| Summary: | 碩士 === 國立陽明大學 === 臨床暨社區護理研究所 === 96 === Abstract
The study was aimed to realize the influence to people dissatisfied with community home service by medical utilization, life quality, Caregivers’burden and influence of staying institution. A cross-sectional study was used in this research and a survey with structural questionnaire and phone call was conducted to collect information from a long-time care center institution in north Taiwan. A total of 274 samples were assembled. We used long term care manage center evaluation table, disability, primary care and caremanager unmet questionnaire, primary caregivers’burden questionnaire and disability life quality questionnaire for data collection. And analysis such as descriptive of samples, t-tests, one way analysis of variance (one way - ANOVA), Scheffe test and linear regression were used to analyze the data.
The results showed that 1. In unmet section, primary care had larger number among disability and caring manager (p-value < 0.001). Furthermore, a Kappa analysis showed disability and primary care have higher consistence among disability and caremanager (kappa : 0.21-0.60). And community home service had the highest percentage of in unmet section and disability (62.6%); 2. In the prediction of medical utilization, life quality, staying institution and primary care using disability, primary care and caremanager: In care manager,a result was given that disability has more demands in medical treatment and larger amount of illness. In life quality, less SPMSQ and ADL scores accursed while disability had less illness. In caregiver burden, disability, primary care and caremanager had different opinions in care burden (B＝-0.033、B＝-0.104、B＝-0.003). Less IADL caused less care burden. More illness caused more burdens. And the unmet satisfaction caused more care burden, too. Base on the result, an idea was proposed that caremanager needs to fully understand the needs of disability and primary care and provide different plans according to different levels of burden to fulfill the needs of disability and primary care.
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