接受居家遠距健康照護之高血壓個案服務成效及相關因素探討

The Effectiveness of Receiving Home Telehealth Care Services and Related Factors among Dwelling Hypertensive Clients

本研究目的在探討高血壓個案接受居家遠距健康照護服務成效之情形及其相關因素，採橫斷式研究設計，以結構式問卷進行資料收集，內容包括：個案基本屬性、遠距健康照護服務使用頻率、信任度及服務成效（包含疾病自我照護及滿意度）。研究對象為已經接受臺北市政府遠距健康照護服務計畫三個月以上居家型高血壓個案共111位。結果發現個案對遠距健康照護服務有七成以上滿意度，居家遠距健康照護服務以「遠端自主性生理量測」服務使用頻率最高，而「個人健康諮詢」服務使用率最低。婚姻狀況、使用遠端自主性生理量測、慢性疾病總數及接受遠距健康照護服務的時間為疾病自我照護服務成效的預測變項，共可解釋25%的變異量。生理量測異常狀況提醒服務、客服中心健康關懷服務、經濟狀況、信任度及婚姻狀況可有效解釋41%滿意度的變異。本研究結果可作為相關醫療及資訊專業人員持續推動遠距健康照護服務的重要參考，以達到遠距健康照護服務的效益及增進健康照護品質。

The purpose of this study was to explore the effectiveness of receiving home telehealth care services and related factors among hypertensive clients. With cross-sectional research design, data were collected using a structured questionnaire. The questionnaire included clients' characteristics, services usage frequency, trustworthiness, services effectiveness (consist of disease self-care and satisfaction). The subjects who used the Taipei Citizen Telehealth Care Services home-based type over three months were recruited. The results showed 75% satisfaction on the received home telehealth care services. The most services used were “telemonitoring physiological conditions” and the least used was “personal health counseling”. Based on stepwised multiple regression analysis, marital status, physical self-monitoring, comorbidities and using telehealth care duration were predictive variables of disease self-care effectiveness, explaining 25% of total variance. The reminding service, caring feedback of customer service center, economic status, trustworthiness and marital status were predictive variables of satisfaction, explaining 41% of total variance. The results of this study provide a valuable reference for professionals in both medical and information technology fields in the further development of telehealth care aiming at achieving the effectiveness of telehealth care and improving the quality of health care.