某醫院日間照護室收案病患及其家庭状况之研究

A Study on the Enrolled Clients and Their Family Status in a Hospital-Based Day Care Center

徐宗福(Tsung-Fu Hsu) ； 許國敏(Kuo-Min Hsu)

《中華公共衛生雜誌》 13卷3期 (1994/06) Pp. 229-241

https://doi.org/10.6288/CJPH1994-13-03-04

摘要

本研究主要目的在瞭解日間照護收案病患之家庭及社會經濟状況，评估其日常生活功能、精神功能及心理社會功能，探討病患醫療需及其家屬幫助病患之意願，並根據調查结果及辨理经驗，提出適切可行之建議，以供國内衛生主管單位、醫療保險機構及醫界專家制定政策之参考。
研究结果發现：收案病患的特徵為男性、年龄70歲以上、閩南人、已婚、具農保身份、没有工作、小學教育程度、留院期間一個月内、有腦血管疾病，其日常生活功能為部份依賴辅助者，精神功能状況為中型腦障礙，心理社會功能状況為較高程度部份依賴，與配偶兒孫共同居住在豐原地區，其家庭功能為無功能障礙，社會經濟狀況屬上階層，病患需要服務項目為物理治療、社會化娛樂、營養照顧、口服藥治療等。病患之主要照顧者的特徵為女性、年龄61-70歲、閩南人、已婚、有職業、小學教育程度、由配偶或子女来擔任。
以相關分析來分析病患日常生活功能、精神功能、心理社會功能、家庭功能、社會經濟状況及家屬幫助病患意願六項指標，顯示病患日常生活功能低者，其精神功能與心理社會功能亦低；社會經濟狀況差者，其家庭功能亦差；日常生活功能、精神功能、心理社會功能與家庭功能較佳者，其家屬幫助病患意願亦较高。且發現心理社會功能與家庭功能是家屬幫助病患意願的重要影響因素。
最後，強調推展以醫院為基礎之日間照護中心符合社區需求之必要措施，不僅可解決一般性短期醫院、家庭及社會難題，同時也是健全醫療網計畫，促進我國醫療制度正常發展之重要策略。

關鍵字

以醫院為基礎之日間照護中心 ； 日常生活功能 ； 心理社會功能

並列摘要

The objectives of this study were to: (1) understand the family and socioeconomic status of the enrolled clients in a day care center; (2) evaluate their activities of daily living, mental status and psychosocial activities; (3) explore the needs of clients and the helping willingness given by their families.
A profile of the typical participant was male, more than 70 years of age, a native of Taiwan, married, with farmer health insurance, no occupation, graduated from elementary school, within one month of stay, ill with cerebrovascular disease, living in the Fengyuan area with sons and grandchildren. The activities of daily living were partially dependent, the mental status appeared moderately disordered, and the psychosocial activities were high-level partially dependent. Their families were not functionally impaired and their socioeconomic status belonged to high level. The participants' needs were physical therapy, socialized recreation, nutritional care, medicine therapy, etc. The typically primary caregiver was female, 61-70 years of age, a native of Taiwan, married, with occupation, graduated from elementary school, participant's spouse or child.
Six indices which consisted of the activities of daily living, mental status, psychosocial activities, family functional status, socioeconomic status and the helping willingness for clients were analyzed. The findings were: (1) The worse the participants' activities of daily living, the worse their mental status and psychosocial activities. (2) The worse the participants' socioeconomic status, the worse their family functional status. (3) The better the participants' activities of daily living, mental status, family functional status and psychosocial activities, the higher the helping willingness for clients. And, the most important factors affecting the helping willingness for clients were psychosocial activities and family functional status.
As a whole, what we must emphasize is developing hospital-based day care center is an essential measure catering for needs in an aging community. It will not only solve the problems existing in the acute short-stay hospital, in the participant's family and in society, but integrate to achieve medical care network and thoroughly promote national health care services.

並列關鍵字

hospital-based day care center ； activities of daily living ； psychosocial activities