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Taiwan Journal of Oral Medicine Sciences

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篇名 身心障礙者在特殊需求者口腔照護中心之就醫狀況及照護者的滿意度調查
卷期 26:3
並列篇名 The Dental Treatment Status of Disabled Patient and Satisfaction of Caregivers in an Oral Heath Care Center for Special Needs
作者 李梅冠
頁次 205-226
關鍵字 特殊需求者口腔照護中心特殊需求者,滿意度disabled patient oral health care centerspecial needsatisfaction
出刊日期 201012

中文摘要

目的:本研究調查某醫院特殊需求者口腔照護中心,身心障礙者就醫狀況與最主要照護者對此中心的滿意度調查。方法:研究對象為身心障礙者與最主要照護者,採門診方便取樣,有效樣本共325份,為橫斷面研究,針對研究對象與就醫狀況進行卡方分析,照護者人口學變項與醫院滿意度因素進行Anova分析。結果:障礙類別以多重障礙46.5%佔最多,合併類別以智能障礙佔84.8%,障礙等級重度佔34.8%、中度33.2%、極重度24.3%、輕度最少7.7%,交通工具以醫院巡迴車22.5%、公車21.8%,30分鐘可到達46.5%,認為前往就醫交通工具與搭乘困難者佔27.7%。回診間隔1~2個月以上佔54.50%,希望增開門診時間及診次87.7%,85.2%需要醫院提醒回診。患者安撫下可治療佔34.5%,肢體抑制28.4%,能完全合作22.1%,有做全身麻醉佔14.5%。障礙等級與口腔預防項目沒有顯著性差異,有定期洗牙者佔68.6%;有定期塗氟佔72.8%.門診滿意度與照護者、年齡、職業,有顯著性差異(P<0.001),性別與學歷並無顯著性差異、整體滿意評分以機構照護昔最高平均93.0分,父母82.63分,家屬81.79分。佔94.8%照護者認為需要設置此中心。

英文摘要

Purpose: This study investigated the medical conditions of people with disabilities and the satisfaction of the main caregivers in a disabled patient oral health care center.Methodology: The research subjects were the people with disabilities and their main caregivers. This study was based on convenience sampling and the valid samples included 325 questionnaires. Besides, this research was a cross-sectional study, which conducted the χ^2 analysis to the research subjects and the medical conditions and proceeded ANOVA tests to the demographics and the satisfaction of the main caregivers.Results: For types of the disabled, multi-disabled patients were the most (46.5%) and for the combined disabled types, the retarded-disable accounted for 84.8%. For the disabled scales, the severely disabled, the moderately disabled, the extremely disabled, and the slightly disabled were for 34.8%, 33.2%, 24.3%, and 7.7% separately. For the transportation vehicles, taking the round bus of the hospital was 22.5%, taking a bus was for 21.8%. The commuting time within 30 minutes was for 46.5% .Besides, there were 27.7% of the participants thinking it was difficult for their commutes. The period of returns examines beyond 1-2 months was the most (54.8%). About 87.7% of the participants hoped that the center could increase the period and the number of outpatient services. And there were 85.2% of the participants needed reminds from the hospital to return examines. Those who were healed after being appeased and being body-constrained accounted for 34.5% and 28.4%. Those who completely cooperated were for 22.1%. Those having a general anesthetic were for 14.5%. There was non-significant difference between the disabled scales and the oral preventive items. Cleaning the teeth routinely was for 68.6%. Applying the fluorine routinely was for 72.8%. There were significant differences among the satisfaction of outpatient services including caregivers, ages, and occupations (p<0.001), while there were non-significant difference between sexes and educational levels. The highest in overall scores was the institutional caregivers, whose average was 93.0 scores; in addition, the parents got 82.63 scores, and the family members got 81.79 scores. And there were around 94.8% of the candidates had the need for this center.Conclusions: The results revealed that the most patients going to this center were beyond the moderately disabled, and they all returned routinely for the oral preventive cares. For those various patients and caregivers, the dental clinics with fixed location and services for the disabled are the ideal permanent and convenient medical places.

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