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E99033
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017
以醫院為基礎之整合型居家照護模式之成效探討
The Effect of the Hospital-based Integrated Home Care Services for Patients with Mental Illness
1.顏文娟
1.Wen-jiuan Yen
1.中山醫學大學護理學系(所)
1.School of Nursing, Chung Shan Medical University
001,002,003,004
1.中山醫學大學護理學系(所)
1.School of Nursing, Chung Shan Medical University
002
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):2010-08-01
A.14 計畫執行期間(訖):2012-07-31
2011-08-012012-07-31
A.16 收到日期:2012-12-18
1
中部某醫學中心精神科病房出院之精神分裂症個案、接受居家照護或門診追蹤個案。

1
148

148
001
01
C.2 聯絡日期:2012-12-20
2
1.中山醫學大學護理學系(所)
1.School of Nursing, Chung Shan Medical University
1
同意自計畫執行結束日期起3年後公開

C.7 資料公開日期:2015-08-01
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008
5
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001
1,2
1.居家照護
2.門診
3.精神分裂
1.Home Care
2.OPD
3.Schizophrenia
 為了探討居家照護對於社區精神分裂症患者之照護成效及生活品質,本研究為二年研究,第一年以行動研究法於中部某區域教學醫院精神科建構整合性居家護理照 護服務項目,第二年為實際調查居家照護實施後居家精神分裂症個案之精神症狀及生活品質與門診個案之差異。本研究採類實驗性研究法,分為居家照護組及門診 組,居家訪視護理師在收案時先對個案進行精神症狀評估,在提供居家照護後三個月再進行一次精神症狀評估,並填寫生活品質量表。門診個案仍由居家護理師協助 收案,在個案來門診追蹤時進行精神症狀評估,三個月後個案返診後再進行進行一次精神症狀評估,並填寫生活品質量表。本次調查共收案148位,門診組 116位,居家組32位。 研究結果顯示居家照護組個案其精神症狀之控制明顯優於門診個案,且整體生活品質亦優於門診個案,尤其在生活滿意及身體健康兩構面之生活品質比門診個案 好。

The purpose of the study was to explore the effect of hospital-based home care services on schizophrenic patients in the community. This is a two-year study. The purpose of the first year was to construct home care service contents by action research. The major focus of the second year was to examine the effect of home care services applied to the schizophrenic patients who were discharged from a Regional Teaching Hospital, central Taiwan. This was a quasi-experimental design. Two groups of schizophrenic patients were recruited: home care group and OPD group. The home care nurse assessed patients’ psychological sign/symptoms at the first visit and re-assessed patients’ psychological sign/symptoms after three months of home care services; meanwhile, the patients were requested to complete the scale of quality of life. The OPD cases were also interviewed by the home care nurse. OPD patients were assessed for psychological sign/symptoms at the first OPD follow-up after they are discharged from the hospital and re-assessed after three months. Scale of quality of life was also requested to complete by OPD patients. Total 148 participants were recruited, 116 for OPD and 32 for home care group. Results showed that psychological sign/ symptom of home care group was better than those of OPD group. Quality of life for home care patients was better than OPD patients. Especially for their life satisfaction and physical health for home care patients were significantly better than OPD patients.

D.16 完成檢誤日期:2013-10-25
D.17 預定釋出日期:2015-08-01
D.18 初次釋出日期:2015-08-03
D.19_1 最新版釋出日期:2015-08-03
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1,1,3
10.6141/TW-SRDA-E99033-1
https://efenci.srda.sinica.edu.tw/webview/index.jsp?object=https://efenci.srda.sinica.edu.tw:80/obj/fStudy/E99033
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