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題名：某醫學中心出院準備服務及居家護理個案後續照護品質與滿意度調查
書刊名：長庚護理
作者：廖美南／卲榮華／李小菁／徐亞瑛
作者(外文)：Liao, M. N.／Shao, J. H.／Lee, H. C.／Shyu, Y. I.
出版日期：2000
卷期：11:3=31
頁次：頁1-13
主題關鍵詞：照護品質；滿意度；出院準備服務；居家護理；Quality of care；Satisfaction；Discharge planning；Home nursing
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:5
  • 共同引用共同引用:74
  • 點閱點閱:39
　　　　　本研究針對某醫學中心出院轉介服務的滿意度及病人在居家護理服務中後續照護之滿意度品質初探。本研究採立意取樣，抽取某醫學中心接受出院準備服務，且接受居家護理服務的42個病患，在出院後一個月、三個月及六個月進行三次的電訪及家訪追蹤。經過六個月追蹤後，有效個案為24位。 結果顯示，接受居家護理的個案以年餘65歲以上、住院天數大於一個月者為多。經過六個月的追蹤後，發現其日常活動功能及工具性日常活動功能的依賴情形會隨出院時間愈長愈依賴。在出院轉介服務的滿意度方面，其「照護需求了解程度」及 「照護需求問題諮詢」在六個月的追蹤期間，其滿意度有逐漸降低的趨勢;其「後續醫療照護安排」則在追蹤期間，個案呈現穩定的滿意度；而「病況追蹤之滿意度」在此三階段之追蹤，顯示個案偏不滿意。在居家護理服務滿意度方面，「護士的服務態度」一直是病患家屬最為滿意的項目；另外個案對於「健保局訂定的訪視次數」與「居家護理單位提供的社會資源」較不滿意。此研究結果可提供某醫學中心出院準備服務及居家護理服務的改善方案，並可作為未來出院轉介服務及居家護理服務滿意度調查之參考。
　　　　　The purpose of this study was to investigate the satisfaction of patients who was referred by the discharge planningservices to receive home nursing services. Satisfaction to discharge referrals and home nursing services was explored. Atotal of 42 patients who received the home nursing services by discharge referrals of the Chang Gung Memorial Hospital(CGMH) during August month of 1998 to April month of 1999 were interviewed via home visit or telephone follow-ups atone month, three month and six month after hospital discharge. At the end of the sixth month, only 24 cases remained in thehome nursing services program, Results revealed that patients who received home nursing services were mostly aged 65 or above, and having the lengthof hospital stay longer than one month. During the period of six month follow-ups, dependencies in both activities of dailyliving (ADLs) and instrumental activities of daily living (lADLs) 'aggravated as the time passed by. In terms of the satisfactionto discharge referrals, satisfaction to of "understanding to care needs" and "consultation about care needs" decreasedduring the 6 months period. Subjects showed steady satisfaction to "arrangement of follow-up health care arrangement."Satisfaction to "illness condition follow-ups" continued to be low over the 6 months period. In terms of the satisfactionto home nursing services, "nurse's attitude" continued to be the item showed most satisfaction, and low satisfaction to "regulated number of home visits" and "comprehensiveness of the home nursing services" were found. The resultsof this study can provide a reference for further improving discharge planning and home nursing services in CGMH, and canprovide baseline information for future study of the quality 6f services.
期刊論文
1.Hall, J. A.、Feldstein, M.、Fretwell, M. D.、Rowe, J. W.、Epstein, A. M.(1990)。Older patients' health status and satisfaction with medical care in an HMO population。Medical Care，28，261-270。  new window
2.Chiu, L.(1997)。Family caregiver satisfaction with home care in the Taipei metropolitan area。Public Health Nursing，14(1)，42-50。  new window
3.謝美娥(19970900)。從失能老人社區照顧的需求初探服務網絡之建立。國立政治大學社會學報，27，47-88。  延伸查詢new window
4.葉莉莉、溫敏杰、徐畢卿(19980600)。臺南區域居家護理資源使用分析。中華公共衛生雜誌，17(3)，253-264。new window  延伸查詢new window
5.葉淑惠、吳淑如(19981200)。社區殘病老人照護的挑戰。護理雜誌，45(6)，36-41。new window  延伸查詢new window
6.Donabedian, A.(1988)。Quality and cost: Choice and Responsibilities。Inquiry，25(1)，90-99。  new window
7.Cleary, P.、McNeil, B. J.(1988)。Patient satisfaction as an indicator of quality of care。Inquiry，25，25-36。  new window
8.Clare, J.、Hofmeyer, A.(1998)。Discharge planning and continuity of care for aged people: indicators of satisfaction and implications for practice。Australian Journal of Advanced Nursing，16(1)，7-13。  new window
9.Choi, Y. S.、Kim, D. H.、Storey, M.、Kim, C. J.、Kang, K. S.(1992)。A study of home care needs of patients at discharged from a rural general hospital。Taehan Kanho-Korean Nurse，31(4)，77-99。  new window
10.Chiu, L.、Shyu, W. C.、Chen, T. R.(1997)。A cost-effectiveness analysis of home care and community-based nursing homes for stroke patients and their families。Journal of Advanced Nursing，26(5)，872-878。  new window
11.Farren, E. A.(1991)。Effects of discharge planning on lengths of hospital stay。Nursing Economy，9(1)，25-30。  new window
12.Faruggio, B.(1993)。The challenge of discharge planning。Journal of Nursing Admisstration，23(4)，40。  new window
13.Hall, J. A.、Dorman, M. C.(1988)。Meta-analysis of satisfaction with medical care description of research domain and analysis of overall satisfaction levels。Social Science & Medicine，26，637-641。  new window
14.Hansen, K.、Mahoney, J.、Palta, M.(1999)。Risks factors for lack of recovery of ADL independence after hospital discharge。Journal of the American Geriatrics Society，47(3)，360-365。  new window
15.Lowenstein, A.、Hoff, P. S.(1994)。Discharge planning: A study of nursing staff involvement。JONA，24(4)，45-50。  new window
16.Morrow-Howell, N.、Proctor, E.(1988)。Follow-up: Evaluating discharge planning。Discharge Planning Update，9(4)，18-21。  new window
17.Penchansky, R.、Thomas, J. W.(1981)。The concept of access: Definition and relationship to consumer satisfaction。Medical Care，19，127-134。  new window
18.Showers, N.、Simon, E. P.、Blumenfield, S.、Holden, G.(1995)。Predictors of patient and proxy satisfaction with discharge planning。Social Work in Health Care，22(1)，19-35。  new window
19.Somers, A.、Bryant, N.(1975)。Home care: much needed, much neglected。Annals of Internal Medicine，82(1)，111-112。  new window
20.戴玉慈、余玉眉、連倚南(19900700)。罹患中風對家庭的衝擊。公共衛生，17(2)，171-180。  延伸查詢new window
21.Shah, S.、Vanclay, F.、Cooper, B.(1989)。Improving the sensitivity of the barthel index for stroke rehabilitation。Journal of Clinical Epidemiology，42(8)，703-709。  new window
22.黃璉華(19890400)。長期照護與居家照護。護理雜誌，36(2)，19-23。new window  延伸查詢new window
23.Halamandaris, V. J.(1987)。Long-term care: Filling the gaps。Caring，10，18-22。  new window
24.Lynn, M. R.(1986)。Determination and quantification of content validity。Nursing Research，35(6)，382-385。  new window
25.戴玉慈、張丹蓉、羅美芳(19980300)。臺灣地區之出院準備服務--試行計劃成果分析。慈濟醫學，10(1)，61-68。  延伸查詢new window
26.李怡娟(19970400)。城鄉社區老人使用居家護理服務情形及其預測因子之探討。護理研究，5(2)，127-136。new window  延伸查詢new window
27.吳淑瓊、徐慧娟、莊媖智、張明正(19961200)。功能評估在估計臺灣社區老人長期照護需要之應用。中華公共衛生雜誌，15(6)，533-545。new window  延伸查詢new window
28.藍忠孚、熊惠英(19930900)。臺灣地區長期照護服務之現況及其問題。護理雜誌，40(3)，15-24。new window  延伸查詢new window
研究報告
1.內政部統計處(1996)。中華民國台灣地區老人狀況調查。台北：內政部統計處。  延伸查詢new window
2.戴玉慈、楊清姿、王祖琪、鄭雅心、陳月枝(1995)。長期照護服務對象分類系統之探討 (計畫編號：DOH84-HP-5E06)。  延伸查詢new window
學位論文
1.劉嘉年(1993)。居家護理與護理之家經濟評估(碩士論文)。國立臺灣大學。  延伸查詢new window
2.丁增輝(1992)。臺灣地區居家護理服務滿意度調查--由執行者與主要照顧者層面探討(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.長庚醫院(1996)。出院準備服務中心工作初探。林口：長庚醫院。  延伸查詢new window
圖書論文
1.McKeehen, K. M.、Coulton, C. J.(1985)。A system approach to program development for continuity of care in hospital。Continuity of care: Advancing the concept of discharge planning。Orlando, F. L.：Grune & Stratton。  new window
 
 
 
 
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