台灣精神科職能治療評估工具的現況調查

The Use of Evaluation Tools in Mental Health Occupational Therapy: A National Survey

蕭小菁(Sheau-Jing Hsiao) ； 潘璦琬(Ay-Woan Pan) ； 鐘麗英(Ly-lnn Chung) ； 呂淑貞(Su-Jen Lu)

《職能治療學會雜誌》 18卷 (2000/09) Pp. 19-32

https://doi.org/10.6594/JTOTA.2000.18.03

摘要

本研究的目的是瞭解台灣精神科職能治療所採用的評估工具之現況。包括實際使用的工具種類、應用的目的、評估所花的時間以及不同治療時期執行評估的百分比。本研究的結果可作為教育界在更新教育方向與內容時的參考；也可提供學術界未來研發評估工具之依據。
本研究應用郵寄問卷的方式對全台精神科職能治療部門或單位，共寄出了54份問卷，回收了38份，總回收率約70%。調查的結果發現，使用頻率最高的工具：在職能表現領域方面，褚氏日常生活功能量表約佔94%；在職能表現要素方面，職能治療綜合評量表約佔94%；認知整合與認知要素方面，褚氏注意力測驗為94%；心理社會技巧與心理要素方面，完成句子測驗及職能治療綜合評量表各約佔94%。治療師使用評估工具的目的，多是用以擬定治療計畫者為多。而評估耗費的時間依評估的時期不同而有所不同，介於35分鐘至72分鐘之間。執行特定時期評估的執行百分比也相異，介於57%到92%之間。
本文的結果提供了現階段精神科職能治療評估工具的現況。也從統一名詞架構中探討了目前缺乏的工具種類，期待此初步結果可作為教育及學術界未來人才培訓與研發方向之參考。

關鍵字

精神科職能治療,評估工具,問卷調查

並列摘要

The purpose of the study is to investigate the current status of the use of evaluation tools in mental health occupational therapy.
Fifty-four questionnaires were sent out to all psychiatric units where occupational therapy services are available. Thirty-eight questionnaires were returned and resulted in a 70% response rate. The results of the study showed that in occupational performance areas, the most frequent used evaluation tool is Chu's daily living functional scale (94%). In occupational performance components, the most frequent used evaluation tool for sensorimotor component is comprehensive occupational therapy evaluation; for cognitive integration and cognitive component, the most frequent used evaluation tool is Chu’s attention test (94%). In psychosocial skills and psychological components, the most frequent used evaluation tool are sentence completion and comprehensive occupational therapy evaluation (both are 94%). Most of the therapists utilized certain evaluation tools for treatment planning. The time required for the evaluation during different treatment period varied. It is between 35and 72 minutes. The percentage of doing evaluation during different treatment period also varied that it ranged from 57%to 92%.
The results of the study pointed out the current status of the use of evaluation tools in mental health occupational therapy. From the framework of uniform terminology, we found out that there are several areas in need of the development of adequate evaluation tools. The educators could use the results to implement appropriate educational curriculum. The researchers can base on the results to develop or modify suitable instruments for clinical usage.

並列關鍵字

mental health occupational therapy,assessment tools,survey