A Preliminary Study on the Community Healthcare Integration Model for Moderate and Heavy Liver Cirrhosis Patients

• Main Authors: Yi-Chien Chai, 柴怡茜
• Other Authors: 馬作鏹
• Format: Others
• Language: zh-TW
• Published: 2012
• Online Access: http://ndltd.ncl.edu.tw/handle/80394804160853482109

碩士 === 中國醫藥大學 === 醫務管理學系碩士班 === 100 === Objecctive: The case management model implemented in major hospitals in Taiwan mostly stickle telephone interview follow-up and periodical recall of disease, rather than actually go into communities and homes. It is expected to combine the field community and home care visiting six families and further provide appropriate healthcare depending on cases. This study aims to understand the differences of the self-care, self-awareness, community support, and medication compliance of liver cirrhosis patients after intervention. Method: With questionnaire survey, the cases were collected within July 1, 2011- March 30, 2012. With convenience sampling from the moderate and heavy liver cirrhosis patients in a liver cirrhosis health center of a local hospital in central Taiwan. A pretest was preceded in the period of case collection; then, a post-test was preceded after the intervention of medical integration team with home visits. The subjects were divided into two groups, the experimental group was been social intervention, and the control group was no social intervention. Result: The research outcomes showed remarkable differences on the experimental group self-care, medication compliance and overall score(P<0.05). The experimental group after intervention and the control group results also showed that remarkable differences on the self-awareness, social support, medication compliance and overall score(P<0.05). Conclusion: This study expects to retard the deterioration of disease by the intervention of healthcare team and early screening and treatment as well as to provide appropriate assistance according to the actual demands and dilemmas of patients. The community healthcare integration model for liver cirrhosis patients and the relative strategies proposed in this study are provided as the reference for large-scale integrated healthcare in the future.