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題名 | 某醫學中心精神科居家治療之初步評估 |
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作者 | 盧純華; 劉嘉逸; 陳碧秋; 鄒建萍 ; 沈楚文; | 書刊名 | 榮總護理 |
卷期 | 12:1 1995.03[民84.03] |
頁次 | 頁102-108 |
分類號 | 429.5 |
關鍵詞 | 精神科居家治療; Psychiatric home treatment; Home care service; Mental disorder; |
語文 | 中文(Chinese) |
中文摘要 | 本文旨對某醫學中心之精神科居家治療小組兩年的業務做描述性的報告,並對收案中的個案及家屬對居家醫療之需求、滿意度及意見做進一步的探討。結果發現:兩年來居家治療小組共收106案,診斷以精神分裂症居多(53.8%),其次是情感疾患(22.6%),器質性精神病病第三(14.2%)。接受調查之個案及家屬認為本治療小組對他們最大的幫助皆為心理支持,對家訪的需求無論家屬或個案需求度皆不高,其原因為可以自行看門診、生活不願受干擾、怕別人知道等。家侹訪視人員,個案及家屬都較偏好護理人員,而護理人員的訪視費(400元)一半以上的人認為適當。多數的個案(95.8%),及家屬(86.9%)認為居家治療費用宜由政府或保險機關負擔。對居家治療以務方式之需求80%左右之個案及家屬以電話訪談為優先考慮。本治療小組以電話訪談或諮商為主,大多數家屬(94.8%)及個案(70.8%)對此服務方式皆感滿意,顯示以電話為主的精神科居家治療,是被接受且合於個案及家屬需求的一種服務方式。 |
英文摘要 | The purpose of this paper is to describe the population of a hospital-based psychiatric home care program, to identify the clients and their family's needs, and to assess the level of their satisfaction with the services provided to them. During a two-year period, a total of 106 cases entered the program. Among them, schizophrenia was the most common diagnosis (53%), followed by affective disorder (22.6%), and organic mental disoder (14.2%). A survey of needs needs and satisfication was conducted by semi-structured interview with a standardized questionnaire. Most of the clients and their caregivers were satisfied with our services. "Mental support" was ranked as "the most helpful service" by both clients and families. Only 8.5% of the clients and 10.5% of the families needed home visits. Nurses were the most favored personnel for home visits. Telephone counseling was the most referred service among both groups. Most of them (95.8% of clients and 86.9% of families) considered that the psychiatric home-care services should be paid for by a third party or supported by the social welfare system. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。