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職能治療學會雜誌

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篇名 脊髓損傷者之職能治療知識程度初探
卷期 30:2
並列篇名 A Preliminary Investigation of Levels of Knowledge of Occupational Therapy Among Individuals with Spinal Cord Injuries
作者 吳姿誼薛漪平陳美香謝清麟
頁次 177-197
關鍵字 職能治療知識脊髓損傷職能治療知識問卷參與度Occupational therapy knowledgeSpinal cord injuriesQuestionnaire of occupational therapyParticipationTSCI
出刊日期 201212

中文摘要

職能治療知識(occupational therapy knowledge, OTK) 為與職能治療 (occupational therapy) 相關且對個案及家屬重要的知識。脊髓損傷(spinal cord injuries) 個案之OTK不足可能使個案誤解或未能全面瞭解職能治療,降低其治療 參與度,進而影響職能治療效能。然而目前無法確定脊髓損傷個案的OTK程度與 相關因子,這可能限制職能治療師瞭解個案之OTK以及提升職能治療效能之機 會。因此本研究之主要目的為探討脊髓損傷個案之OTK程度及OTK程度之相關因 子。次要目的為探討脊髓損傷個案所需之OTK內容及偏好之資訊傳遞方式。共有 33位脊髓損傷者接受OTK問卷訪談。問卷之可能得分範圍為0-13分,低於7分,表 示OTK不足。其次,比較不同人口學特性之受訪者OTK得分是否有顯著差異,並 計算受訪者年齡、受傷後時間及接受職能治療後時間與OTK的相關程度。最後, 將受訪者所需之OTK內容與偏好之資訊傳遞方式的選項加權排序。研究發現:受 訪者之平均OTK分數為 4.7分。受訪者之人口學特性、受傷後時間及接受職能治 療後的時間與其OTK程度皆無顯著關聯。受訪者認為最需要之OTK為職能治療的 治療目標,最偏好之資訊傳遞方式為一對一口頭說明。本研究發現脊髓損傷者之 OTK程度普遍偏低,而且與接受職能治療後時間長短無關。建議未來以一對一口 頭說明的方式加強治療目標之解釋,以提高脊髓損傷者OTK程度,繼而提升治療 參與度與職能治療效能。

英文摘要

Occupational therapy knowledge (OTK) is occupational therapy related knowledge, which is important to clients and their families. If individuals with spinal cord injuries (SCI) have insufficient OTK, they may misunderstand OT or not receive complete OT services. This may hamper participation of clients with SCI to OT and reduce the effectiveness of occupational therapy. However, levels of OTK of clients with SCI and factors a ecting those levels have been unknown, which limits the opportunity to improve OT awareness among our clients and the e ectiveness of occupational therapy.  e purposes of this study were to investigate OTK levels of clients with SCI and what a ected those levels. We also investigated the OTK domains where clients needed both more information about OTK and the preferable ways to deliver OTK.  irty-three clients with SCI were interviewed with the OTK questionnaire (score range: 0-13, <7 meaning insu cient OTK) and had a mean OTK score of 4.7. We found that OTK levels did not signi cantly di er in terms of clients’ demographic characteristics and length of time receiving OT intervention. Clients reported that the most wanted OTK was the treatment goals of OT, and the most preferable delivering method was via one-on-one explanation. We found that OTK levels of clients with SCI were low and were not related to the length of time they had received OT. Introducing OTK to individuals with SCI in a one-on-one format is recommended to improve their OTK level and, consequently, may increase their participation and OT e cacy.

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