- 期刊
- Ahead-of-Print
新冠肺炎衝擊下臺灣陪病文化的改變
The Impact of COVID-19 on the Culture of Accompanying Inpatients in Taiwan
摘要
目的：本研究目的以分析新冠肺炎疫情期間醫療機構內陪病的現況，並了解住院病人主要照顧者對陪病文化的想法。方法：自2020年3月至11月以台北市某區域醫院陪病訪客登錄資訊系統之資料收集，再輔以同年10月至12月以住院滿48小時病人家屬進行問卷調查。結果：研究結果顯示1.比較2019年3-11月與2020年3-11月陪病率分別為39.98%、40.10%，顯示疫情前後陪病比率無明顯差異；2.陪病者以「家屬」佔率最高（76.6%）；3.雖在疫情期間，75.8%陪病者不會影響其陪病意願，67.1%陪病者認為疫情不會影響其陪病文化的觀念；4.住院前主要照顧者與住院後的照顧／陪病者相同的有顯著正相關性。結論：台灣在2020年第一波COVID-19疫情中，既使國人住院期間家屬陪伴在側的陪病文化存在已久，且其陪病意願與意念仍根深蒂固，但一般民眾對中央指揮中心的防疫政策有極大的配合度，包括醫療機構探病陪病政策的落實執行。又台灣陪病多元制度包括看護共聘制度、全責照顧及自費聘用看護制度，政府衛生單位與醫療院所應加強宣導與說明，讓民眾能依其個別需求做最妥適的陪病選擇。
並列摘要
Objective: This study explored the situation of family accompanying during patient hospitalization and understood the perception of primary caregivers in inpatient companionship during the COVID-19 pandemic. Methods: Data were retrieved from March to November 2020 from the hospital visitor and accompanier recording information system. In addition, a questionnaire survey was conducted on family members of whom the cared patients were hospitalized for over 48 hours from October to December of the same year. Results: The results showed that (1) the hospital accompany rates were 39.98% and 40.10% from March to November in 2019 and the same period in 2020, indicating no significant difference before and after the pandemic; (2) the family members were the most common accompaniers (76.6%); (3) 75.8% of the accompaniers expressed the pandemic did not influence their willingness of hospital companionship, and 67.1% of the accompaniers perceived that the pandemic did not influence their concepts of companionship during hospitalization; (4) a significant positive correlation existed between the primary caregiver before admission and caregiver/ accompaniers after admission. Conclusion: Investigation during the first wave of the COVID-19 outbreak in 2020 showed that the culture of hospital companionship has existed for a long time, and the willingness and thought were deeply rooted. Nevertheless, the public has a great degree of cooperation with the epidemic prevention policy of the command center, including the implementation of the patient visiting and accompanying policy in medical institutions. Also, there are various types of patient companionship in Taiwan, including total care, co-employment care, and self-employment care. The health authority and medical institutions should enhance the propagation and illustration to enable the public to choose an adequate companionship model.