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    題名: 精神社區居家訪視護理服務夥伴關係之建構及成效探討
    其他題名: Establishing the Partnership and Exploring the Effect of Community Mental Health Home Nursing Visiting Services
    作者: 黃宣宜(Huang Xuan Yi);郭憲文(Kuo Hsien Wen)
    貢獻者: 健康照護學院護理學系
    關鍵詞: 建構;社區與醫院;夥伴關係;精神社區居家訪視護理服務模式;establishing;community and hospital;partnership;community mental health home nursing visiting services
    日期: 2009-07-31
    上傳時間: 2009-09-01 15:48:58 (UTC+8)
    摘要: 本研究主題在於建構精神社區居家訪視護理服務夥伴關係及成效探討。研究目的含夥伴關係模式之建構及成效探討、提升護理人員精神社區居家訪視服務品質、減低精神個案及家屬壓力負荷及提升因應能力。第一年著重在建構精神社區居家訪視護理服務夥伴關係之模式。研究方法為質性研究法,以焦點團體訪談(依據半結構式訪談指引對本研究焦點團體共進行5次訪談)及非結構參與式觀察進行資料收集。第二年著重在依據第一年建構的模式,進行方案介入及執行成效評估。研究方法採用類實驗性研究設計,在方案介入前一週進行前測,介入6個月後一週進行後測。評量含量表及成效評估指標,評量對象含精神疾患(需求及服務滿意度等量表、不規則返診率、急診室使用率、再住院率、自傷(自殺)行為等數據);主要照顧者(負荷、適應及服務滿意度等量表);護理人員(態度、知識、技能及工作負荷等量表)。第三年的研究方法、評量指標及評量對象皆與第二年相同,主要是依據第二年的成效評估,介入修正方案後繼續評估成效,延續第二年介入方案的時程,每半年依序進行二次後測,以期能評估介入方案的長期成效。最後確立本研究所建構的本土化精神居家訪視護理服務夥伴關係之模式,提供給相關單位參考。

    The study focuses on establishing the partnership and exploring the effect of community mental health home nursing visiting services. The purposes of the study are to establish the partnership; to explore the effect; to improve the quality of care in community mental health home services; to reduce the burdens on patients and clients’ families and to increase their coping abilities. The main aim of the first year is to set up the partnership model of community mental health home nursing visiting services. Qualitative research method will be used to collect data by means of focus group interview (according to semi-structured interview guide-aiming for five times interviews) and unstructured participant observation. In second year, the major concern focuses on proceeding plan intervention and executing effect evaluation according to the model, which is connected to the first year. Quasi-experimental research design method will be used to execute pre-test hold a week early before plan intervention and post-test hold a week later after six months experiment. Evaluation includes scales and effect estimate indexes. Evaluation objects include mental disorders (need and service satisfaction scales, irregular case review rate, ER utility rate, readmission rate, self-injury (suicide) behavior), clients’ families (burdens, adaption, and service satisfaction scales) and nurses (attitude, knowledge, skill, and workload scales). The research method, estimate indexes, and evaluation objects of the third year are the same to the second year’s. The aim is to intervene revised plan and evaluate the effect on the basis of the effect evaluation got in the second year and to continue intervention plan schedule in the second year. Twice post-test is proceeded in order to evaluate the long-term effect of intervention plan half-yearly. Finally, in this study, the model of establishing partnership of localization community mental health home nursing visiting services will be set up for providing reference resources to related organizations.
    顯示於類別:[護理學系暨碩士班] 研究計畫

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