Nhu cầu được chăm sóc sức khỏe tại nhà của người bệnh tại Bệnh viện Lê Văn Thịnh, thành phố Thủ Đức năm 2024

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thanh Bình Cao, Văn Thịnh Cao, Ngọc Giàu Nguyễn, Thị Mỹ Trinh Phan, Việt Thị Minh Trang

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y Dược học Phạm Ngọc Thạch, 2024

Mô tả vật lý: tr.110

Bộ sưu tập: Metadata

ID: 286364

Thêm vào giỏ Liên kết toàn văn

Đặt vấn đề: Chăm sóc sức khoẻ tại nhà (CSSKTN) là loại hình khá phổ biến trong chăm sóc sức khoẻ cộng đồng ở các nước tuy nhiên còn khá mới ở Việt Nam. Vấn đề quan tâm khi triển khai mô hình này, cần đánh giá nhu cầu và các yếu tố liên quan đến CSSKTN của người bệnh. Mục tiêu nghiên cứu: Đánh giá nhu cầu và các yếu tố liên quan đến nhu cầu được CSSKTN của người bệnh sau điều trị nội trú tại bệnh viện Lê Văn Thịnh thành phố (Tp.) Thủ Đức. Phương pháp nghiên cứu: Nghiên cứu cắt ngang. Với 122 người bệnh sau điều trị nội trú tại khoa Nội tổng hợp trong 02 tháng (5
6/2024). Thu thập dữ liệu qua phiếu khảo sát. Thống kê mô tả, phép kiểm Chi-square
Fisher Exact được sử dụng để phân tích số liệu bằng phần mềm SPSS16.0. Kết quả: Có 122 người bệnh tham gia nghiên cứu, độ tuổi trung bình là 60,7 (± 17,01), trong đó 71,3% người bệnh mạn tính. Có 59% người bệnh có nhu cầu được CSSKTN do không phải chờ đợi lâu khi khám bệnh (57,4%)
đi lại khó khăn vì sức khỏe (56,6%)
được tư vấn nhiều hơn với nhân viên y tế (55,7%)… Các yếu tố liên quan nhu cầu được CSSKTN gồm: người mắc bệnh mạn tính (tăng huyết áp, đái tháo đường, rối loạn lipid máu, suy gan thận, bệnh lý tim mạch)
độ tuổi (trên, dưới 60 tuổi)
không có người thân thường xuyên chăm sóc
mức chi phí dịch vụ
chất lượng phục vụ có ý nghĩa thống kê với p <
0,05. Không có mối liên quan có ý nghĩa thống kê giữa khoảng cách địa lý (giữa nhà và bệnh viện) với nhu cầu được CSSKTN. Ngoài ra, có mối liên quan khi người bệnh hài lòng CSSKTN sẽ sẵn sàng giới thiệu dịch vụ với người khác (p <
0,05). Kết luận: Qua thu thập và phân tích dữ liệu 122 người bệnh sau điều trị nội trú tại bệnh viện Lê Văn Thịnh cho thấy tỷ lệ người bệnh có nhu cầu được CSSKTN đạt 59%. Có một số yếu tố liên quan đến nhu cầu được CSSKTN của người bệnh có ý nghĩa thống kê được thể hiện. Abstract Introduction: Home health care is a common type of community healthcare in many countries
however, it’s still new in Vietnam. The important issue when implementing this model in reality is to assess the needs and factors related to patients’ desire for home healthcare. Objectives: Evaluate the demand for home healthcare among patients after inpatient treatment at Le Van Thinh Hospital, Thu Duc City, and identify factors related to patients’ desire for home healthcare. Methodology: A cross-sectional study was conducted with 122 patients after inpatient treatment at the Internal Medicine Department of Le Van Thinh Hospital in 2 months (May-June 2024). Data was collected via survey questionnaires. Descriptive statistics, Chi-square test, Fisher’s Exact Test were performed using SPSS 16.0 software. Results: Among 122 patients who participated in the research, the mean age was 60,7 (±17,01) years, with 71,3% suffering from chronic illnesses. 59% of patients expressed a need for home healthcare due to reasons such as reduced waiting times for examination (57,4%), difficulty in moving due to health reason (56,6%), having more time to communicate with medical staff (55,7%)... Factors related to the needs of home healthcare include chronic illnesses (such as hypertension, diabetes, dyslipidemia, renal and hepatic disorders, and cardiovascular diseases
age groups (above and below 60 years)
lack of regular caregivers
service costs
and service quality, with p <
0,05. There was no statistically significant correlation between geographical distance (between home and hospital) and the needs of home healthcare. In addition, there is a correlation where patients satisfied with home healthcare are more willing to recommend the service to others (p <
0,05). Conclusions: The study of 122 patients, after inpatient treatment at Le Van Thinh Hospital, shows that the percentage of patients who express a need for home healthcare is 59%. Several statistically significant factors relating the needs of home healthcare were identified. DOI: 10.59715/pntjmp.3.4.13

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