某醫學中心出院準備服務及居家護理個案後續照護品質與滿意度調查

Monitoring Quality of Care and Satisfaction Following Discharge Planning and Home Nursing in a Teaching Hospital

廖美南(M.N. Liao) ； 邵榮華(J.H. Shao) ； 李小菁(H.C. Lee) ； 徐亞瑛(Y.I. Shyu)

《長庚護理》 11卷3期 (2000/09) Pp. 1-13

摘要

The purpose of this study was to investigate the satisfaction of patients who was referred by the discharge planning services to receive home nursing services. Satisfaction to discharge referrals and home nursing services was explored. A total of 42 patients who received the home nursing services by discharge referrals of the Chang Gung Memorial Hospital (CGMH) during August month of 1998 to April month of 1999 were interviewed via home visit or telephone follow-ups at one month, three month and six month after hospital discharge. At the end of the sixth month, only 24 cases remained in the home nursing services program.＜BR＞Results revealed that patients who received hurt nursing services were mostly aged 65 or above, and having the length of hospital stay longer than one month. During the period of six month follow-ups, dependencies in both activities of daily living (ADLs) and instrumental activities of daily living (IADLs) aggravated as the time passed by. In terms of the satisfaction to discharge referrals, satisfaction to of ”understanding to care needs” and ”consultation about care needs” decreased during the 6 months period. Subjects showed steady satisfaction to ”arrangement of follow-up health care arrangement.” Satisfaction to ”illness condition follow-ups” continued: to be low over the 6 months period. In terms of the satisfaction to home nursing services, ”nurse's attitude” continued to be the item showed most satisfaction, and low satisfaction to ”regulated number of home visits” and ”comprehensiveness of the home nursing services” were found. The results of this study can provide a reference for further improving discharge planning and home nursing services in CGMH, and can provide baseline information for future study of the quality & services.

關鍵字

照護品質 ； 滿意度 ； 出院準備服務 ； 居家護理

並列摘要

The purpose of this study was to investigate the satisfaction of patients who was referred by the discharge planning services to receive home nursing services. Satisfaction to discharge referrals and home nursing services was explored. A total of 42 patients who received the home nursing services by discharge referrals of the Chang Gung Memorial Hospital (CGMH) during August month of 1998 to April month of 1999 were interviewed via home visit or telephone follow-ups at one month, three month and six month after hospital discharge. At the end of the sixth month, only 24 cases remained in the home nursing services program.＜BR＞Results revealed that patients who received hurt nursing services were mostly aged 65 or above, and having the length of hospital stay longer than one month. During the period of six month follow-ups, dependencies in both activities of daily living (ADLs) and instrumental activities of daily living (IADLs) aggravated as the time passed by. In terms of the satisfaction to discharge referrals, satisfaction to of ”understanding to care needs” and ”consultation about care needs” decreased during the 6 months period. Subjects showed steady satisfaction to ”arrangement of follow-up health care arrangement.” Satisfaction to ”illness condition follow-ups” continued: to be low over the 6 months period. In terms of the satisfaction to home nursing services, ”nurse's attitude” continued to be the item showed most satisfaction, and low satisfaction to ”regulated number of home visits” and ”comprehensiveness of the home nursing services” were found. The results of this study can provide a reference for further improving discharge planning and home nursing services in CGMH, and can provide baseline information for future study of the quality & services.

並列關鍵字

Quality of Care ； Satisfaction ； Discharge Planning ； Home Nursing