影響呼吸器依賴病患家屬選擇呼吸照護病房因素及滿意度調查

高秀娥

doi:10.6831/TMU.2007.00057

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影響呼吸器依賴病患家屬選擇呼吸照護病房因素及滿意度調查

Factors Affecting the Selection and Satisfaction of Respiratory Care Ward for Families of Ventilator-Dependent Patients

高秀娥 , Masters　　Advisor：李碧霞　　

繁體中文 DOI： 10.6831/TMU.2007.00057

選擇機構因素；滿意度；決策家屬；呼吸器依賴病患； the hospital choice factors ； satisfaction ； decision families ； ventilator-dependent patient

Abstract │ Reference (223) │ Times Cited (3) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

The purpose of this study was to determine the factors affecting the selection and satisfaction of Respiratory Care Wards (RCWs) for families of ventilator-dependent patients. Questionnaires were developed  to survey the main decision-making family members of ventilator-dependent patients from 20 randomly selected RCWs among 41 RCWs in Taipei. A total of  320 questionnaires were sent out and 288 (94.4%) of valid questionnaires returned. The statistical analyses were performed by Mann-Whitney test, Kruskal-Wallis test, Spearman's correlation coefficient and MANOVA.
The main findings were shown as follows:
1.	Professional service, price factor and convenience were the main factors affecting the family decision for ventilator-dependent patients in the selection the RCW. The results revealed that the physician’s moral values, the nurse's service attitude, the physician’s skills, the physician’s service attitude, and the nurse's skills were concerned the most by decision-making families of ventilator-dependent patients'.
2. The information source for the decision-making families of ventilator-dependent patients to choose among the RCW is mainly from  the broche from RCW, and this obviously can not provide adequate information for these families. 
3. If the patient's age is older, the patient’s consciousness state is better or the decision maker is patient’s daughter, then the decision-making relatives paid more attention to the professional service of RCW. Unmarried decision-making relatives paid more attention to hardware plan and the general service. The decision relatives who had religious belief or believe in Taoism paid more attention to the convenience. If the he relatives had higher education degree, or the relatives had not enough information, then the decision-making relatives pay more attention to hardware plan, regular service and the professional service. 
4. The satisfaction of the decision-making relatives on the RCW medical care is between “satisfied” and “ ordinary”, with a score of 3.98. The average score of satisfaction evaluation scale is 3.88. The decision-making relatives were most satisfied in the aspects of professional & regular service and the service fee. The top five items of satisfaction were: flexibility in visiting hours, nursing staff's attitude, respiratory therapist's attitude, respiratory therapist's skills, and the nursing staff's skills. 
5. Among the relatives, males  and “walking” group were more satisfied in the “convenience”. The decision-making relatives who have formal job were more satisfied in the “professional service”, while those who have sufficient information were more satisfied in the “hardware plan”, “regular service”, “professional service”, “service fee” and “convenience”.  
This research suggests that the critical care unit should strengthen the team-work function, while the RCW manager should regularly check the families’ latest demands, as well as address the important and unsatisfied aspects by the families. We also propose that the relevant government departments should establish the RCW organization's resource network, in order to improving the effectiveness of medical care systems.

Reference ( 223 ) 〈TOP〉

毛家舲、張玨（2004）•倫理困境與護理決策過程•護理雜誌，43（1），40-45。
連結：
王文芳、陳玉敏（2004）•家屬安置老人於長期照護機構之經驗•長期照護雜誌，8（3），327-344。
連結：
王秀姿、林季璉、黃怡文、陳秀如、熊淑菁（2003）•門診病患對醫師滿意度及其相關因素採討•彰化醫學，8（4），245-251。
連結：
王春葉、林佑樺、李憶農、陳靖博、林耀信（2002）•血液透析病患主要照顧者的負荷及其相關因素之探討•臺灣腎臟護理學會雜誌，1（1），31-46。
連結：
吳肖琪（1987）•泛談美國多體制醫療機構﹙MUS﹚及其對我國醫院之示範作用•中華民國公共衛生學會雜誌，7（1），8-14。
連結：

Times Cited (3) 〈TOP〉

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