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1
題名:個案管理模式於某醫學中心燒燙傷病患的照護成效     (18點)
The Effectiveness of Case Management for Burn Patients in A Medical Center
著者:高淑雰(Shu-Fen Kao) ;謝碧晴(Pi-Ching Hsieh) ;蔡秀鸞(Shiow-Laun Tsay) ;蘇慧芳(Hui-Fang Su)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:燒燙傷病患 ; 個案管理模式 ; Burn patients ; case management model
刊名:醫護科技學刊
頁碼:24-32
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

本研究旨在探討個案管理模式於燒燙傷病患照護之成效,包括病患知識、居家自我照護行?、對醫護人員服務之滿意度、平均住院天數、及平均住院醫療費用。 在北台灣某醫學中心進行一個?期16個月針對燒傷病患提供個案管理照護模式的類實驗性研究。以立意取樣的方式將病患分?對照組(n=30人)接收傳統的照護,實驗組(n=40)接受額外的個案管理照護,包括接受自我照護教育及符合治療指引的照護服務。 個案管理介入16個月後實施前後比較均達統計上顯著差異,病患知識在實驗組有明顯地增加由5.95分進步到9.63分,對照組的進步較些微由5.07分增加到7.20分。居家自我照護行?執行正確率實驗組比對照組有明顯地進步(85.50%比70.28%),對醫護人員滿意度亦有明顯高出(108.78分比86.83分)。平均住院天數實驗組比對照組有明顯縮短(16.23天比23.17天),平均住院醫療費用亦有明顯降低(138,467.58元比219,582.23元)。 經個案管理模式實施,提供燒燙傷病患較完整的照護方針,促進多專科團隊合作,建議推展至其他高成本高數量疾病之個案。
This study investigated how nursing case management impacts patient knowledge, self-care behavior at home, satisfaction with healthcare, average length of stay and costs. A sixteen-month quasi-experimental design was conducted in the burn unit of a Taipei medical center. A purposive sampling method was used to collect data. Burn patients were assigned to a control group (CG) (n=30) who received standard care from their primary care nurse or an intervention group (IG) (n=40) who received additional management, including education in self-management and implementation of burn guidelines for treating burn victims. After 16 months, patient knowledge scores significantly increased from 5.95 to 9.63 in IG as compared to a slight increase from 5.07 to 7.20 in CG. Primary outcome scores also improved significantly in IG: self-care behavior at home scores improved from 70.28% to 85.50%, and satisfaction with healthcare improved from 86.83% to 108.78%. Secondary outcomes improved significantly in IG compared to CG: average length of stay improved from 23.17 to 16.23 days, and cost improved from 219, 582.23 to 138,467.58 NT dollars. Results of this study have major implications for health care management models. First, more comprehensive guidelines for burn patient care can be structured. Still, the findings demonstrate great progress in cooperation between multidisciplinary team members in burn center. Finally, this case management model can be implemented in other high-cost and high-volume patients groups.


    

本卷期目次
醫護科技學刊
靈性照護融入生死學課程對國立台北護理學院學生靈性自我覺察能力之成效/ 曾煥棠劉秀美
喪葬研習課程之調查研究/ 曾煥棠林君妤
個案管理模式於某醫學中心燒燙傷病患的照護成效/ 高淑雰謝碧晴蔡秀鸞蘇慧芳
要High不藥害-使用MDMA青年因應策略之質性研究/ 張瑜真李景美
中文版艾倫認知篩檢測驗之修訂暨信效度研究/ 吳希文林嘉倩留淑婷邱?章
台灣學齡前兒童父母健康信念量表內涵分析/ 楊金寶張惠美黃芳銘林炫沛
外科病房護理人員處置包計價作業認知及正確性之改善方案/ 陳秀苓陳淑卿鄭美隨盧瑞華
 
   
 
   

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