衛生所第二型糖尿病患者照護滿意度及相關因素之探討－以溪口鄉為例

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Title:	衛生所第二型糖尿病患者照護滿意度及相關因素之探討－以溪口鄉為例
Other Titles:	Satisfaction of care and correlation factor discussion in Public Health Center with Type 2 Diabetes Mellitus: Take Sikou Township as an Example
Authors:	吳俐瑩 Wu, Li-ying
Contributors:	資訊管理學系吳光閔 Guang-ming Wu
Keywords:	醫療照護;糖尿病;服務品質;滿意度 Medical Care;Service Quality;Diabetes;Satisfaction
Date:	2012
Issue Date:	2015-01-08 12:01:27 (UTC+8)
Abstract:	伴隨著社會人口老化及慢性病年輕化的影響，罹患慢性病的患者越來越多，根據統計全球每10秒就有2人被診斷為糖尿病，每10秒就有1人死於糖尿病相關疾病。在十大死因的排名，糖尿病從民國90年的第五名到民國91年攀升至第四名且持續至99年統計仍維持在第四名。糖尿病是一種慢性的代謝異常疾病，即使接受治療也無法治癒，是一種漸進性的疾病，若不治療可能會引起許多的併發症。本研究旨在研究溪口鄉衛生所第二型糖尿病患者之照護滿意度，探討影響滿意度之因素，並將研究結果作為改善方針，期待提供患者一個持續性的照護品質及減少合併症的發生。長期目標期望藉由良好的照顧，改善病患的生活品質並減少醫療資源的浪費。　　　本研究使用SPSS及VPLS統計軟體進行分析，分析方法使用描述性統計分析、T檢定、變異數分析、信效度分析、相關性分析及迴歸分析，研究結果發現：（1）性別、是否與家人同住、是否有家族糖尿病史及在衛生所就醫時間的長短與照護滿意度無統計學差異。（2）年齡愈大的患者滿意度愈高。（3）教育程度愈低的患者滿意度愈高。（4）罹病年數愈長者滿意度愈高。（5）服務品質愈好，患者的知覺名聲、信任與滿意度就會愈高。（6）醫療口碑愈好，患者的知覺名聲、信任與滿意度就會愈高。（7）患者的信任度愈高，知覺名聲與滿意度就會愈高。　　　因此，建議相關單位可以針對病患的需求，提供一個更完善的醫療照護品質、增加醫療管理與服務成效，也期望患者及家屬可以提高對衛生所的認同性。　　With the aging population and the average age of patients getting younger, it can be said that chronic diseases are affecting more and more people today. According to the global statistics, two people are diagnosed with diabetes every ten seconds, and one people die from diabetes-related diseases every ten seconds. Among the top ten major death causes, diabetes has risen from No. 5 in 2001 to No. 4 in 2002 and stayed as No. 4 according to the statistics in 2010. Diabetes is a chronic disease with abnormal metabolism, which can’t be cured even if the patient receives medical treatment. It is chronic, and may cause many complications if without any medical treatment. This study aims to study the care satisfaction of patients with type II diabetes in the medical institution of Xikou Township, and explore the factors affecting the degree of satisfaction. The study results are taken as improvement guidelines, expecting to provide patients with better care and reduce the possibility of complications. The long-term purpose is to improve the life quality of the patients and reduce the waste of medical resources through considerate medical care.　　　This study is conducted using SPSS and VPLS statistic software for analysis, adopting analysis methods of descriptive statistic analysis, T testing, ANOVA,reliability and validity analysis, correlation analysis and regression analysis. The study results show that: (1) There is not much difference statistically with regard to the care satisfaction of patients given the variables of gender, whether living with the family member, having diabetes in the family history or the period receiving the treatment in the medical institution; (2) The older the patient is, the higher satisfaction rate given by the patient; (3) The lower education level the patient has, the higher satisfaction rate given by the patient; (4) The longer the patient suffers from the disease, the higher satisfaction rate given by the patient; (5) The better the service quality is, the higher awareness, trust and satisfaction rate given by the patient; (6) The better word-of-mouth the medical institution has obtained, the higher awareness, trust and satisfaction rate given by the patient; (7) The higher trust the patient has, the higher awareness, trust and satisfaction rate given by the patient.　　　Therefore, this paper suggests that related institutions improve on medical care quality, enhance the medical management and service based on the demands of the patients. Meanwhile, this paper also encourages the patients and their families to raise their recognition of the medical institution.
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