2026-11-092026-11-09https://scholars.csmu.edu.tw/handle/123456789/38767Deinstitutinalization is the final goal for mentally ill patients’ treatment plan. However, the current community rehabilitation resource is not enough in Taiwan. Almost 90% of mentally ill patient go back to their home after discharging from hospital. Home care is thought as a program which can provide treatment, rehabilitaion services to patients and meet family and community needs. The study is a three-year research design. Five years data base of national health insurance using by mentally ill patients will be analyzed in the first year. The purpose of this year is to realize how mentally ill patients make use of community rehabilitation program. Data will be analyzed by logistic regression to find the predictors of community rehabilitatiom program. Additionally, qualitative interview will be conducted to understand home care nurses’ services and difficulities when providing care. The result can be the reference for developing home care satisfactory inventory for mentally ill patients for the second year study. Sample will be recruited from a medical center in central Taiwan. The estimation of sample size will based on the ratio of number of item to sample as 1:10. Data will be analyzed by t-test and ANOVA. Meanwhile, chart data will be retrived and patients’ demographic data, global assessment functioning, and the period of staying in the community after receiving home care program and the number of rehospitalization will be coded. Data will be analyzed by logistic regression to identify the predictors of effect of home care. The result can be used for developing the third years study. An integrated community-hospital home care program will be developed. Quasi experimental research will be conducted to compare the difference between patients using integrated community-hospital home care program and traditional home care program.精神病患的復健最終目的是回歸社區，但國內已實施的社區復健模式仍不足；我國 精神疾患個案約90%住在家中，居家照護被認為能提供精神病患的醫療、復健、家屬及 社區的照護需求，故本研究擬以三年研究，第一年針對五年精神病患健保資料庫分析， 以了解精神病患使用社區復健計畫的情形及醫療成本作，以住院率為依變項並以邏輯迴 歸找出社區復健計畫成效之預測因子，並以質性訪談精神科居家照護護理師的服務內容 及困境，研究結果可作為第二年發展精神病患居家照護滿意度量表，針對中部某醫學中 心精神科接受居家照護之出院精神分裂症患者之居家照護滿意度及需求進行分析，樣本 數以題數對樣本(1:10)比率計算，資料將以t-test，ANOVA 進行分析，並以病例回顧的 方法，登錄病患基本資料、整體性功能評估、接受居家照護後留在社區的天數、住院次 數，以邏輯式迴歸分析法分析精神居家照護成效之預測因子，研究結果作為第三年發展 社區—醫院之整合精神居家照護模式，採類實驗性研究法設計，以中部某醫學中心精神 科與鄰近衛生所共同進行居家照護服務之收案流程及服務項目整合；並以中部某專科醫 院採用傳統式居家照護服務為對照組，比較兩組病患之再住院比率、GAF、病患精神症 狀、社區精神病患社會功能之差異。Project