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題名:南部某醫學中心中醫門診護理衛教特性和病患滿意度研究
書刊名:中醫藥雜誌
作者:郭純恩周金香胡文龍洪怡錂湛智慧羅千雅洪裕強
作者(外文):Kuo, Chun-enChou, Chin-hsiangHu, Wen-longHung, I-lingChan, Chih-huiLo, Chien-yaHung, Yu-chiang
出版日期:2015
卷期:26:1
頁次:頁59-72
主題關鍵詞:護理衛教衛教諮詢中醫藥Nursing educationMedical consultation serviceTraditional Chinese medicine
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(4) 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:4
  • 共同引用共同引用:5
  • 點閱點閱:5
目的:衛教有助於病患疾病照護和健康促進,本研究的目的在探討南部某醫學中心中醫門 診護理衛教特性與滿意度。 方法:本研究依據服務品質與滿意度等相關理論,建立中醫門診護理衛教特性與滿意度之 研究架構;依研究目的採用衛教諮詢滿意度調查表,衛教護理師記錄接受諮詢民眾之來源及諮 詢內容種類以作為統整分析。 結果:民國98 年至102 年度,諮詢民眾總人次為22,390,年度諮詢人次無明顯提昇。諮 詢來源以電話諮詢最多、民眾自詢次之,各占總人次之82.1%、13.6%。醫師轉介量占總人次 之4.1%。最熱門諮詢內容為三伏天/ 三九天諮詢(根據中國古老哲學:星相學、曆法,在一年 中最熱/ 最冷的日子執行之中醫治療法),其次為中風護理指導,年度平均人次分別為672.4 人次/ 年及424.6 人次/ 年。年度滿意度平均均到達90 分以上,顯示民眾基本對中醫門診護理 衛教諮詢感到滿意。其中最滿意項目為表達能力(92.47±2.09, mean±SD),其次為服務態度 (92.05±1.81, mean±SD); 較不滿意項目為地點選擇(89.60±1.84, mean±SD),其次為時間選 擇(90.16±1.94, mean±SD)。 結論:此項研究顯示中醫門診護理衛教諮詢的使用率及衛教特性。民眾對護理衛教諮詢整 體感到滿意,特別是提供服務之護理師有良好解說能力及態度。滿意度問卷結果分析後,本研 究構擬提升中醫門診護理衛教使用率的策略:(1) 改善衛教室地點的標示及行動不便者轉送服 務,(2) 調整諮詢時段及增加更多樣化的諮詢方式,(3) 提升醫師轉介的積極度及便利度,門診 診間放置可提供病患衛教諮詢室的資訊,(4) 重大疾病及慢性病患常規性轉介、初診常規性轉 介,(5) 季節性主題的團體衛教推廣,(6) 中醫專科化發展,(7) 提升中醫能見度。
Purpose: Health education would have contributed to the disease care and health promotion. The study aimed to explore the characteristics of medical consultation service for traditional Chinese medicine (TCM) outpatients and the patients’ satisfaction at a medical center in southern Taiwan. Methods: According to the related theories of service quality and customers’ satisfaction, the questionnaire of satisfaction of medical consultation was applied for the study. Data management and analysis were based on the nurse who conducted the medical consultation and recorded the content of medical consultation and the source of patients. Results: From 2009 to 2013, 22,390 people received medical consultation. The utilization of medical consultation for TCM outpatients was not increasing. The source of consultation users was mainly with phone (82.1%), following by self-motivated visits after the clinic (13.6%). The proportion of doctor referral was 4.1%. The most popular consultation issue was San Fu Tian/ San Jiu Tian (A traditional Chinese therapy, based on the ancient Chinese philosophy of astronomy and calendar, demonstrated in the hottest/coldest days in the year), and the following was medical and nursing care of stroke patients, with the average patient visit per year was 672.4 and 424.6, respectively. The average satisfaction rate was above 90 points (with a full point 100.) The patients were generally satisfied with the consultation service. Among the factors concerning the service quality, the patients were most satisfied with the expression ability of the consultant (92.47±2.09), then the attitude of the consultant (92.05±1.81). The patient rated less satisfied with location (89.60±1.84) and the time (90.16±1.94) of the medical consultation service.Conclusion: This study disclosed the utilization rate of medical consultation service for TCM outpatients. The patients felt satisfied with the consultation service generally, which means the consultant nurse had well qualities of exposition and attitude. The results of satisfaction questionnaire were analyzed. The strategies of improving the utilization of medical consultation service for TCM outpatientswere as following: (1) The prominent display of the direction guide and improvement on the transfer service (2) More options of consulting time and method, (3) Encouragement of doctor referrals, building a more convenient route(4) Routine referral for patients with dread disease, chronic illness and first TCM outpatient visit, (5) Group education about season-related topics, (6) Development of subspecialities of TCM, (7) Boosts the presence of TCM.
期刊論文
1.Gebhardt, M. C.、Testani-Dufour, L.(2007)。The role of the nurse academician in promoting evidence-based practice in a brain injury rehabilitation unit。Journal of Neuroscience Nursing,39(3),190-191。  new window
2.Hwang, C. Y.、Chen, Y. J.、Lin, M. W.(2010)。Prevalence of atopic dermatitis, allergic rhinitis and asthma in Taiwan: a national study 2000 to 2007。Acta Derm. Venereol,90,589-594。  new window
3.林宜信、劉淑娟、張曼玲、林綽娟(20040400)。臺灣中醫護理的政策與發展。護理雜誌,51(2),19-22。new window  延伸查詢new window
4.莊淑婷(2008)。台灣中醫護理技術標準之建構與評值。志為護理,7,84-93。  延伸查詢new window
5.Shamian, J.、El-Jardali, F.(2007)。Healthy Workplaces for Health Workers in Canada: Knowledge Transfer and Uptake in Policy and Practice。Healthcare Paper,7,6-25。  new window
6.王美文、蔡來蔭、李英春、吳佩芝、姜淑卿(19980600)。內科門診保健諮詢服務成效之改善。長庚護理,9(2)=22,32-39。new window  延伸查詢new window
7.林聖興、謝慶良(2006)。中西醫結合治療的健保給付有譜了--三大試辦計畫帶頭衝。中國醫訊,38,23-24。  延伸查詢new window
8.杜素珍、林玉芳、廖美南、林淑瓊、馬素華(2002)。護理人員對中醫藥的知識、態度和行為意向。台灣醫學,6,320-330。  延伸查詢new window
9.曾雅玲(1999)。護理人員對中醫藥的知識、態度、行為及其相關因素之探討。護理雜誌,46,57-69。  延伸查詢new window
研究報告
1.中央健保署(1023)。健保統計資訊。  延伸查詢new window
學位論文
1.郝宏恕(2002)。民眾對中醫藥之認知態度及消費行為特質之研究(碩士論文)。中國醫藥大學。  延伸查詢new window
2.王嘉蕙(1992)。中西醫門診利用與買藥行為之相關因素探討(碩士論文)。國立中正大學。  延伸查詢new window
圖書
1.Guilford, J. P.、Benjamin, F.(1965)。Fundamental Statistics in Psychology and Education。McGraw-Hill。  new window
2.Fry, F. L.、Stoner, C. R.、Hattwick, R. E.(2001)。Business: An Integrative Approach。McGraw-Hill。  new window
其他
1.World Health Organization。WHO Traditional Medicine Strategy 2002-2005,http://whqlibdoc.who.int/hq/2002/WHO_EDM_TRM_2002.1.pdf。  new window
2.衛生福利部中藥司(2014)。衛生福利部醫事管理系統103年9月開業清冊,http://www.mohw.gov.tw/CHT/DOCMAP/DM1.aspx?f_list_no=205&fod_list_no=143。  延伸查詢new window
3.康翠秀(1998)。臺北市北投區居民對中醫醫療的知識、信念與行為意向及其對醫療利用型態之影響,http://catalog.digitalarchives.tw/item/00/65/e2/3c.html。  延伸查詢new window
 
 
 
 
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