記憶門診成效初探

The Effectiveness of Memory Clinic

本研究係以描述性方式呈現，主要目的在探討如何籌設一個較理想的失智症臨床處置及診斷流程，為失智症病患提供確實有效的診斷及照護方針。本文介紹記憶門診的服務模式，以及病患經門診服務之後症狀改善及對門診服務的滿意情形。研究對象是從1999年5至10月間接受耕莘醫院記憶門診診斷治療之病患，研究的第一部份在於分析病患基本資料及失智症的類別與程度，第二部份則在門診後二個月以電話訪談之方式收集病患症狀改善程度及家屬對門診的滿意度。結果發現在經過門診治療之後二個月的追蹤，有70.97%的家屬覺得病患臨床症狀有改善，72%的家屬對於記憶門診型態覺得滿意，其中記憶門診對家屬的幫助為最滿意的部分，其它如門診的安排及診後衛教等也都讓病患及家屬覺得滿意。

The purpose of this descriptive study was to explore an ideal memory clinic model including intervention and diagnosis. Memory clinic can provide an effective service for patients with dementia and their families. This study showed the clinical service process, after service improvement and family satisfactory rate. A total of 51 members participated from May 1999 to October 1999.The analyses of the study are as follows: (1)to analyze patient primary data、classification and stage of the dementia, (2)to understand the rate of clinical improvement and satisfaction of families and patients with dementia by phone two months later. The results showed: 70.97% families referred to meliorate their clinical problem, 72% families had good satisfactory result from clinical pattern of memory clinic especially for family help, clinical arrangement and care instruction.