機構照護新思維-台灣長照機構推動生活自立支援對能力回復與生活品質之成效探討

Translated title of the contribution: Innovations in Institutional Care- the Effect of Reablement in Long-Term Care Facilities in Taiwan

Research output: Contribution to journalArticlepeer-review

Abstract

The aim of this study was to describe and analyze how reablement, an intervention emphasizing autonomy, was implemented in long-term care facilities in Taiwan and identified residents' outcomes and factors that affect them. One-group pretest-posttest design were adopted in 24 long-term care facilities in this study, using a sample of 310 participants at baseline (T0), and 210 participants at 6 months (T1). Participants were those residents aged 65 and over, meeting at least one of the conditions of being constrained, using diapers, or bedridden. During the 6 month follow-up period, their physical and mental function, social support were measured using ADLs, IADLs, MMSE, GDS-15, EQ-5D and ISSI at baseline (T0) and 6 months (T1). There are also the intervention notes for recording the caregiving plans that supervisors suggest for participants in t he duration. In data analyses, the mean difference and Mixed effect model were analyzed to determine the effects of the interventions by examining the outcome variables, while controlling potential confounding of the demographic variables. The sample was 40.6% male, with a mean age of 81.27. Most of the participants had good family support. However, participants with better family support were also more likely to drop out the intervention. The improvement of residents' outcomes was found, such as ADLs, IADLs, GDS-15, EQ-5D and ISSI were statically significant at the 6 months. The change in social support within facility staff and participants is a crucial factor that affects the health outcomes. The positive effect of reablement in resident outcomes were significant in physical function and social support, and it helps also maintain mental function. And all the results indicate that sufficient support and communication between participant, family and staff in facilities were the key factor leading to a successful reablement intervention program.
Translated title of the contributionInnovations in Institutional Care- the Effect of Reablement in Long-Term Care Facilities in Taiwan
Original languageChinese (Traditional)
Pages (from-to)211-226
Number of pages16
Journal商略學報 = International Journal of Commerce and Strategy
Volume12
Issue number3
DOIs
Publication statusPublished - 2020 Sept 1

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