Comparing the mild and moderate caregiver needs before and after discharge in Taiwan

Meiho University Institutional Repository > 健康暨護理學院 > 護理系 > 期刊論文 > Item 987654321/3406

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题名:	Comparing the mild and moderate caregiver needs before and after discharge in Taiwan
作者:	Tseng, Li-Chi;Wu, Chiung-man;Chia, Pei-Fang;Chiou, Feng-Ling Chuang Yi-Fan
日期:	2017-10-31
上传时间:	2017-11-03T04:39:08Z (UTC)
摘要:	Background: The health condition of mild and moderate stroke survivors is not as serious as sever ones; however, they indeed face various unexpected care difficulties and experience disorganized care situations after discharge. Purpose: The purpose of this study was to compare the mild and moderate caregiver needs before and after discharge, and to identify appropriate caregiving preparation before discharge. Method: The data were from two qualitative descriptive studies. With same inclusion criteria, participants were recruited from a district teaching hospital, Taiwan, in 2014 and 2015. In 2014 study, 13 eligible family caregivers were interviewed during the first three month after discharge. In 2015 study, six caregivers were interviewed before discharge. Each participant had 1-1.5 hours of face-to-face interview. Results: In 2015 study, caregivers indicated 4 facing needs in hospital, mainly on learning caregiving knowledge and skills; and 7 expected needs after discharge, mainly on modifying home environment and gaining social resources. In 2014 study, caregivers experienced 16 needs at home, 9 for learning caregiving knowledge and skills, and 7 for modifying home care environment and gaining social resources. Handling their stoke survivors’ emotional problems, dealing with swallowing difficulties, and preparing appropriate food were the most difficulties. Comparing the degrees of the indicated needs from two studies, at home caregivers experienced much higher and more needs than caregivers in hospital on all items. Recommendations: Though those caregivers face less care problems than severe stroke caregivers, systematically assessing their needs and providing essential caregiving training are still greatly needed. In addition, medical staffs should prepare caregivers ahead to deal with their possible care difficulties at home. For ensuring care quality after discharge, training a stroke nursing specialist in charge of preparing caregivers before going home is highly recommended.
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