臺北市慢性病患之社區復健照顧模式

A Community-based Rehabilitation Program for Citizens with Chronic Illness in Taipei City

曾彥儒(Yen-Ju Tseng) ； 徐執翎(Chih-Ling Shyu) ； 陳孝賢(Hsiao-Hsien Chen) ； 徐宛鴻(Woan-Horng Hsu) ； 高木榮(Mu-Jung Kao)

《北市醫學雜誌》 8卷4期 (2011/12) Pp. 122-130

https://doi.org/10.6200/TCMJ.2011.8.4.12

摘要

Patients who suffer from chronic disease and find themselves inconvenienced need to learn how to take care of themselves and get along with the disease. Self-efficacy is important when individuals are performing physical tasks. Many studies have suggested that self-management education is able to improve clinical outcomes for patients, especially the elderly. Therefore, a model community-based rehabilitative program was developed in Taipei City and implemented in October 2004. The purpose of this program is to provide health education, basic fitness training and rehabilitation instruction in order to promote the health, self-management ability and quality of life among citizens in the community with chronic illness. Objective: To determine the outcomes of the community based rehabilitative program in terms of satisfaction and learning effects. Methods: The program, which provides service locations and designed health education programs in the community rather than at hospitals, was offered to citizens aged over 45 years old who had complained of back pain, shoulder pain, knee pain or osteoporosis. We evaluate satisfaction after each season from 2006 to 2010. The learning effects with respect to 813 participants (age = 64.09 ± 13.02 Y) using a sample size of 1,000 were obtained by questionnaire before and after class in 2010. Results: From 2006 to 2010, a total of 335,325 service units from this program were offered to citizens. The results, which were evaluated over 12 seasons, showed that there an average satisfaction of 96.4% in terms of the various domains investigated, namely place, content and accessibility of the program. We also found that participants showed improved understanding after our education program compared to the situation before the education program, namely 3.32 ± 0.74 versus 4.31 ± 0.48, respectively, over four selected topics (p＜0.001). Conclusions: In conclusion, a model community-based rehabilitation program is an effective policy when used to help citizens in the community with chronic illness.

關鍵字

社區復健 ； 學習 ； 滿意度

並列摘要

Patients who suffer from chronic disease and find themselves inconvenienced need to learn how to take care of themselves and get along with the disease. Self-efficacy is important when individuals are performing physical tasks. Many studies have suggested that self-management education is able to improve clinical outcomes for patients, especially the elderly. Therefore, a model community-based rehabilitative program was developed in Taipei City and implemented in October 2004. The purpose of this program is to provide health education, basic fitness training and rehabilitation instruction in order to promote the health, self-management ability and quality of life among citizens in the community with chronic illness. Objective: To determine the outcomes of the community based rehabilitative program in terms of satisfaction and learning effects. Methods: The program, which provides service locations and designed health education programs in the community rather than at hospitals, was offered to citizens aged over 45 years old who had complained of back pain, shoulder pain, knee pain or osteoporosis. We evaluate satisfaction after each season from 2006 to 2010. The learning effects with respect to 813 participants (age = 64.09 ± 13.02 Y) using a sample size of 1,000 were obtained by questionnaire before and after class in 2010. Results: From 2006 to 2010, a total of 335,325 service units from this program were offered to citizens. The results, which were evaluated over 12 seasons, showed that there an average satisfaction of 96.4% in terms of the various domains investigated, namely place, content and accessibility of the program. We also found that participants showed improved understanding after our education program compared to the situation before the education program, namely 3.32 ± 0.74 versus 4.31 ± 0.48, respectively, over four selected topics (p＜0.001). Conclusions: In conclusion, a model community-based rehabilitation program is an effective policy when used to help citizens in the community with chronic illness.

並列關鍵字

community-based Rehabilitation ； learning ； satisfaction