| Summary: | 碩士 === 元智大學 === 管理研究所 === 95 === The main objects of this research includes: (1) finding peritoneal dialysis patients’ and professional nurses’ considerations about health education and then making improvements in order according to the results of consideration surveys, (2) finding out service shortcomings to be improved through the differences between peritoneal dialysis patients’ satisfactions and considerations about current health education, and (3) finding correlations between basic attribute data and considerations from peritoneal dialysis patients and professional nurses so as to reduce infection possibility and thus advance care quality. It is the hope that this research can be a reference for professional nurses’ service strategy and also help patients with chronic kidney disease satisfy with dialysis service.
This research adopts random sampling and questionnaire survey based on five dimension model about service quality presented by Parasuraman, Zeithmal and Berry. The questionnaires from 247 patients and 67 professional nurses are statistically filed and analyzed with SPSS/10.0 version. The statistical methods used to examine the differences among variables comprise percentage as well as mean value in descriptive statistics, and reliability, scale, ANOVA, correlation, and regression analysis in inferential statistics.
The results of the research are as follows:
1. Mean value of consideration on health education service quality in both aspects of patients and professional nurses: the scores in all dimensions are in the range of “satisfactory” to “very satisfactory”, wherein the dimension “tangibility” gains the lowest score; besides, three items including professional nurses’ clothing and good appearance on duty, professional nurses being actively concerned about dialysis situation at home, and professional nurses placing importance on patients’rights etc. urgently need to be improved.
2. Difference between consideration on and satisfaction with health care service quality in the aspect of patients: correlation factors in all dimensions are larger than 0.6, which appear highly positive correlation.
3. Difference of consideration due to basic attribute data in both aspects of patients and professional nurses: the patients have significant differences of consideration because of age, marriage status, level of education, being a primary learner, and having related experience before being performed the peritoneal dialysis; the professional nurses have significant differences of consideration due to age, level of education, and religious belief.
4. Forecasting consideration with basic attribute data and five dimensions of the patients as well as professional nurses: in the patient´s aspect, being a primary learner, and having related experience before being performed the peritoneal dialysis, and the times of occurring peritonitis can function as explanation abilities to forecast consideration on health education; in the professional nurse´s aspect, the item of education level has the same function.
The results of this research can provide a reference for clinical professional nurses in the field of peritoneal dialysis to evaluate quality of health education service and help them find drawbacks to be improved in service so that the dialysis patients’ satisfactions with health care can be upgraded.
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