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1
題名:出院準備服務之輔具早期介入成效探討     (16點)
The Effect of Early Assistive Technology Intervention in Discharge Planning on Client Satisfaction
著者:林秀芬(Shiu-Fen Lin) ;李世代(Shye-D Lee) ;胡名霞(Ming-Hsia Hu)
出版地區:台灣
出版城市:台北市
學科:物理 ; 醫學綜合
關鍵字:出院準備服務 ; 輔具 ; 早期介入 ; 滿意度 ; Discharge planning ; Assistive technology Assistive device ; Early intervention ; Satisfaction
刊名:物理治療
卷期:32卷5期(2007.10)
頁碼:267-274
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

目的:探討中部某醫院出院準備服務病患之輔具使用概況以及出院準備護理師之輔具早期介入連結服務,對於提昇病患關於輔具服務滿意度的成效。方法:本研究設計為類實驗研究(quasi-experimental design),無早期介入的對照組收案期間是從2003年9月16日至26日,從出院準備初評需要使用輔具之個案238人中隨機抽樣40人,早期介入的實驗組則由11月1日至21日之間收案,由該期間住院且需輔具之個案193人中隨機抽樣40人。早期介入組於出院前即接受輔具評估與轉介服務。個案簽署同意書後於出院前三天或出院返家後並至少取得輔具達半個月後進行兩次面對面或電話式問卷調查。主要研究工具為醫院自行設計之出院準備病患高危險群篩檢量表以及加拿大新版魁北克輔具滿意度評估量表。結果:共有12題的加拿大新版魁北克輔具滿意度評估量表經專家效度及內在一致性檢定Cronbach's α值為.827,顯示具良好信效度。80位個案平均使用19項輔具,其中以行動輔具佔大宗;使用輔具時間約84%超過一個月,輔具取得場所有74%從醫療器材行或廠商取得,輔具持續使用率為78%,指導者則以廠商或店員佔最多達62.6%,有61.3%輔具是完全自費購買。兩組經無母數之Mann-Whitney U檢定,顯示有輔具早期介入之實驗組的輔具滿意度比無輔具早期介入之對照組高(P<.001)。結論:本研究顯示出院準備個案接受早期輔具服務,可明顯提高其輔具服務的滿意度,值得作為醫院輔具連結之參考。
Purpose and Background: The purposes of this study were: investigate the use of Assistive Technology (AT) in clients on the discharge planning program at a hospital in central Taiwan; and to study the effect of early AT intervention on client satisfaction. Method: The study was a quasi-experimental study. The control group subjects (n=40) were randomly selected from the discharge planning clients who needed AT intervention prior to the implementation of early AT intervention at that hospital. The experimental group subjects (n=40) were randomly selected from the discharge planning clients after the implementation of the early AT intervention program at that hospital. The validated research tool, a QUEST 2.0 scale (Quebec User Evaluation of Satisfaction with Assistive Technology, contains 12 items) with a Cronbach's value of 0.827 was used. Results: The subject characteristics of the control group and the experimental group subjects were similar. About 40% of discharge planning clients required AT intervention. The average AT utility rate was 1.88 items per person. The most common type of AT used in these subjects was ambulating aids. In 84% of the subjects, AT has been used for more than one month. 74% of the subjects obtained their AT from medical supply stores, and 78% of the subjects continued using AT after they were discharged from the hospital. Personnel at the medical supply stores were the most common known instructors for AT application (62.64%). 61.3% of the subjects purchased AT on their own expenses. Using non-parametric analysis, patients with early AT intervention were found to have a significant higher satisfaction score than patients without early AT intervention (p<.001). In particular, the satisfaction score is significantly higher in the experimental group than the control group among questions related to AT services. Conclusion: In conclusion, clients receiving early discharge planning services with emphasis on AT service scored higher on the sat


    

本卷期目次
物理治療 32卷5期 (2007.10)
劍道選手的平衡能力優於一般大學生嗎?/ 李文心柯以馨李建志胡名霞
The Effects of Divided Attention on the Ability to Rapidly Change Movement Direction in Young Adults/ Chiung-Yu ChoLouise GilchristScott White
雙重作業對步行表現之干擾效應/ 洪湘斐胡家甄成戎珠
出院準備服務之輔具早期介入成效探討/ 林秀芬李世代胡名霞
Effect of Physical Therapy on Balance and Functional Outcome in Stroke Patients in Long-Term Care Facilities/ Kwan-Hwa LinMing-Hsia HuPei-Fang Tang
調整式限制-誘發動作治療對一名患有腦性麻痺伴隨右半邊麻痺的兒童的臨床應用/ 高宜暄楊怡君邱議霆鍾佳英黃美涓劉文瑜
 
   
 
   

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