| Summary: | 碩士 === 南臺科技大學 === 企業管理系 === 106 === The number and proportion of older persons is increasing in recent years so the demand of long-term care has become important issue. Also, community-based health service and the concept of aging in place have come to be emerging trend. Home healthcare care is health care service that can be chosen by patients and families and be given at home. The service provider may periodically view the needs of patients; besides, they also provide appropriate care guide to patients and families. Home healthcare service is not only regarded as the optimal model of care for people with disabilities, physical and mental limitation, including elder individuals but also one of key themes of long-term care; therefore, the demand for home healthcare and nursing workforce continues to expand. Nurses are at high risk for many diseases and illnesses due to high pressure and heavy workloads. Home healthcare nurses with complicated and complex work must face aging, disability and unstable patients so it’s more important to explore their occupational hazards.
In this retrospective cohort study, the clams data of 4108 nurses was used to define study population with Charlson Comorbidity Index (CCI), using a national sample cohort from the National Health Insurance Service in Taiwan between 2000 and 2013. The collected data was processed by descriptive statics, T -test, and Pearson correlation coefficient to investigate occupational hazards and illnesses of case group (home healthcare nurses) and control group (hospital nurses).
The major findings were summarized as follows:
1.Home healthcare nurses are at higher risks for specific occupation injury and illness than hospital nurses. Home healthcare nurses have increased incidence for chronic lung disease, peptic ulcer disease, mild liver disease, severe kidney disease, severe liver disease, lumbar disc disease, flank pain, back pain, menstrual disorders, migraine, tuberculosis, and sleep disorder compared to hospital nurses, with statistical significance (p<0.05).
2.Home healthcare nurses aged 31-40years have higher incidence than hospital nurses, followed by 51 years above, 41-50 years, 21-30years.
3.Home healthcare nurses experience the highest incidence rates of occupation injury and illness, followed by nurses at district hospital, nurses at regional hospital, and nurses at medical center.
This study is helpful to realize home healthcare nurses have higher risks for specific diseases and illness; therefore, the results can provided administrator with insight to develop health promotion program for home healthcare nurses to protect nurses’ health, optimize working environment and enhance quality of care.
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