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題名 | 精神病患社區醫療照護方案之評價研究=Evaluation Study on the Effectiveness of Alternative Community Care Programs for Schizophrenics |
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作者 | 陳快樂; 呂孟穎; 吳聖良; Tan, Happy Kuy-lok; Lu, Ming-ing; Wu, Shang-liang; |
期刊 | 公共衛生 |
出版日期 | 19990400 |
卷期 | 26:1 1999.04[民88.04] |
頁次 | 頁49-58 |
分類號 | 419.57 |
語文 | chi |
關鍵詞 | 社區照護; 精神分裂症病人; 評價; Community care; Schizophrenics; Evaluation; |
中文摘要 | 本研究針對綜合性社區精神醫療照護方案(包括:康復之家、社區複健中心、 日間留院、居家治療及門診治療等)進行評價,以為推展社區精神醫療服務之參考。 評價方法採控制組時間系列設計,評價指標為社區醫療照護效果(包括:精神症狀評 估、家庭支持狀況評量及獨立生活功能評估)及醫院床位利用率。研究對象在社區醫療照 護效果方面,為省立八�媕蠷i院複健病房58位精神分裂症病患,其中接受社區醫療照護方 案者為實驗組,計29位;繼續住院之病患為對照組,計29位。在醫院床位利用效率方面, 為該院複健病房床位。資料蒐集期間從85年12月1日起至86年12月31日止,每位樣本接受 醫護人員每月以精神症狀評估表評估一次,每三個月以家庭支持狀況綜合量表及獨立生活 功能問卷評估一次。 結果顯示,實驗組與對照組在社區醫療照護方案介入前之精神症狀及獨立生活功能評 估未達統計顯著差異;社區醫療照護方案介入期間,實驗組之精神症狀及獨立生活功能逐 月進步的程度亦無異於對照組。研究期間醫院複健病房之全年病床周轉率,較前一年成長 145.38%。因此,社區精神醫療照護方案不僅在控制精神病患之病情方面與住院照護無異 ,且能提高醫院病床之利用率。本研究建議,應加強建立精神病患社區照護系統,並對社 區民眾及病患家屬加強宣導社區複健機構設立之必要性,以獲取社區民眾之支持。 |
英文摘要 | The main purpose of this study is to evaluate the effectiveness of alternative community care programs for schizophrenics in-patients at a psychiatric hospital. The programs provide five alternative services: a halfway house, shelter workshop, day-care, home-care and out-patient services. A quasi-experimental study design was implemented to evaluate outcomes. Indicators for effectiveness were patient's mental status and daily living skills, as well as bed-utilization efficiency of the 300 beds psychiatric hospital. Fifty-eight diagnosed schizophrenics were selected for study, of which half of them were provide with community care services (experimental group) and the other half remained in the hospital (control group). The results showed that there is no statistically significant difference between two groups in terms of the patients' mental status and daily living skills. However, the bed-utilization efficiency became significantly better compared to the period prior to implementation of the program. In other words, the community care program not only can stabilize patients' mental status and daily living skills but also promote efficiency of bed-utilization. We propose following recommendations based on this study:(1) alternative community care programs promote/monitor by psychiatric hospitals should be encouraged; (2) the general public should be educated to support such community care programs for psychiatric patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。