- 期刊
開心手術後物理治療早期介入之費用和效果分析
The Payment and Effects of Acute Physical Therapy for Open-heart Surgical Patients
摘要
本研究的目的主要是在探討物理治療介入開心手術患者術後照護之費用及效果。研究方法分為兩部份：第一部份是分析台大醫院在民國86年8至10月接受開心手術患者的住院日數、總費用及物理治療費用的資料。第二部份是由一名獨立之物理治療師在病患出院的前一天或當天評估病人的功能及健康知識，以在住院期間沒有接受物理治療者為對照組，接受物理治療者為實驗組，若是有特別給予相關之書面衛教指導的病患則歸為書面衛教組。資料分析主要是採用描述性統計、Kruskal-Wallis單項變異數分析及卡方檢定。結果顯示病人在開心手術後的物理治療費用約佔總住院費用的百分之一左右。三組病患在出院前的健康知識以書面衛教組最佳。在肺功能、咳嗽能力、肩關節活動度、轉位、步態及姿勢、行走距離及上樓梯的能力等各方面則無明顯差別。
並列摘要
The purpose of the study was to investigate the cost and outcome of the acute physical therapy after open-heart surgery. The first part of the study was the retrospective analysis of the total expenses, length of stay, and the cost of physical therapy. The second part was prospectively to evaluate the physical therapy outcome which mainly included pulmonary function, basic function and patients’ knowledge about their health before discharge. Patients in groups without physical therapy, with physical therapy, and with additional educational brochure were studied. Descriptive analyses, Kruskal-Wallis one-way ANOVA and chi-square test were used for data analysis. The results showed that the cost for physical therapy was about one percent of total expenses. Patients in the group with additional educational brochure had higher scores in health knowledge. There were no significant differences in their pulmonary function, cough ability, shoulder range of motion, transfer ability, posture and gait, walking distance, and up-down stair ability before discharge.
被引用紀錄
延伸閱讀
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