介入改善措施提升社區血壓站民眾滿意度和志工知識、參與意願之成效—以台南市安南區公所社區血壓站為例

Ospital’s Effectiveness in Improving the Service of a Community Blood Pressure Measurement Station

目的：在嘗試結合醫院和社區資源建立一套醫院輔導社區設置血壓站之模式，並進行介入改善措施前後測量血壓民眾滿意度和志工知識、參與意願之差異比較。
方法：於2006年10月至2007年3月針對台南市安南區公所社區血壓站進行流程、設備、訓練和衛教資源四方面的介入改善措施。介入前問卷發放期間為2006年11月13日至11月20日；介入後發放期間為2007年3月26日至4月5日。
結果：在測量血壓民眾滿意度方面，介入前共回收60份問卷，介入後共回收98份問卷。進行介入前後獨立樣本T檢定可發現「這個血壓站使我瞭解自身的血壓狀況」、「這個血壓站的表現讓我滿意」、「下一次我仍會到這個血壓站測量血壓」、「會向親友推薦這個血壓站」、「這個血壓站是我未來需要量血壓時的首要選擇」五項，介入後滿意度有顯著的提升。在服務志工知識和參與意願調查方面，選用介入前後皆填答者之問卷共18份進行統計，運用Wilcoxon符號等級檢定進行介入前後差異比較發現，介入後志工高血壓防治知識和技術未顯著提升。在志工參與意願方面，介入後各題項平均值皆有提升，雖未達統計上之顯著差異，不過平均值皆高於4.3分以上。
結論：個案醫院應可將介入改善措施擴大推廣至其他社區血壓站，此將可使社區健康促進活動更加落實，也可做為其他醫療院所日後推展社區健康促進策略之參考。

Objective : This study aims at combining hospital and community resources to construct a counseling model. Furthermore, it also compares the differences in service improvement with regard to the following three aspects: satisfaction with blood pressure measurement, knowledge and willingness of volunteers and their willingness to participate.
Methods : Conducted in the An-Nan District Office in Tainan from October, 2006 to March, 2007, we implemented the service improvement project to improve the procedures, equipment, training courses and health education resources. In order to explore its effectiveness, questionnaires were completed both before and after the service improvement project, on November 13 to 20, 2006 and on March 26 to April 5, 2007, respectively
Results : First, for satisfaction with blood pressure measurement, a total of 60 questionnaires were collected before the project and 98 questionnaires were completed after the project. By means of the independent T-test, there were significant improvements in satisfaction with the following five items: (1) I am able to understand my blood pressure through the service of the station. (2) I am satisfied with the service of the station. (3) I am willing to check my blood pressure in this station next time. (4) I will introduce the station to my relatives and friends. (5) The station is my first choice when I need to check my blood pressure in the future. Second, with regard to the knowledge and willingness of volunteers, Wilcoxon signed-rank test results showed no significant improvement in the volunteers’ knowledge and skills in hypertension control based on 18 valid questionnaires. Third, with respect to the volunteers’ willingness to participate, the average of each item rose to above 4.3, but each item failed to show statistical significance.
Conclusion : In conclusion, this project can be further applied to other stations. More importantly, this research not only puts community health promotion into practice but also contributes to establishing an effective model for the future development of community health promotion strategies in other hospitals.