| Summary: | 碩士 === 亞洲大學 === 長期照護研究所 === 94 === Introduction: It is stressful for caregivers to learn knowledge, technique and practicing the supplemental equipment for taking care of patients with tracheostomy and excute full day care for those patients at home.The needs for health care of the tracheostomy patients after discharge will be assessed by nurse primarily. The caregivers of the tracheostomy patients should be teached about knowledge, technique and supplied with resources for taking care of the out-hospital tracheostomy patients to meet the needs of care and escalate the quality of tracheostomy patients care.
Purpose: The purpose of this study is to evaluate the needs for caregiver taking care of the tracheostomy patients after discharge, concerned by caregivers and nurses and the variation of the needs perceived by the caregivers and the nurses. And then to evaluate the related factors to the difference of needs between the caregivers and the nurses.
Method: The material of the study is the caregivers and the nurses for health care of the tracheostomy patients at a southern regional teaching hospital. There is a total of 97 patients involving in this study. Two types of structure-questionnaire were used.The first one is questionnaired for the caregivers taking care of the tracheostomy patients who discharge from hospital, the other questionnaired is for the nurses who care the same tracheostomy patients. SPSS 12.0 software was used to analyzed our data by the way of descriptive analysis and chi-square test.
Result: The proportion of need about knowledge for caregivers taking care of the tracheostomy patients is 72.2%; and the proportion of need about knowledge for managing the change of patient’s condition is 72.2%, and both exhibit hightest proportion of needs. The proportion of need of knowledge about prevention of the infection disease is 32%, and demonstrate the lowest proportion for the caregivers. The proportion of need of understanding the society resource is 89.7%, exhibit the hightest proportion of needs for the nurses,and the need of knowledge for prevention of the infection disease has the lowest proportion (33%) for the nurses who take care of the tracheostomy patients.About the major differences of perceived needs between the tracheostomy patient’s caregivers and the nurses, the need of knowledge of health care of the tracheostomy patients has the lowest difference proportion (25.8%),and the differences of perceived need on the technique of taking care of the unable self-care tracheostomy patients has the highest difference proportion (47.4%).Many factors can affect the differences of perceived needs between the caregivers and the nurses. The relationship of spouse-caregiver and caregiver’s education level under juvenile high school exhibit the highest difference proportion (53.8%~88.9%).About nurses clinical working year more than 10~15 years, married status,and clinical nursing ladder of N & N1 exhibit the highest differences proportion (35.6% ~84.8%).
Conclusion: Perceiving the needs of caregivers of patients with tracheostomy after discharge ,and teaching caregivers about the necessary instruction may be beneficial to caregivers who take care of the tracheostomy patients. The option of this study is designed to estimate the differences of perceived needs of the caregivers and nurses of patients with tracheostomy. The study demonstrate some informations for clinical care and improvement of quality of health care of tracheostomy patients.
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