接受出院準備服務個案其照護需求與滿意度之相關性初探

A study of the correlation between care needs and satisfaction of patients undergoing discharge planning services

本研究目的在探討某區域醫院接受出院準備服務病患的照護需求與滿意度之差 異。研究工具採自擬結構式問卷，並經由五位專家進行專家效度檢測修改，滿意度調 查表信度以Cronbach α測得為.96。資料收集時間為2007年3月至9月，住院期間共有 321位個案接受出院準備服務，勾選所提供之照護需求，出院後以電話訪問滿意度，實 得有效問卷304份，佔94.7%。 研究結果顯示：1.中風病患與頭部外傷病患接受醫療轉介項目的總和顯著高於肺部疾病者。2.出院後安置到照顧機構者其所接受的護理指導項目顯著高於與家人同住者。3.與家人同住者接受醫療轉介項目顯著高於安置於照顧機構者。4.出院後與家人同住者其滿意度顯著高於安置照顧機構者。5.接受護理指導項目越多、接受醫療轉介服務項目越多與接受協助運用社會資源服務項越多其滿意度越高。 結論：未來應針對特殊疾病如中風患者和頭部外傷需較多照護需求者，及出院後 安置到機構之患者，制訂標準的出院準備服務流程，以提高照護品質與滿意度。

The purpose of this study was to explore care needs and discharge planning satisfaction at a regional hospital in Taiwan. Content validity by five experts, a self-constructed structural questionnaire with a Cronbach α of 0.96 is employed as a research tool. The data collection period spans from March 2007 to September 2007, during which a total of 321 cases accepted discharge planning services and were given their chosen needed caring services after discharge. A total of 304 respondents, or 94.7% response rate, responded their satisfaction levels via telephone interview thereafter. The results showed: 1. The respondents suffering CVA and head injury accept (statistically significantly) more medical transfer services than those with lung diseases. 2. Respondents who are taken care by caring institutions after discharge accept more nursing teaching services than those live with family members. 3. Respondents living with family members after discharge receive more medical transfer services than those staying with caring institutions. 4. Satisfaction are higher in respondents living with family members than those with caring institutions . 5. The more nursing teaching, medical transfer and social services are offered, the higher the satisfaction level. Conclusions: To improve caring quality and satisfaction, standard operating procedures of discharge planning should be established for patients who require extensive caring (such as those suffering CVA and head injury) and patients who are transferred to caring institutions after discharge.