精神病人復健潛能評量工具之探討

The Assessment Tools of Rehabilitation Potential for Psychiatric Patients

褚增輝(Tsang-Fai Chu)

《職能治療學會雜誌》 9卷 (1991/12) Pp. 43-63

https://doi.org/10.6594/JTOTA.1991.09.05

摘要

現代精神醫療積極推展精神病人的復健及回歸社會計畫。治療人員須有效地評估病人的復健潛能，以擬定復健目標。作者努力多年設計一些標準化的評量工具。如：手部協調測驗，注意力測驗及日常生活功能問卷表等。並已在先驅研究中獲得一些具體成果，治療者可藉由這些工具來瞭解病人之復健潛能。但因過去的研究樣本較小，尚未建立這些工具的常模。本研究選取500名精神病人及500名正常人為樣本。初步建立手部協調測驗及注意力測驗兩項工具的國人常模，並分析不同治療階段中病人的功能狀況，以提升工具之可用性。研究結果：精神病人的手協調度與注意力均較正常人差。門診及日間留院病人的復健潛能較住院者為好。手協調度與性別及年齡等因素有關。注意力則與年齡及教育程度等因素相關。因年齡及教育程度與上述兩項功能有關，所以僅取年齡15~39歲與教育在國小以上之342名正常人得分情形，作為手部協調測驗及注意力測驗之常模。並依據其手協調度及注意度的得分平均數與標準差，換算成六個等級，用以評估病人復健潛能之等級準則。

並列摘要

The rehabilitation and community readjustment of psychiatric patients is one of the major concerns of current psychiatry. Occupational therapists should be able to assess a patient's rehabilitation potential in order to design an appropriate rehabilitation program. The Hand Coordination Test and the Attention Test had been constructed previously and revised more recently by the author to serve the purpose. This study attempted to establish the Chinese norms of the two tests in order to enhance their clinical applicability. The sample consisted of 500 psychiatric patients and 500 normals. Additional analyses of the subjects' performance on the two tests revealed that:
1.The scores of psychiatric patients on the ”the Hand Coordination Test” and ”the Attention Test” were lower than those of normal persons.
2.Psychiatric outpatients appeared to have better rehabilitation potential than inpatients.
3.The degree of hand coordination related to age and sex.
4.The degree of attention span appeared to be affected by age and educational background.
5.The norms of” the Hand Coordination Test ”and” the Attention Test” were established based on the the data from 342 normal persons.

並列關鍵字

psychiatric patients ； rehabilitation potential ； eye-hand coordination ； hand function ； attention