| Summary: | 碩士 === 高雄醫學大學 === 醫務管理學研究所碩士在職專班 === 98 === This study aims to evaluate the daily living activity function of patient with stroke of the long-term care organization, and the relationship between the number of rehabilitation conducted per month and relevant factors of demographic, disease, social economic, and the long-term care organization. Study tools include the collection of secondary materials and survey via questionnaire. After the construction of the study structure, the following 4 indexes, including the SPMSQ, NIHSS, IADLs and Barthel Score, were conducted to evaluate the curative effect after the rehabilitation treatment. A structural questionnaire were conducted with the study target to compare the effect, patient''s daily life activity index and relevance of the daily activity of complexity after the rehabilitation treatment.
The study result indicated that the cognitive function was significantlly related to the religious belief, pipeline put and number of rehabilitation treatment per month of stroke patients of long-term care organizations. The degree of stroke was significantlly related to the religious belief, economic source, visit frequency by relatives and friends, disease severity and number of rehabilitation treatment per month. The tool daily life circulation was significanylly related to the sex, economic source, times of visit by relatives and friends, disease severity and number of rehabilitation treatment per month. The carry out daily life circulation was significanylly related to the age, times of visit by relatives and friends, complication and number of rehabilitation treatment per month.
The result of the study of the factors of demographic, disease, social economic, and the long-term care organization, showed that patient with Taoism belief had a better evaluation result. The patients with Buddhism belief had higher scores. Female patient got better scores on tool daily life circulation than male. Patient under age 65 showed better evaluation result of daily life activity. The middle condition severity of strokeal are superior to severe and the extremely severe ones on study of the disease factor reveals. The same results showed in the evaluation of tool daily life circulation and daily life circulation. Patients with economic source from their children were superior to social welfare subsidy patients on social economic factor evaluation. An average 1-5 times of visited by relevansts and friends per month result in better tool daily life circulation and daily life function evaluation. The cognitive function of the patients who puts nasogastric tube is superior to cutting angrily with the catheter person. Petients who doesn''t have complication in courtyard displays were superior to have for daily life function evaluation. Patients who have complications, the daily life circulations with pneumonia complication person are relatively good in the person who has other complications.
The stroke patients’ greatest difficulty faced is the change of the daily life function. Result of this is study will be a reference to set up the appropriate index for rehabilitation and to help the stroke patient to extend their body’s function. In addition, this study was expected to offer the government a reference when planning the policy on social medical welfare and long-term healthcare resource allocation.
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