長照個案選擇專業服務及對日常生活功能影響之研究

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題名:	長照個案選擇專業服務及對日常生活功能影響之研究
其他題名:	A Study On The Selection Of Professional Services By Long-Term Care Patients And Their Impact On Daily Living Functions
作者:	林婉毓
貢獻者:	林素戎
關鍵詞:	日常生活功能;長照專業服務;Daily life functions;professional long-term care services
日期:	2025
上傳時間:	2025-09-02T08:32:15Z
出版者:	德育學校財團法人德育護理健康學院;健康產業管理研究所
摘要:	隨著老年人口增加和幼年人口下降，因慢性病造成的失能者人數上升，長期照護需求日益迫切，因此如何增強失能者的殘存功能並促進其獨立於社區生活，將成為未來解決長期家庭照顧負擔的關鍵。本研究旨在探討長照個案選擇專業服務及對日常生活功能之影響。特別關注失能者在急性醫療治療返回社區後，透過專業服務介入將對個案日常生活功能之影響。研究對象需經照顧管理專員評估之失能者，並選取使用長照專業服務個案，依據日常生活活動量表ADL和工具性日常生活活動量表IADL評估長照需求等級為CMS 3-8級。研究方法為回顧性資料庫分析，查調基隆市長期照顧服務管理所的資料，涵蓋2022年01月01日至2025年05月30日，納入條件為年齡65歲以上並已使用任一C碼長照專業服務共1343人，經排除失能等級CMS1-2級個案共1214人。本研究結果顯示長照個案使用專業服務對日常生活功能具有顯著影響，個案的年齡、疾病和失能等級皆對個案選擇使用專業服務有顯著影響。並且於個案的專業服務目標中，日常生活自理能力專業目標迴歸係數達顯著正值，顯示多數長照個案期望以恢復生活自理能力為考量。研究結果提供實證依據，強調長照專業服務使用可提升個案日常生活的獨立性並增加個案自我認同，並漸而提高長照專業服務使用率。 As the elderly population increases and the young population declines, the number of people with disabilities due to chronic diseases is rising, and the need for long-term care is becoming increasingly urgent. Therefore, enhancing the residual functions of disabled individuals and promoting their independence in the community will become key to addressing the burden of long-term family care in the future. This study aimed to examine the impact of professional service intervention on daily living function in long-term care patients after returning to the community following acute medical treatment. Specifically, the study focused on the impact of professional service intervention on daily living function in disabled individuals after returning to the community following acute medical treatment. The study subjects were individuals with disabilities assessed by care management specialists and receiving professional long-term care services. Their long-term care needs were assessed as CMS Levels 3-8 using the Activities of Daily Living Scale (ADL) and the Instrumental Activities of Daily Living Scale (IADL). The study method applied a retrospective database analysis, tracing data from the Keelung City Long-Term Care Service Management Office from January 01, 2022, to May 30, 2025. A total of 1,343 individuals aged 65 years or older who were receiving any C-coded professional long-term care services were included. After excluding individuals with CMS Levels 1-2, a total of 1,214 individuals were included. The study results showed that long-term care clients' use of professional services significantly impacted their daily functioning. In addition to age, illness, and disability level, which all significantly influence clients' choice of professional services, the study also analyzed the professional service goals by category. The regression coefficient for the professional goal of daily self-care ability reached a significant positive value, indicating that most long-term care clients prioritize the restoration of their ability to care for themselves. This research provided empirical evidences that the use of professional long-term care services can enhance clients' independence in daily life and increase their self-identity, ultimately leading to increased utilization of professional long-term care services.
顯示於類別:	[學位論文] 113學年度

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