長期依賴呼吸器病童主要照顧者之照護需求、滿意度及其相關因素

The Needs, Satisfaction and Those Related Factors of Care Givers Who Have Children with Prolonged Mechanical Ventilation

羅惠如(Hui-Ju Lo)

指導教授 ： 陳月枝

國立臺灣大學/醫學院/護理學研究所/碩士(2005年)

https://doi.org/10.6342/NTU.2005.00042

摘要

本研究目的在於探討長期依賴呼吸器病童主要照顧者照護需求、滿意度及其相關因素，採立意取樣，選取曾住過北部某醫學中心兒童加護病房病童（不論是插管或經由氣切，其依賴呼吸器期間超過21天）且符合研究條件之家屬為樣本。使用結構性問卷及半結構式訪談大綱方式進行資料收集，共收得研究對象64人，會談個案6人。研究結果發現：主要照顧者認為最重要的前五項需求為：1、當孩子的病情有變化時，我能在最短的時間內獲得通知；2、能知道孩子在加護病房可能會有的治療過程；3、能知道孩子的疾病可能有的發展狀況（預後）；4、能瞭解孩子的檢查或治療得目的及危險性；5、能瞭解孩子因疾病所需接受的醫療處置。此結果與會談結果所分析之需求項目相印證。
研究中依據研究架構，針對病童人口學、疾病特性；主要照顧者人口學、社會經濟特性來探討其與主要照顧者照護需求與滿意度間的差異及相關。同時也探討照護需求與滿意度間的相關性。期望此研究結果在醫療的應用上，可以幫助醫護人員對此類病童主要照顧者有進一步的了解，考量病童及主要照顧者的個別性以滿足其需求，注重全人、全家的護理來提升照護品質及醫療滿意度。同時因為是回溯性研究，藉由主要照顧者的經驗分享，可以作為日後此類病人出院規劃的參考依據。

關鍵字

長期依賴呼吸器 ； 主要照顧者 ； 加護病房 ； 需求 ； 滿意度

並列摘要

The purpose of this research is going to explore the needs, satisfaction, and those related factors of the care givers who have prolonged mechanical ventilation children. A purposive sampling method was used to select cases in this research that taken place in one chosen medical center in northern Taiwan. Samples are from the care givers whose children have depended mechanical ventilation over 21 days in the pediatric intensive care unit of the chosen hospital. Data were collected by combining a constructive questionnaire and semi-structured interview. It was collected 64 objects of study and 6 objects of interview. The most important needs of those care givers have been found in research results. 1. I could get a notice as soon as possible while once children’s conditions have change. 2. I could know the possible medical process my child may go through in the pediatric intensive care unit. 3. I could know the prognosis of my child. 4. I could realize the purpose and the danger of examination. 5. I could realize the medical treatments that have been done for the disease.
This research explored the differences and correlations between the needs and satisfaction in connection with factors that include demography and disease property of children and demography and social-economical property of care givers according to research framework. And it also probed correlations between needs and satisfaction. Hope the results of these findings from this research can facilitate nurses to be aware of the needs and satisfaction of the families by meeting the patients’ demands while in the intensive care unit, and provide a reference of designing a discharge plan.

並列關鍵字

Prolonged depend mechanical ventilator ； Intensive care unit ； Care Givers ； Need ； Satisfaction.

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