| Summary: | 碩士 === 國立臺北護理健康大學 === 長期照護研究所 === 104 === Home (nursing) care has been an extending medical care service rather than A & P (activity & participation) engagement. It had connected hospitals and patients at home ever since 1980s, and it helped patient to pick suitable care, to maintain their dignity, and life quality. Then, in addition to basic nursing care, home (nursing) care could intervene meeting the care needs, its role and function of home (nursing) care in long-term care system has become unique and important.
This study tried to explore the long-term care(LTC) patterns, among the home care receivers, and the linkage to sociodemography, health status, and leveling of the relative variables among those involved in home care such as tubing, certified disability level, service starting time and care side status. This study used a questionnaire and collected 120 sample cases currently taking home (nursing) care. The data was analyzed by using SPSS software.
The results show that the selection of LTC patterns has been highly correlated with the socio-economic class, morbidity index, ADLs level, family function. Majority of those receiving homecare patterns with nasogastric tube insertion lead the way, yet with the tracheostomy tube insertion sporadically distributed; also significant percentage with moderately family function impaired. However, institutional residents aged in advance generalizedly, with tubing. On the other hand, for those stayed at home, complex morbidity, with the domiciles other than Taiwan, with the presence of hired care giver or worker. Rather, the disability level certified and home care starting time be also correlated significantly.
Home (nursing) care provides integrated services just at the accommodated & living site/place to proceed supporting service. Since 1995, the National Health Insurance had launched, then soon covered the home (nursing) care in the hospitals and care facility settings, i.e. to mixing or overlapping even intermingling extending medical home (nursing) care and home based care around LTC. Hence, currently in Taiwan, with mixing or overlapping even intermingling of them both paradoxically. Any matured society& country, there has been mandatorily (acute) medical care, community-based care and home-based care scheme, to plan and organize the health & living care net or web. The appropriate defining and positioning should be settled then referring policy making and organizing planning.
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