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題 名 | 出院準備服務之成效探討--以冠狀動脈氣球擴張術病人為例=Examining the Efficiency of Discharge Planning of the Patients with Percutaneous Transluminal Coronary Angioplasty |
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作 者 | 蔡月娥; 王國陽; 尹裕君; 廖玟君; | 書刊名 | 榮總護理 |
卷 期 | 26:4 2009.12[民98.12] |
頁 次 | 頁346-356 |
分類號 | 419.73 |
關鍵詞 | 出院準備服務; 冠狀動脈氣球擴張術; 成效; Discharge planning; Percutaneous transluminal coronary angioplasty; Efficiency; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究目的在探討出院準備服務對冠狀動脈氣球擴張術病人之成效,採個案對照研究設計,立意取樣中部某加護中心行冠狀動脈氣球擴張術(Percutaneous Transluminal Coronary Angioplasty, PTCA)之病人,個案組給予出院準備服務介入措施後,郵寄病人滿意度問卷以取得資料(n=68、回函率40%),並以前一年同時期病人的回溯性資料做為對照組(n=63、回函率36.4%)。研究工具包括個人基本資料及出院準備服務病人滿意度問卷。出院準備服務措施包括:實施冠狀動脈健康及復健指導手冊並電訪追蹤。資料分析以描述、推論性統計進行,比較兩組之出院準備服務成效。研究結果對照組病人滿意度2.3分(SD=.47)與個案組的2.8分(SD=.40)(p<.05),具顯著差異;即冠狀動脈氣球擴張術病人在整合型出院準備服務後,達到病人滿意度提昇(p<.001)、降低出院後14日再急診及滯院30日之人數(p<.05),而出院後14日再住院(p=.608),對照組的3.2%與個案組的1.5%,未達到差異水準。 |
英文摘要 | The purpose of this study was to examine the efficiency of discharge planning in relation to the patients with percutaneous transluminal coronary angioplasty. A case control study design was used and PTCA subjects were recruited. The means of research included a demographic sheet and a structural questionnaire. After data were collected, descriptive inferential statistics included the independent t-test, χ^2, and Fisher's exact test were used to compare the control and case groups' differences in satisfaction, re-admissions, re-emergency visits, and the hospital length of stay (LOS). Response rates were 36.4% (n=63) and 40.0% (n=68) in the control and case groups respectively. The results showed that the mean score of patient satisfaction significantly increased from 2.3 to 2.8. The fourteen-day post-discharge readmission, re-emergency, and LOS were significantly reduced. This study could provide helpful information for PTCA nurses responsible for discharge planning. |
本系統中英文摘要資訊取自各篇刊載內容。