建構台灣版基本資料庫——機構照護評估工具自評單元之可行性研究

The Feasibility of Building a Self-report Component for the Taiwan Version of MDS-NH

在長期照護機構中， 要獲取更多的住民健康資訊及照護需求， 基本資料庫是一個有用的評估工具。醫護人員通常運用實際觀察、 訪談照護者及查閱住民紀錄等方法， 收集住民健康資料。 本研究主要目的是確認此工具中哪些是住民可以獨自完成的自評單元。 研究中， 採用基本資料庫護理之家 2.1 版本及 3.0版本的內容； 首先， 邀請 10 位臨床醫護專家檢視基本資料庫-護理之家 2.1 臺灣版， 並決定哪些是長者合適參與自評的單元； 接著， 對應基本資料庫護理之家 3.0 版， 發展一份自評單元內容清楚程度的調查問卷， 用以檢驗長者自評之可行性。 結果顯示， 這些專家從基本資料庫-護理之家 2.1 版中的 325 個問題，遴選出 152（ 46.8%） 個題項， 並予以修改部分語彙， 使這些題項成為長者有能力自評的單元。 參與問卷填答的長者（ n=48） 認為其中 115 個問題是清楚或非常清楚。 研究顯示由長者來自填部分的問題是可行的， 將長者自評單元運用於照護評估過程中， 可以減輕護理人員的工作負擔及增加資料的品質。

The Minimum Data Set (MDS) was a useful assessment tool to better understand residents' health status and caring needs in long term care institutes. It was mainly implemented by caregivers to observe, review and interview and record. The purpose of this study was to find out whether residents themselves could actively participate in this process by self-reporting part of the tool. The contents of Minimum Data Set-Nursing Home (MDS-NH) 2.1 and 3.0 were used in this study. Ten clinical experts were invited to review the entire contents of MDS-NH 2.1 to deicide what component could be appropriately assessed by residents themselves. A questionnaire survey was conducted, by referring to the MDS-NH 3.0, to test the feasibility of elder people's capability of self-reporting. Results showed that out of 325 items in MDS-NH 2.1, 152 (46.8%) candidate items were selected and revised by the experts, so that elderly people could self report the statues on their owns. A total of 115 items were perceived to be clear or very clear for most of 48 elderly volunteers. Results showed that the elder people could self report components of MDS-NH, which could then reduce the work load of the staffs and increased the data quality.