影響腦中風急性後期照護滿意度的關鍵因素——病患與家屬的視角

Exploring the Key Factors Influencing Satisfaction with Post-acute Care of Stroke: Perspectives of Patients and Their Families

目的：探討病患及家屬對於腦中風急性後期照護的醫療服務滿意度及其差異。方法：本研究以『臺灣醫療照護品質指標系列』為藍本，加入復健及中醫相關題目，以期更貼近目前『急性後期照護』的執行現況。問卷評分標準採用李克特（Likert）尺度計分方式，分成5等級。研究資料回收後，使用IBM SPSS Statistics 28版進行統計分析。結果：本研究共有115名受試者，整體滿意度平均值為4.27，介於『非常滿意』到『滿意』之間。若細分為病患及家屬兩大族群，病患們的滿意度平均值為4.21，家屬們的滿意度平均值為4.31，兩者雖無顯著差異，但皆在4分以上，表示病患及家屬滿意本次的醫療服務。若將醫療照護分為『醫院環境設施』、『工作人員服務態度』、『醫療過程』、『等候時間』、『服務結果』等五個面向來評估，病患及家屬的滿意度僅在『醫院環境設施』上有顯著差異，在其他四個面向則無顯著差異。結論：整體而言，病患及家屬皆給予正面肯定，認為本院執行『急性後期照護』是一個值得推薦的醫療政策。

Objectives. To explore patient and family satisfaction with post-acute care service of stroke and identify any differences.
Methods. This study was based on the ''Taiwan Healthcare Indicator Series,'' incorpor-ating additional items related to Rehabilitation and Traditional Chinese Medicine (TCM) to better reflect the current situation. A Likert scale with five levels was used for the questionnaire scoring. After data collection, statistical analysis was conducted using IBM SPSS Statistics version 28.
Results. This study included a total of 115 participants. The overall mean satisfaction score was 4.27, falling between ''very satisfied'' and ''satisfied.'' When divided into two major groups-patients and family members-the mean satisfaction score for patients was 4.21, while that for family members was 4.31. Although the difference between the two groups was not statistically significant, both scores exceeded 4, indicating general satisfaction with the medical services received. When evaluating healthcare services across five dimensions-hospital environment and facilities, staff service attitude, medical process, waiting time, and service outcomes-a significant difference was observed between patients and family members only in the dimension of hospital environment and facilities. No significant differences were found in the remaining four dimensions.
Conclusion. Overall, both patients and their families expressed positive feedback, considering our hospital’s implementation of“Post-Acute Care for Stroke”as a medical policy worth recommending.
(J Med Health. 2025;14(3):25-35)