機構式照護之特性與安全性研究－以中部地區為例

The Characteristics and Safety Study of Instituted Care-An Example from Central Taiwan

趙建蕾(Chien-Lai Chao) ； 古巧琴(Chiao-Chin Ku) ； 龔建吉(Chien-Chi Kung) ； 許哲瀚(Che-Han Hsu)

《長期照護雜誌》 11卷2期 (2007/06) Pp. 162-175

https://doi.org/10.6317/LTC.200706_11(2).0007

摘要

本研究的目的為探討機構式照護之特性與品質安全性議題。針對中部地區已立案的公私立老人安養、養護及長期照護機構的機構特性及人員組成對照護安全之相關因子進行調查。分別以郵寄結構式問卷及實地訪查方式取樣，於2004年10月至12月對50家立案之機構負責人或護理長進行為期3個月的調查研究，有效問卷的回收率為64%。資料以描述性統計及邏輯斯迴歸分析機構特性、人員組成與照護安全之相關性議題。研究結果：(1)機構規模較大者，住民的跌倒率較低。(2)小型養護機構的感染率較低。(3)護理人員護理時數較多時，住民的成染率較低。(4)照顧服務員照護時數較多時，住民的成染率較低。由本研究觀察長期照護機構特性與照護安全之相關性，可提供為經營管理者建立安全照護環境的管理制度參考，以保障機構式照護的住民安全與生活品質，做為未來相關的研究發展方向。

關鍵字

機構式照護 ； 機構特性 ； 安全性 ； 跌倒率 ； 感染率

並列摘要

To understand the quality of institutional care, this study aims to discuss the topics of characteristics and safety factors in long term care facilities. We attempted to understand the relationship of care safety factors for institutional characteristics and personal composition to different ownership of long-term care facilities in central Taiwan. Structure questionnaire was applied to fifty owners or directors of nursing of facilities by mailing or interviewing during October to December 2004. The questionnaire had 64% valid recovery. Then, data were evaluated by descriptive statistics and regression analysis to those subjects. Our research has four major findings: 1) The larger-sized facilities have the lower resident fall rate, 2) The smaller-sized facilities tend to lower resident infection rate, 3) The more RN hours per resident per day has lower resident infection rate, and 4) The more RNA hours per resident per day has lower resident infection rate. Since institutional characteristics and personal composition to care safety have strong correlation, managers and workers can receive more information to protect resident's safety and to promote living quality in the institution. These findings should generate substantial interest for long-term care workers and researchers to conduct further studies.

並列關鍵字

instituted care ； instituted characteristics ； safety ； fall rate ； infection rate