嘉義縣衛生所志工參與出院病人居家照護意願

The Willingness in Participating Home Care Services for Discharged Patients among Volunteers in Health Stations in Chiayi County

本研究目的旨在探討志願服務人員參與出院病人居家協助之意願及其相關因子。採橫斷性調查，於2006年4月1日至4月10日，選取嘉義縣18所鄉鎮衛生所的352位曾受過基礎訓練的志願服務人員為研究對象，研究工具採自擬結構式問卷，共回收有效問卷315份，回收率89%。以多變項羅吉斯迴歸分析，結果顯示居住地在山區的志工對於參與協助居家關懷照護的9個項目（後續居家服務、關懷、量血壓、文書服務、陪同散步及運動、沐浴、提醒服藥、居家環境清潔、照顧輔助），皆比居住在海邊的志工有顯著較高的意願。本研究結果期能提供有關單位瞭解影響居家關懷照護志工對不同的工作服務項目之意願度；對擬定志工居家照護服務政策時有所參考依循，藉以提昇醫療照護服務品質。

The objective of this cross-sectional study is to explore the factors associated with the willingness of volunteer workers in participating home care services for discharged patients. A total of 352 volunteers involved in volunteering services at 18 community health centers in Chiayi county in southern Taiwan were invited to complete a questionnaire during the period of April 1 to April 10, 2006. The response rate was 89% (315 subjects). Results from multiple logistic regression analysis indicated that volunteers who resided in the mountainous areas expressed significantly greater interests to provide home care services to the discharged patients as compared with those who resided in the maritime areas. The nine type of services included the follow-up home care assistance, care-giving, blood pressure monitoring, paperwork assistance, walk or exercise escort, medications reminding, home sanitation, and care assistance. Results from this study can provide policymakers a basis when for planning resource allocations of volunteer training programs as a way to improve the quality of home care services.