Ching Kuo University Institutional Repository:Item 987654321/513
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题名: 老人居家環境安全-以規劃「安全社區」之竹山鎮社寮里為例
作者: 賴姵君;楊佩錦
关键词: 老人;跌倒;安全社區;Older people;falls;safe community
日期: 2009
上传时间: 2011-12-28T04:05:39Z
摘要: 動機:台灣早已邁入WHO所稱的「老人國」,預計至2020年65歲以上人口將增至368萬人,超過總人口15.84%。文獻指出老人首次跌倒大多和環境因素有關佔46.8%,60%老人的居家環境至少有一種危害因子,其中浴室是最常見的危害因子。故,預防老人跌倒應首重環境的改善。目的:瞭解竹山鎮社寮里居家環境安全現況,根據評核結果適時的介入改善,以作為推廣安全社區之參考。方法:透過居家訪查的方式評核居家環境安全,以家中有高危險群的老人為優先,以竹山秀傳醫院2007年為社寮里民眾設立數位健康照護之健康檢查報告,由家庭醫師挑選疾病嚴重度者50位,作為此次居家安全訪視對象。評核內容為家中整體居家環境、浴室、臥室及廚房四大部分。結果:以廚房環境安全做得最好,浴室環境安全做得最差。針對特殊案件進行家訪追蹤,改善居家環境之安全。將居家訪視結果挑選3位最需改善者,其挑選條件是依民眾之疾病嚴重度、獨居以及曾在家中跌倒者為優先改善,並依照訪視結果挑選可改善項目:(1)至民眾家中廁所安裝扶手,讓老人在廁所時有扶手可使用。(2)至老人房間加裝夜燈並給予手電筒,於半夜上廁所時有燈可看路避免跌倒。(3)考慮到當地房屋結構有門檻,且曾在家中跌倒及行動不便,故贈與摺疊式柺杖,方便老人外出或在家中使用,並預防跌倒。結論:建議可發展符合台灣本土老人居家環境需求的特定評估表,找出可矯正的危險因子,並提供適當的計畫及介入,以降低老人跌倒的機率,因可預防事故傷害而衍生之醫療及社會成本。
Motive: Taiwan already enters into “old person who WHO called the country”, estimated that above 65 years old the population will increase to 3,680,000 people to 2020, surpasses the total population 15.84%. The literature pointed out that old person tumbles for the first time mostly related occupies 46.8%,60% old person's home environment with the environmental factor to have one kind of harm factor at least, the bathroom is the most common harm factor. Therefore, prevents old person to tumble should the heavy environment improvement. Objective: Understood that in the Jhushan Town society Laos home environmental safety present situation, according to the rating result at the right moment involvement improvement, by takes reference of the promoted security community. Methods: Way rating home environmental safety which inquires by the home, has high dangerous group old person take the family in as first, passes on the hospital take Chu Shang Show Chwan Hospital in 2007 the populace to set up several health’s as society Laos to look after the health examination to report, chooses disease severity 50 by family doctor, does for this home safe making a house-call object. Rating content for family in overall home environment, bathroom, bedroom and kitchen four major parts. Results: Does well by the kitchen environmental safety, the bathroom environmental safety does badly. Carries on the family visit in view of the particular case to trace, security of the improvement home environment. Chooses 3 the home making a house-call result most to need the improver, its choice condition was disease of severity according to the populace, lives alone as well as once tumbling to first improve in the home, and deferred to the making a house-call result choice to be possible to improve the project: the restroom installs the arm rest (1) to the populace families, lets old person when the restroom has the arm rest to use. the room addition night light and gives the flashlight (2) to old person, goes to bathroom in the midnight when has the lamp to look that the road avoids tumbling. (3) considered the local building frame has the threshold, and once tumbled in the home and moves about with difficulty, therefore grants the foldaway stick, facilitates old person to go out or uses in the home, and prevents tumbles. Conclusion: The suggestion may develop conforms to Taiwan native place old person the home environment demand specific appraisal table, discovers dangerous factor which may rectify, and provides the suitable plan and the involvement, cuts the probability which old person tumbles, medical service and the social cost because of may against accident injury derivation.
關聯: 2009健康產業科技與管理研討會
會議日期:2009.05.13
主辦單位:經國管理暨健康學院研究發展處、台灣科技大學區域產學合作中心
會議地點:國立台灣科技大學國際大樓
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显示于类别:[健康產業管理研究所] 校內研討會

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