國內醫學中心職能治療部門對中風病患評估量表的使用狀況與建議

Utilization and Recommendations of the Assessment Tools Used for Stroke Patients at Occupational Therapy Departments of Medical Centers in Taiwan, ROC

謝清麟(Ching-Lin Hsieh) ； 黃小玲(Sheau-Ling Huang) ； 廖端蓉(Tuan-Jung Liao)

《職能治療學會雜誌》 17卷 (1999/09) Pp. 60-66

https://doi.org/10.6594/JTOTA.1999.17.06

摘要

具備良好的信度及效度是臨床及研究使用評量工具的重要選擇標凖。本研究调查職能治療部門封中風病患例行評估内容，查證各部門例行使用之量表，於国内外建立之心理計量特性，以作為教學、臨床及研究之參考。
本研究以全国八家醫學中心爲對象，蒐集職能治療對中風病患例行評估量表。主要內包含：運動功能、肌肉張力、姿態控制、感覺功能、知覺認知功能、及日常生活功能等。各職能治療部門之評估量表資料由部門主任（或組長）提供。各量表之國內及國外信度、效度及反應性驗證資料，以檢索醫學期刊資料庫、心理期刊資料庫及中華民國期刊論文索引獲得。
調查結果發現：國內各醫學中心職能治療部門對中風病患例行使用之評估量表大多是自己設計，其信度、效度及反應性皆未建立。布氏動作功能恢復量表(Brunnstrom Recovery Scale, BRS)及洛文期坦認知功能評估量表(Loewenstein Occupational Therapy Cognitive Assessment, LOTCA)為國外發展而為國內醫學中心職能治療部門常用之評估工具，然而，兩者之信度及效度資料皆未完整建立。國內學術界應積極驗證國人常用量表之信度及效度，心奠定科學化評估之基礎。

關鍵字

信度 ； 效度 ； 反應性 ； 職能治療

並列摘要

The purpose of this study is to examine the psychometric characteristics of the assessment tools routinely used for stroke patients in occupational therapy departments of medical centers in Taiwan. Eight occupational therapy departments of the medical centers were surveyed. The psychometric characteristics of the assessment tools were investigated through searching the Medline, Psyclit and Chinese Periodical Literature databases. We found that the majority of the assessment tools used in the surveyed occupational therapy departments were constructed by the staff of those departments. However, the psychometric details of the self-constructed tools have rarely been examined. The Brunnstrom Recovery Scale (BRS) and the Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) developed overseas were the two standardized and were commonly used tests. However, the psychometric details of the BRS and LOTCA have not been well established. In order to assess patients' functions scientifically and accurately, examining the psychometric characteristics of the assessment tools is urgently needed.

並列關鍵字

reliability ； validity ； sensitivity ； occupational therapy