中風患者及其主照顧者對於出院準備服務之滿意度分析－以中部某區域教學醫院為例

Satisfaction Analysis for Stroke Patients on Discharge Planning in a Teaching Hospital in Central Taiwan

張炳華(Bin-Wha Chang) ； 劉美玉(Mei-Yu Liu) ； 林川雄(Chuan-Hsiung Lin) ； 馮兆康(Zhao-Kang Feng)

《管理實務與理論研究》 8卷1期 (2014/03) Pp. 26-41

https://doi.org/10.29916/JMPP.201403_8(1).0002

摘要

The purpose of this study was to explore the patient satisfaction for discharge planning services of hospital. The eligible subjects are stroke patients and their primary caregivers with treatment records in a central training hospital, a total of 60 samples were evaluated by the interviewing questionnaires, and the test period was November 2008 to February 2009. The conceptual frame divided into four parts as following as stroke patient demography, primary caregiver demography, satisfaction analysis and effectiveness analysis. The results show that 60% samples were male, the age ranged from 43 to 88 years old and the major education was junior high-school (68.3%). For the caregiver analysis, 67.4% were female; age ranged from 23 to 80 years old and the major education was high school (53.5%, 32 cases). For satisfaction analysis, respondents (patients and primary caregivers) for the service quality of hospital staff was satisfactory, the overall satisfaction was nearly satisfactory level. Moreover for some elder stroke patients (＞=60), the hospital need to strengthen the service of health guide (3.6±0.7), assistive device rent service (3.5±1.0), emergence service (3.5±0.9). To patients with lower age (＜60) it was to strengthen social welfare and referral services (3.4±0.5). For primary caregivers (age more than 50), the results show to strengthen the economic helps (3.0±1.0), the estimation for care facilities (3.3±1.0), the referral information service (3.5±0.6) and the social worker helps (3.1±0.8). Meanwhile, the results also showed that have a significant positive correlation (β=0.47) for improving the ADL effectiveness and the rehabilitation guide from hospital, it indeed promote the health of stroke patients if in a particular health guide services. According to the results, we suggest that hospitals they need to improve the health guide service, especially in the rent of medical aids and the help of emergency services. Furthermore to supply the referral information for helping of healthcare quality is better.

關鍵字

腦中風 ； 長期照護 ； 出院準備服務 ； 滿意度分析 ； ADL量表

並列摘要

The purpose of this study was to explore the patient satisfaction for discharge planning services of hospital. The eligible subjects are stroke patients and their primary caregivers with treatment records in a central training hospital, a total of 60 samples were evaluated by the interviewing questionnaires, and the test period was November 2008 to February 2009. The conceptual frame divided into four parts as following as stroke patient demography, primary caregiver demography, satisfaction analysis and effectiveness analysis. The results show that 60% samples were male, the age ranged from 43 to 88 years old and the major education was junior high-school (68.3%). For the caregiver analysis, 67.4% were female; age ranged from 23 to 80 years old and the major education was high school (53.5%, 32 cases). For satisfaction analysis, respondents (patients and primary caregivers) for the service quality of hospital staff was satisfactory, the overall satisfaction was nearly satisfactory level. Moreover for some elder stroke patients (＞=60), the hospital need to strengthen the service of health guide (3.6±0.7), assistive device rent service (3.5±1.0), emergence service (3.5±0.9). To patients with lower age (＜60) it was to strengthen social welfare and referral services (3.4±0.5). For primary caregivers (age more than 50), the results show to strengthen the economic helps (3.0±1.0), the estimation for care facilities (3.3±1.0), the referral information service (3.5±0.6) and the social worker helps (3.1±0.8). Meanwhile, the results also showed that have a significant positive correlation (β=0.47) for improving the ADL effectiveness and the rehabilitation guide from hospital, it indeed promote the health of stroke patients if in a particular health guide services. According to the results, we suggest that hospitals they need to improve the health guide service, especially in the rent of medical aids and the help of emergency services. Furthermore to supply the referral information for helping of healthcare quality is better.

並列關鍵字

stroke ； long-term care discharge planning service ； satisfaction analysis ； ADL assessment

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