台灣地區長期照護病患之身心社會功能與其影響因素之探討

Factors Associated with Biopsychosocial Functioning of Long-term Care Patients in Taiwan

楊克平(Ke-Ping Yang) ； 尹祚芊(Teresa J. C. Yin)

《護理研究》 7卷1期 (1999/02) Pp. 65-76

https://doi.org/10.7081/NR.199902.0065

摘要

本研究旨在探討護理專業在健康照護領域中的貢獻與成果的科學證據；結果變項爲病患之身心社會功能。本探索及描述性研究設計，以台灣地區8所立案之長期護理機構中之護理主管與224位神智清晰之住院病患爲對象，以個人基本特性與組織特性問卷、身心社會功能與病患滿意度等量表爲收集資料之工具。結果發現病患對照護之滿意度是預測其身心社會功能的最佳因子。此外，本研究對象之健康狀況，於住院期間有正向的實質改變；護理措施在病患健康結果上的貢獻由本研究中獲得證實與肯定。在台灣地區機構化照護需求日增、長期照護政策制訂與實施正方興未艾之際，照護的實質效益，病患身心社會功能成果的實證乃不容忽視。

關鍵字

長期照護 ； 病患結果 ； 身心社會功能

並列摘要

The purpose of this exploratory and descriptive study was to seek empirical evidence of outcomes of care which are sensitive to nursing interventions. A purposive sample of 224 patients and 8 executives at eight skilled nursing homes in Taiwan were recruited to collect data through the Biopsychosocial Functioning Scale (BFS) and a patient satisfaction questionnaire. Individual factors as well as satisfaction with care significantly predicted patients’ biopsychosocial functioning. The documentation of changes in health conditions among the study sample provided general recognition for nursing practice in Taiwan. Information about patients’ biopsychosocial functioning, satisfaction with care, and those factors which contribute to patients outcomes are crucial aspects in the stages of establishing the criteria for setting up nursing institutions in Taiwan.

並列關鍵字

long-term care ； patient outcomes ； biopsychosocial functioning