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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 毛慧芬(Hui-Fen Mao) | |
| dc.contributor.author | Yu-Jen Wang | en |
| dc.contributor.author | 王昱人 | zh_TW |
| dc.date.accessioned | 2021-05-20T20:10:57Z | - |
| dc.date.available | 2009-09-15 | |
| dc.date.available | 2021-05-20T20:10:57Z | - |
| dc.date.copyright | 2009-09-15 | |
| dc.date.issued | 2009 | |
| dc.date.submitted | 2009-07-28 | |
| dc.identifier.citation | 王保進(2006)。中文視窗板SPSS與行為科學研究。台北：心理出版社。
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| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/9150 | - |
| dc.description.abstract | 居家復健是國內近年來新興的社區健康照護服務，確實瞭解使用居家復健服務者的特質，及影響其使用此服務的相關因素，可協助有關單位更了解服務的狀況，失能者的需求是否滿足，並檢視服務方針與執行結果是否契合，同時維持財政的健全。
本研究目的旨在探討台北縣長期照顧管理中心的收案對象中，經評估人員建議有居家復健需求者，影響其使用該服務的相關因素為何。研究使用Andersen健康服務使用行為模式為參考架構，研究資料來自2005~2007年轉介至台北縣長期照顧管理中心之個案資料庫。研究對象為647位經評估建議有居家復健需求之個案，扣除不符補助標準的個案53位後，共有594人納入分析，其中有541人經評估後建議接受居家物理治療，203人經評估後建議接受居家職能治療。而實際使用居家復健服務者(包括使用居家物理治療或居家職能治療，或兩者皆使用)共260人(接受率43.8%)，使用居家物理治療者共236人(接受率43.6%)，使用居家職能治療者則有56人(接受率27.6%)。經羅吉斯迴歸分析影響個案使用居家復健服務、居家物理治療、及居家職能治療之相關因素後，發現若個案同時使用長照中心多項服務、其評估人員非治療師、使用或不使用輔具下無法行走五十公尺者，使用居家復健服務及居家物理治療的機會均較高；而若個案為女性、未婚、一般戶、同時使用長照中心多項服務，其使用居家職能治療的機會較高。本研究結果顯示，經評估人員建議有居家復健需求者，實際使用居家復健服務時仍會受到傾向、使能、及需求三個層面的因素所影響，且不同類型服務(居家物理治療、居家職能治療)的影響因素也有所差異。然而因羅吉斯迴歸分析結果可解釋的變異量僅有4.4%(使用居家復健服務)、5.0%(使用居家物理治療)、31.8%(使用居家職能治療)，顯示尚有許多潛在有影響的因素未能發現，因此未來仍應持續針對此議題進行探討，以期提供居家復健服務單位在修訂服務規範時更完善的資訊。 | zh_TW |
| dc.description.abstract | Home-based rehabilitation is a new and developing health service in Taiwan. A clear understanding of the characteristics of service users and factors related to whether they use services will help our affiliates to meet the demand from community-living people with disabilities , to provide them better service, and to maintain financially sound at the same time.
The aim of the study is to explore which factors influenced people from the Long-term Care Management Center of Taipei County qualified for home–based rehabilitation to use this service. This study is based upon the conceptual framework of Andersen Behavioral Model to examine the factors affecting utilization of home-based rehabilitation service, which include physical therapy and occupational therapy. Data for this study comes from the Long-term Care Management Center of Taipei County (2005~2007). In this sample, 647 disabled persons were recommended to receive home-based rehabilitation service, but only 594 were eligible for reimbursement (541 for physical therapy, and 203 for occupational therapy), and 260 of them used the service ( 236 for physical therapy, and 56 for occupational therapy). The Acceptance rates are 43.8%( home-based rehabilitation service), 43.6%( home-based physical therapy), and 27.6%( home-based occupational therapy). We applied logistic regression to predict the likelyhood of using home-based rehabilitation (including using physical therapy or occupational therapy, or both), using home-based physical therapy, and using home-based occupational therapy. Analysis showed that“Using multiple services”, “Walking difficulty”, and“Assessors”were key factors both for using home-based rehabilitation and for using home-based physical therapy,“Gender”,“marital status”,“Using multiple services”, and“income”were key factors for using home-based occupational therapy. The results show if predisposing,enabling, and need factors affect users qualified for home-based rehabilitation and what are the key factors will dependend on the type of the sevice(PT or OT). However, The results of logistic regression show that Nagelkerke R square is really low(home-based rehabilitaion：4.4%, home-based physical therapy：5.0%, home-based occupational therpay：31.8%).That’s to say, there are many potential factors undiscovered. So it’s recommended to conduct further study to provide more information for home-based affliliates. | en |
| dc.description.provenance | Made available in DSpace on 2021-05-20T20:10:57Z (GMT). No. of bitstreams: 1 ntu-98-R96429009-1.pdf: 826872 bytes, checksum: dcefc1efa943631395327f4619ac304b (MD5) Previous issue date: 2009 | en |
| dc.description.tableofcontents | 第一章 前言 1
第二章 文獻回顧 3 第一節 居家復健服務內容與發展概況 3 第二節 探討居家復健使用相關因素之重要性 7 第三節 Andersen健康服務使用行為模式:影響居家復健使用與否之相關因子之分析依據 10 第四節 影響失能者使用居家照護服務之相關因素 13 第三章 研究方法 20 第一節 研究架構與研究問題 20 第二節 研究資料來源 23 第三節 樣本處理過程 24 第四節 變項定義 26 第五節 資料處理與分析 30 第四章 研究結果 32 第一節 個案基本特質描述 32 第二節 使用居家復健服務相關因素之雙變項分析 55 第三節 使用居家復健服務相關因素之多變項分析 57 第五章 討論 61 第一節 研究貢獻 61 第二節 整體居家復健服務、居家物理治療、及居家職能治療的建議接受率 62 第三節 傾向因素對於使用整體居家復健服務、居家物理治療、及居家職能治療的影響 63 第四節 使能因素對於使用整體居家復健服務、居家物理治療、及居家職能治療的影響 65 第五節 需求因素對於使用整體居家復健服務、居家物理治療、及居家職能治療的影響 67 第六節 應用Andersen模式於居家復健服務使用之探討 69 第六章 結論與建議 73 第一節 研究結論 73 第二節 研究限制 75 第三節 臨床建議與未來研究方向 75 參考文獻 79 附件 長期照顧服務個案評估量表 85 圖 1：傳統的服務規畫流程(Berkowitz & Flexner,1978) 8 圖 2：以行銷資訊為中心的服務規畫流程(Stuehler, 1980) 8 圖 3：健康服務使用行為(Andersen, 1995) 11 圖 4：社區失能者使用整體居家復健服務、居家物理治療、及居家職能治療之相關因素研究架構 22 圖5：研究資料整理過程 25 圖6：第二階段健康服務使用行為模式(Andersen, 1995) 70 圖7：第三階段健康服務使用行為模式(Andersen, 1995) 71 圖8：第四階段健康服務使用行為模式(Andersen, 1995) 72 圖9：影響整體居家復健服務使用相關因素 74 圖10：影響居家物理治療使用相關因素 74 圖11：影響居家職能治療使用相關因素 74 表 1：個案基本特質描述-傾向因素 94 表 2：個案基本特質描述-使能因素 95 表 3：個案基本特質描述-需求因素 97 表 4：傾向因素與使用居家復健之卡方檢定分析結果 99 表 5：傾向因素與使用居家物理治療之卡方檢定分析結果 100 表 6：傾向因素與使用居家職能治療之卡方檢定分析結果 101 表 7：使能因素與使用居家復健之卡方檢定分析結果 102 表 8：使能因素與使用居家物理治療之卡方檢定分析結果 104 表 9：使能因素與使用居家職能治療之卡方檢定分析結果 106 表 10：需求因素與使用居家復健之卡方檢定分析結果 108 表 11：需求因素與使用居家物理治療之卡方檢定分析結果 110 表 12：需求因素與使用居家職能治療之卡方檢定分析結果 112 表 13：使用居家復健、居家物理治療、及居家職能治療之相關因素 114 表 14：羅吉斯迴歸各變項之參考組 115 表 15：使用居家復健自變項之共線性診斷：Variance Inflation Factor (VIF) 116 表 16：使用居家復健之羅吉斯迴歸分析結果 (n=594) 117 表 17：使用居家物理治療之羅吉斯迴歸分析結果 (n=541) 118 表 18：使用居家職能治療之羅吉斯迴歸分析結果 (n=203) 119 表 19：使用整體居家復健、居家物理治療、及居家職能治療經羅吉斯迴歸分析後之相關因素 121 | |
| dc.language.iso | zh-TW | |
| dc.title | 社區失能者使用居家復健之相關因素探討:以台北縣為例 | zh_TW |
| dc.title | Factors Related to the Utilization of Home-Based Rehabilitaton Among Community-Living People With Disabilities —
The Case of Taipei County | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 97-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 許銘能,張玲慧 | |
| dc.subject.keyword | 居家復健,使用,相關因素, | zh_TW |
| dc.subject.keyword | home-based rehabilitation,utilization,related factor, | en |
| dc.relation.page | 124 | |
| dc.rights.note | 同意授權(全球公開) | |
| dc.date.accepted | 2009-07-28 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 職能治療研究所 | zh_TW |
| 顯示於系所單位： | 職能治療學系 | |
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