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Journal of Korean Gerontological Nursing 2010;12(3):237-247.
파트너십에 근거한 건강관리 강화 주간보호서비스 프로그램이 뇌졸중노인의 혈압, 인지기능, 일상생활 수행능력 및 영양 상태에 미치는 효과
박연환, 장희경
Abstract
Purpose
The purpose of this study was to examine the effectiveness of Adult Daycare Service (ADS) based on partnership with caregivers for older adults who have had a stroke and their family caregivers.
Methods
A quasi-experimental intervention study design was used. Older adults with a stroke from two ADS centers in Korea were assigned to either the experimental (n=16) or control group (n=13). The experimental group received health education and a tailored rehabilitation program by trained ADS center nurses for 12 weeks. Based on the concept of partnership family caregivers also participated in the intervention.
Results
The mean ages of the elders were 76.6 years (experimental) and 77.0 years (control). There were no significant differences in socio-demographic and clinical characteristics between the two groups. Intervention participants showed improvement in diastolic blood pressure (p =.019), cognitive function (p<.001), instrumental activities of daily living (p<.001), and nutritional status (p<.001).
Conclusion
Further research is needed to develop nursing interventions for older adults following a stroke, being treated in long term care facilities, as well as, at home and to evaluate long term effects of a partnership intervention to enhance participants adherence, health status, and the quality of life for older adults with stroke.
Key words: Aged, Stroke, Patient-centered care, Partnership practice, Family caregiver
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