According to the Ministry of the Interior Statistics Department data show that the population aged over 65 was 110 9257 in Yunlin County in February 2017.and the aging index of Yunlin County was 135.41% in December 2017, and then it was the second highest in the country.Highlighting life for long-term care for the elderly is the urgency and importance in Yunlin County. This program of"Long-term Care for the Ten Years" provides the services in the home one of the effectiveness of rehabilitation is one of the important service performance indicators.We expect the home rehabilitation health interventions have not only helped enhance daily life function, but also reduced the load on the primary caregivers.
1. To understand the effectiveness of home rehabilitation services on
activity funtion of chronic diseases patients.
2. To explore the factors realated to that effects the function changes after
home rehabilitation intervention on the chronic diseases patients.
3. To explore the factors realated to between the chronic diseases patients
and the burden of their primary caregivers.
This study was used the survey data of "Integrated Community Health Care Network Construction Project" in Yunlin Region in 2016, and we uased the deta perform the secondary data analysis. There were 77 chronic diseases patients received home rehabilitation services and their main caregivers were selected as research subjects.Accordine to the background information on case and primary caregivers, the activity function of cases and the primary caregivers burden, the data were analyzed using the SPSS version 22.0.
1.After home rehabilitation intervention, the instrumental IADLof chronic diseases patients were decreased, but the activity of lower limbs was significantly improved.
2.The factors affecting the improvement of functional activities of chronic
diseases patients after home rehabilitation interventions: The original cases with more than two chronic diseases, the cases with dementia diseases, and their primary caregivers cared them less than 2 years without about long-term carer services knowledge.
3.The factors realated to the burden of primary caregivers, when the patients
had more than two kinds of chronic dieases, the instrumental activities of daily living (IADL) was decreased and low education level of primary caregivers, the caregivers had heavy burden.
Conclusion and Suggestion:
This results showed the effects of home rehabilitation was inconsistent, and then when the primary caregivers spent shorter time careing chronic diseases patients ,the effects of rehabilitation were better.However, if the cases had more chronic diseases, the primary caregivers had heavy burden. Therefore, we encourage the patients pefroming self-health management and rehabilitation by self. We also suggest that more primary caregivers should participate rehabilitation and long-term care resources training courses. This will help improve chronic disease cases activity function after they received home rehabilitation ,and also helps to reduce the the primary carers burden.