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題 名 | 宜蘭地區呼吸器依賴病患返家政策執行的成效=The Efficacy of Home Counseling of Patients with Ventilator Dependent in I-Lan Area |
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作 者 | 張新傑; 周佩瑾; 方瑱珮; 陳慧秦; | 書刊名 | 呼吸治療雜誌 |
卷 期 | 8:2 2009.07[民98.07] |
頁 次 | 頁1-11 |
分類號 | 429.5 |
關鍵詞 | 居家照護; 呼吸器依賴病患; 返家率; 呼吸治療個案管理; Home care; Long-term ventilator-depend patients; Return home rate; Case management of respiratory therapy; |
語 文 | 中文(Chinese) |
中文摘要 | 長期呼吸器依賴病患整合照護計劃實施至今,呼吸照護病房病患人數的成長率高於居家照護的人數,雖然許多研究顯示居家照護較節省醫療成本,也較人性化,且有2萬7千元的醫療設備補助,與專業人員的定期訪視,但仍無法提高家屬的意願。故本研究針對宜蘭地區某家區域教學醫院呼吸照護病房(Respiratory Care Ward, RCW)病患的家屬做問卷調查,統計不願返家的原因,確立問題後,再做介入措施,經過執行期後再次評估家屬返家照顧病患的意願是否改變。研究結果發現病患不願返家照護,最大原因為害怕緊急狀況下沒有支援系統,佔62.5%。經過介入措施後,返家率由0%增加到12.5%。因此我們建議要徹底執行整合式醫療照護系統(Integrated Delivery System, IDS)第四階段,必須先了解當地住民之特殊性問題,並結合當地有效之醫療資源及呼吸治療個案管理師主動積極的參與解說,才能增加第四階段長期呼吸器依賴病患的返家率。 |
英文摘要 | The implementation of IDS for long-term ventilator dependent patients has been practiced for years. Upon recently, the growth rate of RCW patients outnumbered home care patients. Studies have showed that although home care offers many advantages, such as less cost, more humanity, $27,000 NT dollars in medical equipment subsidy, family members exempt the burden, and regular visits of specialists. Still the family members have little interest. This study made the questionnaire survey in view of some RCW patient's family members in a region teaching hospital in I-Lan. At first we found the reasons they were not willing to choose home care. After establishing the main issues, we made the intervention plans. After carrying-out period, we evaluated the outcome to see if they had changed their mind. The result of this study indicated that, the intervention plan has increased the return home rate from 0% to 12.5%. In order to increase the Level 4 return home rate, case managers of respiratory therapy need to analyze current situation, confirm the main issues, find the solution, in addition to do cost analysis and need the intervention plans by government. And further, we research, analysis, carry out the plans. Therefore the return home rate will be raised for the level 4. |
本系統中英文摘要資訊取自各篇刊載內容。