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題 名 | 某獨立型居家護理所導入長期呼吸器依賴患者整合性照護計畫之服務現況分析=The Service Status of Implement IDS System from Long Term Ventilator Depended Patients in an Independent Nurse Home Facility |
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作 者 | 楊式興; 朱秋蓉; 陸嘉真; 簡辰霖; 林昭成; 卓貴美; 龍芳; | 書刊名 | 呼吸治療雜誌 |
卷 期 | 12:1 2013.01[民102.01] |
頁 次 | 頁1-14 |
分類號 | 415.415 |
關鍵詞 | 居家照護; 呼吸器依賴; 呼吸照護; Home care; Ventilator dependent; Respiratory care; |
語 文 | 中文(Chinese) |
中文摘要 | 研究目的:獨立型居家護理所,在健保局長期呼吸器依賴病患整合性照護計畫Integrated delivery system; IDS)的給付下,一同與增編的呼吸治療師及胸腔專科醫師執行居家訪視,以提 供呼吸器病人居家照護。然而,很重要的是若能掌握收案特性必能提升經營成效,因 此以居家個案的居住地、上游醫院屬性等,來探討收案現況的特性。研究方法:實驗設計以「回顧性研究法」、立意取樣方式進行,針對國內臺北市某家獨立型居家護 理所設立後,導入IDS計畫,針對長期呼吸器依賴病人,做居家照護服務。分別調閱 2006年09月01日至2009年12月31日病歷,收集病人之年齡、居住地、診斷、呼 吸器資料及收案天數等項目。分析居住地、上游醫院屬性與收案特性的關係。研究結果:該獨立型居家護理所服務現況,發現研究期間總共收案294位,男性154位,女性140 位;平均年齡63.9±24.2歲(<1〜94);此居家護理所設立在臺北市,個案仍以居住臺北 市的134位為最多。上游醫院以醫學中心的190位為最多,地區教學醫院有80位,地 區醫院呼吸照護病房也有24位。使用侵襲性呼吸器133位,非侵襲性呼吸器161位; 然而已結案為179位,仍收案中為115位。平均收案天數450.8±401.4天,最短為2天,最長為1199天。臺北市、新北市以醫學中心的轉介個案為最多(34.4%、26.9%),其他 縣市以醫學中心的個案來源為最少(3.4%),統計學上呈顯著差異(P<0.001)。平均年齡 在臺北市、新北市及其他縣市分別為65.3±24.4、59±27.7、68.7115.2歲,新北市個案 最年輕,呈顯著差異(P=0.032)。平均收案天數也分別為467±413.4、496.6±411.6、340.9 ±339.2天,其他縣市收案天數顯著比臺北市、新北市為最短(P=0.047)。結 論:獨立型居家護理所導人長期呼吸器依賴患者整合性照護計畫,提供長期呼吸器病人居家照護,其個案特性,以臺北市某家獨立型居家護理所為例,有意義的差異在臺北市 收案個數最多,新北市最年輕,醫學中心的個案來源為最多,其他縣市收案天數最短。 此外在這IDS模式下的呼吸器居家個案,其照護品質是接下來更需要再去探討的課題。 |
英文摘要 | Background and purpose: Independent nursing home facility implement the BNHI of payment project in the integrated delivery system (IDS) of long-term mechanical ventilator dependent (LTMVD) patients, then together with the addendum to the respiratory therapists and the chest physicians provide home care of LTMVD patients in home. However, in this care model of IDS, it is very important that if investigating received case characteristics then can improve their business effectiveness; therefore, our purpose is to investigate the characteristics of current received case by survey home place of residence and property of upstream referral hospital. Method: Experimental design is the retrospective study of purposive sampling, therefore, we investigate one independent nursing home facility after establishment in Taipei city then implement project of IDS to provide a home care service in receiving LTMVD patients. We collected medical records in retrospection from September 1, 2006 to December 31, 2009, collected data on patient age, residence, diagnosis, ventilator information, and the number of days in received the case, respectively, and to analysis the relationship between patient data and their residence and property of upstream referral hospital, respectively. And SPSS 19.0 of statistical software was used to data analysis. Results: Found enrolled case in home ventilator care during the study period, a total of 294, 154 males and 140 females; average age of 63.9 ± 24.2 years old (<1~94); this facility was established in Taipei city, the maximum number of case was 134 of Taipei city. A maximum of case number was 190 form the medical center in upstream referral hospitals,80 regional hospitals, district hospitals of respiratory care ward of 24; invasive ventilator of 133, non- invasive ventilator of 161, however, have been closed service for 179. Still enroll service of 115. Average the receiving days of 450.8 ± 401.4 (2~1199).In the case number was Taipei, new Taipei of Medical Center referral cases (34.4%、26.9%) showed a statistically significant more than other counties and cities of 3.4% (P <0.001). The average age in Taipei, Taipei and other cities/counties were 65.3 ± 24.4, 59 ± 27.7, 68.7 ± 15.2 years old, New Taipei City was significant the youngest cases (P=0.032). The average number of enrolled days were 467 ± 413.4, 496.6 ± 411.6, 340.9 ± 339.2 days, and other cities/counties showed significant the shortest than Taipei City, New Taipei City (P=0.047). Conclusion: Independent nursing home care facility implement IDS project to provide home care of LTMVD patients, we sampled one facility in Taipei city, we found it is significant in the youngest is the new Taipei city, in the most of patient source is medical central and other cities is shorter in receiving case days. In addition, the home care of LTMVD patients in this model, the quality of care is the next more worth to do further study. |
本系統中英文摘要資訊取自各篇刊載內容。