個案管理模式於肺結核病患之成效

Effects of Case Management on Patients with Pulmonary Tuberculosis

張丞淯(Cheng-Yu Chang) ； 李茹萍(Ru-Ping Lee) ； 章淑娟(Shu-Chuan Chang)

《醫療品質》 4卷2期 (2011/09) Pp. 13-28

https://doi.org/10.29759/HQ.201109.0002

摘要

結核病防治是台灣公共衛生重要計畫之一。本研究採評價性研究法，研究個案管理模式對肺結核病患照護之成效。研究對象以疾管局2004年登錄肺結核病患名單，實施個案管理組與未實施個案照護分組隨機取樣，以結構式問卷收集成效指標資料，肺結核疾病認知量表內在一致性α＝.82；2006年5月至6月收集結核病認知問卷資料，回收率為74.26％（150/202）。結果發現兩組完治率以實施個案管理模式組高於未實施組，但未達統計上顯著差異（p＝.244）。在肺結核認知量表得分則以個案管理組高於未實施組並達顯著差異（p＝.030），且以完治組高於未完治組（p＝.007）。研究結果並未顯示實施個案管理模式對肺結核完治率的顯著成效，但實證肺結核病患之疾病認知與完治率有顯著差異，故提昇病患認知可增加接受持續治療的意願。

關鍵字

結核病個案管理模式 ； 成效指標 ； 肺結核疾病認知

並列摘要

The purpose of this evaluation research was to investigate the effects of case management on outcomes of care for patients with pulmonary tuberculosis (TB). Participants were from the tuberculosis registration system at a local branch of Center for Disease Control in 2004, and randomly selected from case management group and control group respectively. The internal consistency reliability Conbach's α of structured TB knowledge questionnaire was .82. The knowledge data were collected from May 2006 to June 2006. The responding rate is 74.26 %. Results showed that TB treatment completion rate in case management group was higher but statistically not significant than that in control group (p=.244). However, the scores of TB related knowledge in case management group were significantly higher than that in control group (p=.030). In addition, the scores of TB related knowledge among the individuals who completed treatment were higher than that in patients without treatment completion (p=.007). The findings did not show the significant effect of case management on TB treatment completion rate. However, the study provided the evidence that raising TB related knowledge can keep patient receiving the treatment and more likely complete it.

並列關鍵字

case management of the TB ； outcome indicators ； the patient knowledge about TB