台灣中部地區急診病患需求滿意度及影響因素之探討

Factors that Affect the Satisfaction of Patient's Needs In Emergency Care in Central Taiwan

林貴滿(Kuei-Man Lin)

《弘光學報》 34期 (1999/10) Pp. 21-46

https://doi.org/10.6615/HAR.199910.34.02

摘要

本研究為描述性之研究，以Maslow需求理論為基礎，目的在探討急診病患需求項目及滿意程度，和影響需求滿意的相關因素。研究對象為中部四所教學醫院急診留觀3小時以上病患，共200人。測量工具採結構式問卷，共分五個次量表，包括生理、安全、歸屬感與愛、自尊、自我實現需求滿意度量表。結果發現最滿意前5項需求為地板乾淨和乾燥(安全需求)、工作人員態度(自尊需求)、環境中氣味(生理需求)、醫療人員執行技術動作及態度(安全需求)、告知病情主動性及態度(自尊需求)；最不滿意5項需求為睡眠(生理需求)、家屬休息(歸屬感與愛需求)、飲食供應(生理需求)、財物安全(安全需求)、飲食內容(生理需求)。影響急診病患需求滿意度因素為教育程度、就醫經驗、留觀時數、年齡、看診科別、醫院別。建議未來急診護理人員宜增加滿足病患自我實現需求及改善對生理、安全及歸屬與愛需求滿意度。

關鍵字

急診 ； 需求 ； 滿意度

並列摘要

Based on Maslow theory, we conducted a descriptive study in order to quantify the degree of satisfaction and its analyze its influencial factors related to medical emergency care among people living in central part of Taiwan. The subjects consisted of 200 patients who were subsequently observed for more than -3hours at 4 teaching hospitals in central Taiwan. The results indicated that the 5 most satisfying aspects were: 1.cleanness of the floor; 2.professional manner of the staff; 3. odor in the ward; 4.technical proficiency and the attitude of medical team members; and 5.willingness to engage truthtelling and attitude of the staff. The most unsatisfying aspects included: 1.comfortable sleeping; 2.the condition of waiting room for family members; 3.food supply; 4.safety of personal belongings; and 5.variety needs of food supply. The influencial factors on the satisfaction of patients' needs were the educational background; previous medical care experience; length of observation time; the age; differences in specialty care; and differences in hospitals. We recommended that in order to improve the degree of satisfaction in seeking for emergency care , nursing staff at emergency department should build up patients' self-fullfillness and improve their perception of physical need, sense of safety, belonging and love.

並列關鍵字

emergency care ； needs ； satisfaction

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