分分别为(3.44±0.77)、(3.24±0.82)、(3.01±0.71)分,差异有统计学意义(P<0.05)。不同阶段,首发脑卒中患者主要照顾者照顾需求重要性较高的2个维度均是健康资讯支持和专业性支持;总体需求满足度最好的阶段是出院阶段;入院时、出院时、出院后2周需求未被满足较高的条目分别为"我希望我的想法能在患者治疗过程中被医护人员考虑""我想要获得足够有利于自身的资源""我希望知道当患者烦躁不安或行为异常时该如何应对"。 结论 首发脑卒中患者主要照顾者入院时、出院时、出院后2周的总体需求重要性随着病程的增加而逐渐降低;出院阶段的需求满足度较好,院后的需求满足度欠佳,医护人员应加强居家随访指导。Objective To explore the change regulation of periodical needs of main caregivers during transition period from being admitted to hospital to home among patients with initial stroke in 9 hospitals in Shanghai Pudong New Area and to analyze the reasons.Methods From May 2017 to January 2018, we selected 1 200 initial stroke patients and 1 200 main caregivers of them in 9 hospitals of Shanghai Pudong New Area as subjects by convenience sampling. The Family Needs Questionnaire (FNQ) was used to investigate the change of needs of them on admission, at discharge and two weeks after discharge. A total of 1 200 questionnaires were sent out and 1 089 valid questionnaires were collected.Results Among 1 089 main caregivers of initial stroke patients, the scores of importance of total demand on admission, at discharge and two weeks after discharge were (3.44±0.77) , (3.24±0.82) and (3.01±0.71) respectively with statistical differences (P<0.05) . At different stages, the need for health information and need for professional support were two dimensions with the high importance of care need of main caregivers among initial stroke patients;the stage with the highest satisfaction with the total demand was at discharge;the items with high rates of no satisfaction with needs included "to be shown that my opinions are used in planning the treatment" "to have enough resource for myself" and "to be shown what to do when the patient is upset" on admission, at discharge and two weeks after discharge.Conclusions The importance of total demand of main caregivers of initial stroke patients decreases with the increasing of disease course on admission, at discharge and two weeks after discharge. The need satisfaction is high at the stage of discharge and is low after discharge. Medical staff should strengthen the family follow-up.

关 键 词：卒中 首发 主要照顾者 阶段陛需求 现况分析 

分 类 号：R473.74[医药卫生—护理学]