Explore Serendipity-creating effect by intermediate-care for Geriatric patients

• Main Authors: Yi-Chi Chiu, 邱奕綺
• Other Authors: Shang-Hou Lee
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/39849635108716131879

碩士 === 國立屏東科技大學 === 社會工作系所 === 102 === Objective: To evaluate serendipity index on the total clinical effectiveness of intermediate care (IC) in a community hospital. Method: This study compared the effectiveness of CGA (comprehensive geriatric assessment) data to evaluated the serendipity index, including A. Utilize the brain cognition , B. Make a prompt decision, C. Personal assets, and D. Interpersonal relation. Results: Data of 283 recruited patients were collected during the period from February 2009 to March 2012; 88 of them were excluded due to incomplete data or unplanned readmission to acute ward. Mean age of the 195 eligible patients was 80.4±11.5 years old. serendipity index including A. Utilize the brain cognition (GDS from 1.62±2.1 to 0.55±1.1,MMSE from 22.30±4.0 to 24.89±3.2), B. Make a prompt decision(TUG from 26.05±5.3 to 20.35±6.1,NRS from 1.43±2.0 to 0.50±0.9) , C. Personal assets(BI from 50.59±17.5 to 72.95±16.4, MNA from 10.33±1.8 to 22.67±2.3), and D. Interpersonal(IADL from 1.84±1.6 to 3.33±2.1). Conclusion: The results indicated that the high value-added care Model was significantly improved the clinical outcomes.