某醫學中心精神科病人出院後返診規律性相關因素之探討

Factors Related to Follow-up Regularity of Discharged Psychiatric Patients from a Medical Center

蔡欣玲(Sing-Ling Tsai) ； 陳美碧(Mei-Bih Chen)

《護理研究》 4卷1期 (1996/03) Pp. 69-78

https://doi.org/10.7081/NR.199603.0069

摘要

本研究採用回溯法，由某醫學中心三年來精神科出院病人轉診至門診之1703人次中，隨機抽出115份資料填寫完整之紀錄，由精神科專業人員組成之研究小組，依據研究架構之五大因素，包括病人基本背景、家庭因素、治療因素、保險因素、及專業人員追蹤，發展出之資料收集表，由病人之病曆及返診護理咨詢記錄中，篩選出並填入資料收集表中，再以卡方檢定五大因素與返診規律性之相關性，研究結果顯示病人之教育程度、此次信院前一年返診規律性、返診期間服藥規律性及看固定精神科醫師等，與返診規律性相關，而已婚與否及保險補助方式，則與返診規律性不相關，在護理咨詢之描述性資料中，最常見的護理諮詢爲居家生活指導、精神症狀處理及藥物服用情形，因此本研究建議病人出院後返診看已建立關係固定醫師，出院後專業人員之定期追蹤，加強對低教育程度前不見古人之服務，瞭病人服藥情形、精神症狀處理及居家生活情形。

關鍵字

精神科病人返診規律性 ； 護理諮詢 ； 居家生活指導 ； 服用精神科藥物

並列摘要

This was a retrospective study with target population of 1703 outpatients who were discharged during the past 3 years from the psychiatric ward of a medical center. One hundred and fifteen records were randomly selected from these patient records and is data was transformed into a data sheet including five dimensions: backgrounds, family support, treatment conditions, insurance, and professional personnel’s follow-up and nursing services. Data analysis was based on Chi-square. The results showed that patients’ educational levels, regularity of follow-up readmission for one year, medication compliance during follow-up, and stable patient-psychiatrist relationship were significantly related to the regularity of outpatient follow-up, While marital status and insurance were not related to the regularity of follow- up significantly. In the descriptive portion of nursing service in this study, consultation for home daily living, management of psychiatric symptoms in daily living, and medication management were the most important services. Hence, it is suggested that stable professional relationships, follow-up after discharge from hospital for medication monitoring, psychiatric symptom management, and consultation for home daily living are essential follow-up strategies for discharged psychiatric patients.

並列關鍵字

regularity of outpatient follow-up for discharged psychiatric patients ； nursing service ； consultation for home daily living ； medication monitoring