呼吸器依賴病患與家屬醫療服務需求及滿意度探討

The Investigation of Ventilator Dependent Patients and Main Family Carers on Medical Service Need and Satisfaction

黃宏琛(Hung-Chen Huang)

指導教授 ： 張明正

亞洲大學/健康學院/健康管理研究所/碩士(2004年)

摘要

本研究目的在探討呼吸器依賴之病患與其主要照顧者之醫療服務需求和滿意度。將需求定義為：病患與家屬（主要照顧者）在目前的環境中所接受到之照護服務，認為此項照護服務之重要程度。將滿意度定義為：病患及家屬（主要照顧者）在接受照護服務後，對醫療照護提供者提供之服務滿意的程度。以立意取樣方法選取臺中市內5家醫院，共32位病患及122位家屬。針對呼吸器依賴病患及其家屬設計結構式問卷，問卷經由Cronbach α信度檢定及專家效度測試。
研究結果顯示在病患方面未滿足需求依序為：病房環境對於病患隱私之設計、醫護人員在尊重病患個人隱私及家屬親友的探視頻率上沒有滿足病患之需求。家屬方面：家屬對於提供經濟上的支持、病房的溫度適當及解釋病患的情況與病情的進展上沒有滿足家屬之需求。
研究結果建議：（1）在病房設計標準之規定中考量病個人隱私權的保護。（2）訂定相關支付之配套措施，鼓勵照護提供者對於活動力不錯、意識清楚之呼吸器依賴病患發展居家呼吸照護，使病患能於家中接受後續照護。（3）當家屬來院訪視病患時，可多與家屬進行訪談，以增進家屬對照護的瞭解，降低照護人員與家屬間的認知差距。（4）可協助家屬及病患增加病患及家屬之間互動。

關鍵字

呼吸照護 ； 呼吸器依賴患者 ； 醫療服務需求 ； 滿意度

並列摘要

The purpose of this study was to examine the medical service needs and satisfaction of the ventilator dependent patients and their main family carers. This study defined needs as the important of medical service and defined satisfaction as the satisfaction of medical service. A total of 32 eligible patients and 122 main family carers were selected and interviewed from 5 hospitals in Taichung City. Through the use of a strutted questionnaire with Cronbach α reliability test and expert validity.
The analytical results show that the unmet needs of patients range from “The ward design of privacy environment”, “Medical professional to esteem patient’s personal privacy”, “The main family cares can be often come to visit” in order. The unmet needs of main family cares range from “Offer economical support”, “The temperature of the ward is proper”, “Find out about the patient's situation and progress of the condition” in order.
Accordingly, it suggested as below: （1）The design of the ward should be based on the protection of patients’ privacy.（2）The government should stipulate the relevant supplementary measures of payment in order to encourage the medical providers developing home care.（3）To reduce the cognitive disparity between the medical professional and main family cares, the medical professional should communicate with main family cares abundantly.（4）The medical professional can efficiently increase the mutual interaction between main family cares and patients.

並列關鍵字

Respiratory care ； Ventilator Dependent Patients ； Medical Service needs ； Satisfaction

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