頁籤選單縮合
題名 | 中期照護模式建置與成效評值=Establishment and Evaluation Effectiveness of a Post Acute Care Model |
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作者姓名(中文) | 柯慧青; 劉彩娥; 江蕙娟; 林豐裕; 胡月娟; | 書刊名 | 源遠護理 |
卷期 | 8:3 2014.12[民103.12] |
頁次 | 頁40-48 |
分類號 | 419.7 |
關鍵詞 | 中期照護; 成效; 專案; 住院天數; 護理品質指標; 成本效益分析; Postacute care; Effectiveness; Project; Length of stay; Nursing quality indicator; Cost-benefit analysis; |
語文 | 中文(Chinese) |
中文摘要 | 中期照護為急性照護與長期照護之橋樑,旨在幫助病患由疾病期過渡至恢復期,使其由醫療的依賴到功能的自主,重返社區避免入住機構。本專案陳述某社區醫院建置中期照護模式的歷程,並探討接受中期照護病人,其照護需求與施行中期照護之成效。收集60位接受中期照護病人的資料做分析,結果發現病人平均入住天數41.1天(±25.4天);病人入住後需求,八成為復健(n=48)。採病人功能進展(日常生活活動功能量表、生活功能獨立量表、修正版諾丁漢延伸性日常生活量表)、品質監測指標閾值、與成本效益,評估病人接受中期照護後之成效。結果發現入住後第三、六、八週,病人三個功能量表得分皆較第一週進步,且達統計學上的顯著差異。品質監測指標仍有待改善空間,成本效益則需持續做分析。專案成果可據以擬訂中期照護績效指標,以供政府做為健保給付的參酌。 |
英文摘要 | The purposes of this project are to present the process of establishing a community hospital-based postacute care model, to investigate the client health care demands, and to evaluate its effectiveness. Postacute intermediate care is the bridge between acute and long-term care which helps patients transition from acute stage to recovery, restore their physical functions, and prevent unnecessary stay in long-term care institutions. The effectiveness of the postacute care model was measured by the progression of functions (activities of daily living, function of independent movement, and revised Nottingham extended activities of daily living), care quality indicators and cost-effectiveness. Sixty patients completed the postacute care program with an average length of stay of 41.1 days ( ± 25.4 days). Among them, eighty percent (n = 48) required rehabilitative services. The results showed that the functional scores of 3rd, 6th and 8th weeks increase was statistically significant when compared with the score of the first week. Improvement was required in the care quality indicators. Results from cost-effectiveness analysis are pending. The results of this project may provide a foundation for developing performance indicators and as a reference for government reimbursement for intermediate care. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。