A Study on Stroke Patients’ Using Behaviors on ” Long-distance Community Health Care and Nursing Service”Based on Health Behavior Model－Conducting this research on an Unnamed Medical Center in the Southern Taiwan.

• Main Authors: Jui-Hsien Kuo, 郭叡賢
• Other Authors: Kuang-Wu Koai
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/47827110819522448638

碩士 === 國立中山大學 === 傳播管理研究所 === 96 === According to the statistics from Department of Health, Executive Yuan, in 2007,brain attack has been listed as the third of the top ten reasons for death. In Taiwan, the occurrence rate of brain attack on population above 35-year-old is 3/1000. And the total amount of population above 35-year-old is nearly 10,000,000. Then the latest number of occurrence of brain attack is approximately 30,000。Once the stroke happens, under such a circumstance, not only the expense of acute care increases but also the long-term medical care expense, the family and social cost will become larger. In view of that, the long-term care plan for stroke patient has been in urgent need. This research, ”Long-distance Community Health Care Nursing Service for Stroke Patients”, which is originated from a plan conducted by a medical center in Southern Taiwan. Based on Andersen’s（1968）health behavior model as the theoretical structure，we studied 102 patients who had a stroke (including high stroke risk patients)within one year in Kaohsiung. In this study, we applied JMP V6.0（SAS Institute, Cary, NC, USA）to analyzing case characters，conducting univariate analysis by χ2 analysis and ANOVA. Then we applied multivariate logistic regression analyses to significant variables. We hope to find out the predisposition, enabling factors and need factor from those important predictor variables in “Long-distance Community Health Care and Nursing Service”. We research the differences of stroke patients’ behaviors, providing those research results as the reference materials for related business promotional strategy in future, hoping to advance the quality of long-term care and nursing for stroke patients. In this study, total 102 copies of the questionnaire were sent out and returned, with a return rate of 100%, and 100 copies of questionnaire were effective. The research results show that: 1. Predisposition：There are significant differences on these items--“Number of Children”(Demography), “Buddhist”(Religion) and “Those who have a health check within nearly one year”(Health Concept). 2.Enabling factors：There are significant differences on these items--”Monthly Family Income”(Economical factor),”Monthly Balance of Payment”(Economical factor) and “Commercial Insurance”(Insurance resource). 3.Need factors：People (those who think their health state stay at the average level), Health State (“High Blood Pressure and Heart Attack”,”Eye Diseases”, ”Cancer”,”Bone and Muscle”,”Asthma”,”Ears Disease”and ”Neural Diseases”are involved. The behavior research includes “Number of Accepting Medical Treatment per month”(1 to 2 times), “Activity in Daily Life ”（ADL、IADL-Shopping Ability）and “Functional Behaviors”. 4. To sum up, the predisposition, enabling and need factors in this research could partially influence using behaviors，in accordance with Andersen’s inference in health behavior model. In conclusion：1.”Long-term Community Health Care and Nursing” can be applied to stroke patients, which can help patients to build up effective self-management and advance life quality; 2. This service combines Medical Service Chain established by Information-Telegraphic Technology. Currently, blood pressure checking and telephone consultation are most popular service among interviewees, and other kinds of service are under development; 3. Stroke patients with different demographical characters show a great difference on using behaviors; 4. To speak briefly, this service can meet the ideal long-term care and nursing standard for local aging population.