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題名：臺灣中部地區急診病患需求滿意度及影響因素之探討
書刊名：弘光學報
作者：林貴滿
作者(外文)：Lin, Kuei-man
出版日期：1999
卷期：34
頁次：頁21-46
主題關鍵詞：急診；需求；滿意度；Emergency care；Needs；Satisfaction
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(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:11
  • 點閱點閱:56
　　　　　本研究為描述性之研究，以Maslow需求理論為基礎，目的在探討急診病患需求項目 及滿意程度，和影響需求滿意的相關因素。 研究對象為中部四所教學醫院急診留觀 3 小時 以上病患，共 200 人。 測量工具採結構式問卷，共分五個次量表，包括生理、安全、歸屬 感與愛、自尊、自我實現需求滿意度量表。 結果發現最滿意前 5 項需求為地板乾淨和乾燥 (安全需求 )、工作人員態度 (自尊需求 )、 環境中氣味 (生理需求 )、醫療人員執行技術 動作及態度 (安全需求 )、告知病情主動性及態度 (自尊需求 )； 最不滿意 5 項需求為睡 眠 (生理需求 )、家屬休息 (歸屬感與愛需求 )、飲食供應 (生理需求 )、財物安全 (安全 需求 )、飲食內容 (生理需求 )。影響急診病患需求滿意度因素為教育程度、就醫經驗、留 觀時數、年齡、看診科別、醫院別。建議未來急診護理人員宜增加滿足病患自我實現需求及 改善對生理、安全及歸屬與愛需求滿意度。
　　　　　Based on Maslow theory, we conducted a descriptive study in order to quantify the degree of satisfaction and its analyze its influencial factors related to medical emergency care among people living in central part of Taiwan. The subjects consisted of 200 patients who were subsequently observed for more than -3 hours at 4 teaching hospitals in central Taiwan. The results indicated that the 5 most satisfying aspects were: 1.cleanness of the floor; 2.professional manner of the staff; 3. odor in the ward; 4.technical proficiency and the attitude of medical team members; and 5. willingness to engage truthtelling and attitude of the staff. The most unsatisfying aspects included: 1.comfortable sleeping; 2.the condition of waiting room for family members; 3.food supply; 4.safety of personal belongings; and 5.variety needs of food supply. The influencial factors on the satisfaction of patients' need swere the educational background; previous medical care experience; length ofobservation time; the age; diffnces in specialty care; and differences in hospitals. We recommended that in order to improve the degree of satisfaction in seeking for emergency care, nursing staff at emergency department should build up patients' selffullfillness and improve their perception of physical need,sense of safety, belonging and love.
期刊論文
1.Bader, M. M.(1988)。Nursing Care Behaviors That Predict Patient Satisfaction。Journal of Nursing Quality Assurance，2(3)，11-17。  new window
2.Abramowitz, S.、Cote, A. A.、Berry, E.(1987)。Analyzing patient satisfaction: a multianalytic approach。Quality Review Bulletin，13(4)，122-130。  new window
3.Buller, M. K.、Buller, D.(1987)。Physician's communication style and patient satisfaction。Journal Health and Social Behavior，28(4)，375-388。  new window
4.Bursch, B.、Beezy, J.、Shaw, R.(1993)。Emergency department satisfaction: what matters most。Annals of Emergency Nursing，22(3)，586-591。  new window
5.Chande, V. T.(1991)。Pediatric emergency department complants: A three-year of sources and trends。Annals of Emergency Medicine，20(8)，1014-1016。  new window
6.Cleary, P. D.(1992)。The relatuinship between reported problems and patient summary evaluations of hospital care。QRB，1992(Feb.)，53-58。  new window
7.Daley, L.(1984)。The perceived immediate needs of familes with relative in the intensive care setting。Heart & Lung，13(2)，231-237。  new window
8.Davis, A. R.、Ware, J. J.(1988)。Involving consumers in quality of care assessment。Health Affairs，71(7)，33-48。  new window
9.Hansagi, H.(1992)。The urgency of care need and patient satisfaction at a hospital emergency department。Health Care Management Review，17(2)，71-75。  new window
10.Hall, M. F.(1996)。Keys to patient satisfaction in the emergency department: results of a multiple facility study。Hospital & Health Services Administration，41(4)，515-533。  new window
11.Kathleen, N. H.、Grandy, W. M.、Catherine, D. K.(1993)。Emergency department patient's perception of nurse caring behaviors。Heart & Lung，22(4)，356-363。  new window
12.Lynn-McHale, D. J.、Bellinger, A.(1988)。Need satisfaction levels of family members of critical care patients and accuracy of nurses' perception。Heart & Lung，17(4)，447-453。  new window
13.Morgan, S.、Dela, Paz A.、Mccall, P.(1986)。Measuring ED patient satisfaction with a question care。Journal of Emergency Nursing，12(4)，32-35。  new window
14.O'Neill-Norris, L.、Grove, S. K.(1986)。Investigation of selected psychosocial needs of family members of critically ill patients。Heart & Lung，15(2)，194-199。  new window
15.Street, R. L.(1991)。Information giving in medical consulations: the influence of patients communicative styles and personal characteristics。Social Science and Medicine，32(5)，541-548。  new window
16.Tarlov, A. R.、Ware, J. E.(1989)。An application of methods for monitoring the results of medical care。JAMA，18(7)，925-930。  new window
17.Van de Leuy, J. H.(1987)。Emergency department complaints。Annual Emergency Medicine，16(8)，915。  new window
18.Ware, J. E.、Davis, A. R.、Stewart, A. L.(1978)。The measurement and meaning of patient satisfaction。Health and Medical Care Services Review，1(1)，1-15。  new window
19.周瑞玲、林明珍(19960600)。某地區教學醫院住院病患對醫院服務品質滿意度之調查分析。醫院，29(3)，5-13。  延伸查詢new window
20.謝淑芳、王如華、徐姍姍(19961100)。CQI理念在住院病患滿意度調查之應用。國防醫學，23(5)，452-455。  延伸查詢new window
21.繆珣(19941200)。影響急診病患對急診服務滿意度因素之探討。榮總護理，11(4)，348-360。new window  延伸查詢new window
22.Molter, N. C.(1979)。Needs of relatives of critically ill patients: A descriptive study。Heart & Lung，8(2)，332-339。  new window
23.McMillan, J. R.、Younger, M. S.、DeWine, L. C.(1986)。Satisfaction with hospital emergency department as a function of patient triage。Health Care Management Review，11(3)，21-27。  new window
24.Risser, Nancy L.(1975)。Development of an Instrument to Measure Patient Satisfaction with Nurses and Nursing Care in Primary Care Settings。Nursing Research，24(1)，45-52。  new window
研究報告
1.藍忠孚(1984)。中華民國醫院系統現況與發展之規畫研究。台北：行政院。  延伸查詢new window
學位論文
1.黃慧娜(1993)。急診服務與病人滿意度之調查研究--以某醫學中心為例(碩士論文)。國立臺灣大學。  延伸查詢new window
2.曹天芳(1984)。北區四所醫院機動車意外傷害住院病人對急診醫療服務滿意度之比較研究(碩士論文)。國防醫學院。  延伸查詢new window
 
 
 
 
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