社區榮民健康相關生活品質與遠距離健康照護之研究

A Study on Health- Related Quality of Life and Long Distance Healthcare of the Community Veterans

彭惠臻(Huey-Jen Perng)

指導教授 ： 詹前隆

元智大學/資訊學院/資訊管理學系/碩士(2009年)

https://doi.org/10.6838/YZU.2009.00058

摘要

隨著醫療科技的進步，人類的壽命不斷地延長，老年人的健康問題亦日益受到社會的關注，本研究目的係探討受訪榮民接受遠距離健康照護服務之滿意程度及其健康相關生活品質之影響因素。
研究以臺北縣榮服處服務照顧之榮民為母群體，採立意取樣方式選取使用遠距照護服務系統之榮民115位為個案組，另外選取未使用該服務系統之115位榮民為對照組，共抽取230人為研究對象，總計完成221人次訪視，問卷回收率96％，其中使用遠距照護服務老人95人(個案組)、未使用遠距照護老人117人(對照組)、無效問卷9人。
研究結果顯示個案組對遠距離健康照護滿意程度愈高，其在各範疇的健康相關生活品質愈好；遠距離健康照護服務社會支援情形感受愈好，其對遠距離健康照護服務滿意程度愈高。比較二組受訪老人的健康相關生活品質發現，不管有無使用遠距離健康照護服務，心理範疇得分均呈現最低，顯示老人的心理健康值得特別重視。
二組受訪老人在活動與自我照顧能力、自評健康狀況、自評快樂情形、急診就診次數等變項為影響健康相關生活品質各範疇最強的變項，據以建議有關單位宜於遠距離健康照護介入後，針對慢性疾病的預防、復健運動、心理健康、社會支援與健全的醫療照護相連結；並針對使用者做後續評估與追蹤。

關鍵字

榮民、遠距離健康照護、社會支援、健康相關生活品質

並列摘要

Along with the advances in medical technology, the life span of human beings extends continuously and the health issue of the elderly is also getting more concern by the society. The purpose of this study was to explore the satisfaction of the community Veterans who received the long-distance health care service and to understand the influenced factors of the health-related quality of life.
The study based on the patient group which cared by Veterans Service Department of Taipei County. Totally 230 subjects were selected by purposive sampling method; among them, 115 veterans using the long-distance care service system were assigned to be the experimental group and another 115 veterans without using this service system were assigned to be control group. Finally 221 persons were interviewed (96%); of which, 95 persons used long-distance care service (case group), 117 persons didn’t use this service (control group) and 9 copies of questionnaires were invalid.
The results showed that the experimental group have high degree of satisfaction with long-distance health care, better health-related quality of life (HRQOL) in all aspects. On the other hand, the better feeling of the social support in long-distance health care services they have the higher satisfaction they get. We also found that no matter the subjects use the long-distance health care services or not, the mental aspect of the subjects showed the lowest scores. It indicated the mental health of the elderly deserve more attention.
The variables of the activity and self-care ability, health and happiness condition, number of emergency treatment are the strongest variables to predict all aspects of the health-related quality of life. We propose that the related unit for taking care of the elderly should cooperate each other for chronic disease prevention, rehabilitation, mental health, social support and medical care. It also needs to track the users continuously after implementing the long-distance health care.

並列關鍵字

Veterans, Long Distance Healthcare, Social support, Health-Related Quality of Life

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