| Summary: | 碩士 === 國立陽明大學 === 公共衛生研究所 === 90 === The purpose of this study are to explore the feasibility of using Quality Indicators Groups（QUIGs）as a tool to compare the functional status and home care utilization of different groups of patients; to identify the factors which affect the home care utilization; and to evaluate the effects of home care utilizing on the functional status of the patients.
Secondary data were from a study named “Establishment of a standardized informational system of home health care utilization and quality in Taiwan” sponsored by Department of Health, carried out by Taiwan Association of Long Term Care Professionals from January 2000 thru June 2001. A total of 1334 home care patients data, including demographic information, content of the home care, health status of the patients, were collected.
Data were analyzed by statistical software SPSS, the main results were as follows:
1. Most home care patients were female（55.5%）, under 65 years old（40.1%）, married（80.3%）and illiterate , most of them discharged from hospitals, over one-third of them were disabled. Before receiving home care, health prognoses were stable and need long term care for most of them.
2. Functional status of most home care patients were poor. In terms of cognitive ability, over 90% patients depended on someone to make decisions for them in daily life, over 70% had memory damage, over 60% could not identify the time and place and about 50% could not identify people; for sensorial and communicative ability, over 90% patients had the vision damage, about 60% patients’expression could not be understood by people, over 30% had hearing damage, under 20% could not understand what people say; most patients had poor ADL（over 80% of them need someone’s help）. The limbs’ ability of most patients were also poor, over 40% patients had the atrophy of limbs, over 80% could not perform the balance of walking and standing and about 50% could not perform the balance of sitting, less than 6% could perform the limbs’ activity under resistance.
3. Neurological Conditions（44.8%）, Diabetes Mellitus Conditions（14.6%）and Cardiac and Peripheral Vascular Conditions（13.8%）were the most popular Quality Indicators Groups of home care patients.
4. The utilization of home care were significantly different among different Quality Indicators Groups. Patients’ characteristics and patients’ previous health status affected the utilization of home care significantly.
5. Patients who have neurological and cerebrovascular diseases often had problem on identifying things（over 50%）, expressional ability（over 60%）and tended to have serious limbs’atrophy and bad balance ability. The diabetics usually have the vision damage（over 90%）, and those who have mental disease often had the memory damage（over 80%）, needed to depend on someone to make decisions in daily life（over 90%）and had the difficulty on understanding what people said.
6. General skilled nursing services were helpful to improve patients’ muscle power. Special care or special therapy could improve patients’ limbs’ atrophy. But others have no significant influence on patients’ activity of daily life, the balance of walking, standing and sitting.
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