RFID導入長期照護機構失智老人之照護計畫及其績效評估之個案研究

The Application of RFID Service System for Elderly with Dementia in long-term Care Organizations and the Evaluation of Performance

賴美嬌(Mei-Chiao Lai) ； 蔡武德(Wu-Der Tsay) ； 林億雄(Yi-Hsiung Lin)

《商業現代化學刊》 6卷1期 (2011/03) Pp. 149-169

https://doi.org/10.6132/JCM.2011.6.1.08

摘要

人口結構老化以及與日遽增的照護需求，可謂當前各國一致面臨之重大問題。根據統計結果，台灣地區失智老年人的盛行率約在3%-4%之間，因此估計台灣約有九萬名失智老人，不過，到民國94年底，實際領有身心障礙手冊的失智症患者只有18,228人。過去若要評估失智症，需到醫院經由受過專業訓練的人員進行評估，評估量表大多為紙本表單，而評量結果需經過複雜的評分法則由人工進行計算，並且缺乏一共通的資訊平台可以作為資料交叉分析以及教育訓練之用，在國外已有相關的失智症分數評估系統，但在國內目前仍缺乏類似的評估系統。本研究設計研發一個e化失智量表評估系統，主要目的是將傳統紙本評估量表電子化，讓醫療從業人員於輸入完評估項目後，系統能立即回饋相關的評估分數給施測者及其家屬，作為失智症嚴重程度的參考；其次建置RFID之安全照護系統：室內型安全照護系統進行老人的安全監控，可以避免獨自離開機構或進入危險區成而發生走失來危及安全，達到長照機構、病患及家屬三贏之局面；最後規劃一個績效評估系統，評估失智量表評估系統、RFID之安全照護系統導入後，長照機構之員工、顧客、流程及財務績效為何，作為改善之依據。實施結果經由成對樣本統計分析發現個案機構導入e化結構式失智評量系統及RFTD監測系統使用前後在長照機構之顧客、流程、財務及員工績效上均有統計上之差異存在，其中顧客績效前後改變最大、員工學習成長績效次之、流程績效第三，而財務績效改變最少。

關鍵字

失智症 ； 失智量表 ； RFID安全照護系統導 ； 績效評估系統

並列摘要

In Taiwan, the average age is increasing from 75 years old of 1999 to 78.38 years old of 2007, there are 3.38 years increased within 8 years' the increasing rate of average age is 0.45 years. In the meantime, the born rate is decreasing from 1.289% of 1999 to 0.892 % of 2007, the low born rate have accelerated the formation of aging population society. The population aging makes the increasing seriousness of problems, and the first among these is the deterioration of health and mental function that occurs as people age.In general, about 75% of the elderly have one or more chronic diseases, of which dementia is one of the most common. Dementia is hard to detect in early days and may be missed the best curing time. Research on elderly persons with dementia recently carried out in Taiwan has found that the incidence of dementia among the elderly is about 4%. Problems specific to dementia include memory impairments, behavioral problems, other mental symptoms, and patients' inability to take care of themselves.Firstly, the study set up a Dementia Rating System' the system provides caregiver organizations with long-term health assessments for their elderly patients, enabling them to have a suitable care plan for patients with dementia by tracking trends in their physical and mental deterioration. Secondly, the study established a Indoor Monitoring System with Radio Frequency Identification (RFID), it monitored and avoided the elderly to stay alone' prevented them from leaving a facility unattended or entering hazardous areas as well. Finally, after the two systems have been set up, a performance evaluation system had been organized to assess whether the performance increased after two systems been implemented. A pair-T test was performed to investigate whether the establishment of the system impacted on the organizational performance.The results indicated that the dementia rating system and indoor monitoring system with RFID were effective systems to monitor the elders with dementia and avoid them to stay alone, prevented them from leaving a facility unattended or entering hazardous areas as well. The results of pair T-test also showed that there were statistically significant differences in four areas of organizational performance after the implementation of dementia rating system and indoor monitoring system with RFID. Among them the customer outcomes had higher T value than employees, process and financial outcomes The results figured out that 也e implementation of this informational system had significantly impacted on organizational performance, especially customer outcomes.

並列關鍵字

Dementia ； Radio Frequency Identification RFID ； Indoor Monitoring System with RFID ； organizational performance