電子化個案管理運用於門診糖尿病患之成效探討

The Effects of Internet Case Management on Knowledge, Attitude, Behaviors and Service Satisfaction of Patients with Diabetics in An Outpatient Department

本研究目的在探討網際網路個案管理系統介入，對門診糖尿病個案管理病患自我照護認知、態度、行為及服務滿意度之成效。採類實驗研究設計，以某區域教學醫院門診糖尿病個案管理病患共63位，對照組接受現行之個案管理，實驗組接受網際網路個案管理系統輔助之個案管理，二組在接受個案管理前接受前測，於一個月後進行後測成效評量。結果發現實驗組在使用互動性網際網路個案管理系統一個月後，其在自我照護認知、行為得分上均有提升，但與對照組未達顯著差異，在自我照護態度，兩組得分相近，亦未達顯著差異，在服務滿意度上，實驗組與對照組達顯著差異，個案管理病患對衛教師服務的即時性與對系統便利性的滿意度最高。整體而言，網際網路個案管理系統介入對門診糖尿病個管病患在知識、態度及行為有所助益，特別是接受網際網路個案管理病患對衛教師服務的即時性及對系統便利性的滿意度高，故建議管理服務亦可以此網際網路個案管理模式推廣。

The purpose of this study was to investigate patients' self-care knowledge, attitudes, behaviors, and service satisfaction after the introduction of the management system. A quasi-experimental research method was applied in this study. Research subjects were 63 outpatients registered on the diabetes case management system of a regional teaching hospital. The outpatients in the control group received service in the current management system, while those in the experimental group received service of the Internet-based system. Each subject from both groups was given a pre-test before case management was conducted, and carried out the post-test a month later to evaluate the effect of the Internet-based diabetes case management system. The research results indicated that diabetic patients who had received the interactive Internet-based case management for a month showed improvement in self-care knowledge and self-care behaviors score, but no significant difference was found. In the aspect of self-care attitude, the scores of the two groups were close and no significant difference was found. In service satisfaction, a significant difference in the post-test results was observed. The patients in the case management system showed higher satisfactions over the Internet health education instructor's prompt service and system convenience. Thus, this study suggested the Internet-based case management model be promoted to related management services.