Long-term care services needs for spinal-cord injury patients in Taiwan.

I. Li, I. Lien, Y. C. Lin
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引用次数: 5

Abstract

According to official health statistics, accidents and their adverse effects are the third leading cause of death in Taiwan. More accident victims are surviving thanks to treatment using high medical technology, but this results in many disabled patients with irreversible impairments. The demand for long-term care (LTC) services for spinal cord injury (SCI) patients has thus become a major concern. However, homebound SCI patients may easily face exclusion from LTC services because they are often ineligible for benefits under the regulations of National Health Insurance (NHI). The purposes of this study were: 1. To quantify the LTC needs of SCI patients, and 2. To evaluate the correlation between SCI patient health status and LTC needs. A total of 133 samples were visited from Kaohsiung City and Pingtung County. The results of this study showed that the average age of subjects was 43.15, with 72.9% male. The health status of most of the research subjects was fair (M = 2.33). The test of physiological health status was a 20-item scale with a five-point response format. The worst dysfunctions were urination (M = 3.36, SD = 1.06), sexual function (M = 3.30, SD = 0.88), excretion (M = 3.26, SD = 1.06), comfort (M = 3.25, SD = 0.84), and mobility (M = 2.75, SD = 1.11). All of the above items showed higher mean scores than average. More than one third of the subjects (36.8%) used wheelchairs, had better mobility and went out often. However, half of subjects were completely bedridden (45.9%). The mean psychosocial health status was poor with a mean score of 2.80 which showed higher mean score than average. The subjects were less satisfied with role function (M = 2.92), emotional stability (M = 2.92), and application for community resources (M = 2.79). The most needed LTC services for SCI patients was home-making services; referral and monitoring services ranked second. Suggestions derived from this study were to coordinate nursing care services with social support services for LTC patients and to allocate LTC resources based on patients' health status and their need for LTC services.
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台湾脊髓损伤患者的长期照护服务需求。
根据官方卫生统计,事故及其不良影响是台湾第三大死亡原因。由于使用先进的医疗技术进行治疗,更多的事故受害者得以幸存,但这导致许多残疾患者出现了不可逆转的损伤。因此,脊髓损伤(SCI)患者对长期护理(LTC)服务的需求已成为一个主要问题。然而,在家的SCI患者可能很容易被排除在LTC服务之外,因为他们通常不符合国民健康保险(NHI)规定的福利。本研究的目的是:1。量化SCI患者的LTC需求;评价脊髓损伤患者健康状况与LTC需求的相关性。共访问高雄市及屏东县133份样本。本研究结果显示,研究对象的平均年龄为43.15岁,男性占72.9%。大多数研究对象的健康状况尚可(M = 2.33)。生理健康状况测试采用20项5分制量表。最严重的功能障碍是排尿(M = 3.36, SD = 1.06)、性功能(M = 3.30, SD = 0.88)、排泄(M = 3.26, SD = 1.06)、舒适度(M = 3.25, SD = 0.84)和活动能力(M = 2.75, SD = 1.11)。以上各项的平均分均高于平均分。超过三分之一的受试者(36.8%)使用轮椅,行动能力较好,经常外出。然而,一半的受试者完全卧床不起(45.9%)。平均心理健康状况较差,平均得分为2.80分,高于平均水平。被试在角色功能(M = 2.92)、情绪稳定性(M = 2.92)和社区资源申请(M = 2.79)方面的满意度较低。脊髓损伤患者最需要的LTC服务是居家服务;转诊和监测服务排名第二。本研究建议应协调护理服务与社会支持服务,并根据患者健康状况及对LTC服务的需求来分配LTC资源。
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