醫院型家庭責任醫師制度中獨居長者對居家安寧態度之探討

Home-based Paliative Care: Attitude in Living-alone Elderly Cared under Hospital-based Accountable Family Physicians System

陳家宏(Chia-Hung Chen) ； 陳美如(Mei-Ju Chen)

《北市醫學雜誌》 13卷2期 (2016/06) Pp. 130-140

https://doi.org/10.6200/TCMJ.2016.13.2.03

摘要

目的：本研究之目的在於分析探討某國宅之獨居長者對於居家安寧的態度與社會支持之相關性。方法：本橫斷性研究藉由「醫院型家庭責任醫師制度試辦計畫」居家到宅訪視，收集結構式問卷，包含人口學、安寧療護態度及社會支持。結果：88份有效問卷中，偏好醫院臨終者對居家安寧療護的認同程度，比起偏好居家臨終者顯著更高，而與社會支持狀態則無顯著相關。結論與建議：本研究結果，使家庭醫師更了解長者的臨終意願，使家庭責任醫師制度與居家安寧療護體系能夠相輔相成。

關鍵字

家庭責任醫師 ； 居家安寧

並列摘要

Objective: The aim of this study was to explore the attitude toward home palliative care and the relationship with social support among single elderly people in Zhong-Zheng public house. Methods: This cross-sectional study assembled demographic data and attitude of palliative care and social support status using structured questionnaires from the enrolled single elderly during home visits carried out under the Hospital-Based Accountable Family Physicians System Pilot Project. Results: There were 88 questionnaires returned. Subjects who preferred to die in hospital had higher agreement on home palliative care compared with those who preferred to die home. There were no differences in social support factors between the two groups. Conclusion: The family physicians can have better understanding on end-of-life’s wills of the elderly from the findings of this study, and this enables the Accountable Family Physicians System Pilot Project to be complimentary with the home palliative care.

並列關鍵字

Accountable Family Physicians ； home palliative care