台中市市民接受社區式長期照顧服務現況及其影響因素的研究

An Investigation on the Use and Factors of Community Long-Term Care Service Among Citizens of Taichung City

謝秀美(Hsieh Hsiu Mei)

指導教授 ： 胡月娟 ； 王俊毅

亞洲大學/健康學院/長期照護研究所/碩士(2008年)

摘要

本研究旨在探討民眾對社區式長期照顧服務的使用現況，及其影響因素，採立意取樣，以96年度台中市接受社區式長期照顧服務(包括居家服務、居家護理、日間照顧及社區關懷據點)之個案為研究母群體，再依分層比例抽樣，抽得居家護理35人、居家服務29人、日間照顧13人、社區關懷據點115人，及同時接受居家護理與居家服務8人合計200人；以結構式問卷面對面方式收集資料。結果顯示，接受社區式長期照顧服務之個案以女性、年輕老人居多，平均年齡為72.99歲，日常生活活動功能(activities of daily living)完全獨立者佔53.5％，工具性日常生活活動功能(instrumental activities of daily living)中度失能者佔61.0％。影響民眾使用社區式長期照顧服務之因素分別為自覺健康狀況、罹患慢性病情形、與身體功能障礙程度。由研究結果發現受訪個案，除了對己身所接受的社區式長期照顧服務知悉外，對其他社區式長期照顧服務項目與申請流程皆不清楚，建議政府單位能加強宣導，並掌握影響市民使用社區式長期照顧服務項目的因素，以達「在地老化」與減少失能程度。

關鍵字

長期照顧服務 ； 社區式

並列摘要

This research aims to investigate the use of community long-term care service and the factors which influencing the use of this service. This study is based on stratification sampling, and subjects are those who received community long-term care service in Taichung city in 2007.There are 200 subjects randomly selected, including 35 from home nursing care service, 29 from home help service, 13 from day care, 115 from community care station, and 8 from both home help service and home nursing care. A structured questionnaire is adopted to collect data of this study.Results show that there are more female and younger aged recipients, and the average age is 72.99. There are 53.5% of the recipients independent on ADL (activities of daily living) and 61.0% of recipients with moderate IADL (instrumental activities of daily living) disabled. factors that influence the use of community long-term care services are self-consciousness of health, victims of chronic diseases, and degrees of physical conditions. It is found that many citizens are aware of service and procedure that they received, yet they have little knowledge on other service items. It is expected that this research provides important information to institutions which promote community long-term care service. To accomplish the concept of “aging in place” and decrease disabled degree, the promotion of community long-term care service is definitely essential and urgent.

並列關鍵字

long-term care service ； community

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