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題名 | 醫學中心精神病人出院計畫現況調查=Present Status of Discharge Planning for Psychiatric Inpatients among Medical Centers in Taiwan |
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作者 | 盧純華; 于漱; 黃珮玲; 曾雯琦; 蘇東平; | 書刊名 | 公共衛生 |
卷期 | 26:2 1999.07[民88.07] |
頁次 | 頁103-113 |
分類號 | 419.72 |
關鍵詞 | 精神病人; 出院計畫; 出院準備服務; Psychiatric inpatient; Mental disorder; Discharge plan; |
語文 | 中文(Chinese) |
中文摘要 | 本研究目的旨在調查台灣地區醫學中心精神病人出院計畫執行現況及精神醫療工 作人員對出院計晝之意見。針對八所醫學中心的精神醫療人員,以半結構式問卷及結構式量 表,採立意取樣,發出350份問卷,回收269份(76.86%),有效問卷266份。研究結果顯 示:所有樣本醫院均有提供精神病人出院計畫服務,內容以「提供訊息及教育」項目最多, 「擬定個案出院計畫書」最少;在訊息與教育的內容上以「服務指導」最多,「性教育」及 「居家護理介紹」最少。醫療人員在出院計畫工作內容上多重疊,且社工師感到的挫折比醫 師大,現行出院計畫以醫師為協調者佔最多,99.6%認為最好有專人擔任出院計畫協調員, 其人選傾向個案管理員。執行中缺乏足夠社區資源與轉介機構是最令醫療人員感困難的事 (70.7%)。以現行之精神病人出院計畫來看,缺乏一套正式、完整性的規劃,病人轉介安 置問題因社區資源不足及後續照顧系統不夠健全,造成執行上的困難。要有效的落實出院計 畫,必須強化各專業之重點業務、加強溝通;即早界定出院計畫病人及轉介標準;重新評估 精神醫療人力需求與增設社區復健長期照護機構。 |
英文摘要 | The aim of this study is to investigate the present status of discharge planning for psychiatric inpatients in medical centers in Taiwan, and to reflect the opinions of psychiatric staff about discharge planning. Using a questioonaire comprising semi-structured and structured questions, we surveyed 350 psychiatric staff in 8 medical centers in Taiwan. Among them, 269 subjects returned the questionnaire with 266 valid responses. The results showed that psychiatric discharge services are provided in all 8 medical centers and the most frequently provide service is "Providing information and education"(97.4%),which the least one is "Constructing clients' formal discharge plan"(22.9%).Among the content of information and education service, medication instruction(92.9%) and self-care instruction(81.2%)were the most frequently conducted items which sexual education(19.9%)and home health care orientation(39.6%)were the least ones. The results reflected overlapping in discharge planning among medical service providers, and therefore there should be further coordination among them. Social workers felt more frustration in discharge planning than staff of other disciplines. Most of the subjects believed that a full time coordinator to organize patients' discharge plan is necessary. Lack of community resources and referral routine were ranked as the most difficult items in discharge services. Informal discharge plan for psychiatric inpatients has been provided in medical centers in Taiwan, but there are still many problems and lack of formal discharge plan service. Psychiatric staff needs more education, communication and cooperation in this field. Furthermore, standardization of discharge plan service and referring system are also necessary to improve the quality of patients' care. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。