人口快速老化使得失能老人安置課題更形重要。本研究的目的在探討出院後採用安療養院安置老人與日常活動功能之關係,以及影響採用安療院安置之因素。採病例對照研究設計(case-control study),共選取50位內科擬出院老人為研究對象,應用結構式問卷於研究對象出院前以病歷查證、面對面觀察及訪談方式進行資料收集。結果顯示,超長住院、入院前居住於安療養、出院時身上有管路、日常活動功能高度依賴者採用安療養院安置有顯著相關,並以入院前居住於安療養院與超長住院為出院採用安療養安置之重要影響力因素。本研究結果可提供醫政單位建構我國長期照顧人力資源之參考,並藉以呼籲長期照護服務人員關切日常活動功能維持亦為機構安養照護重點,以幫助出院後老人與照顧者成功的照護與維持家庭之功能。
The purpose of the study was to explore the relationship between the capability of the managing the activity of daily living (ADL) of elderly patients and the decision of the disposition of these patients to a sanatorium following discharge from the hospital. A case-controlled study was used and 50 patients who were planning for discharge were selected. A structured survey was used and the data collected were also from the patients’ medical records, interviews and observation. The results show that the issues, which impact the decision for the disposition after hospital discharge were: the length of stay in the hospital, stayed in sanatorium prior to their admission, the accompaniment of surgical items such as drainage tubes and the level of dependence on the ADLs of the patients. The most significant findings were that patients who stayed in sanatorium prior to their admission and those with long periods of hospitalization were likely to be discharged to a sanatorium. The results provide information for the medical department in taking into consideration the need to develop a long-term care resource center. Moreover, it is also necessary to educate and train caregivers of patients who have been hospitalized for a long time.