思覺失調症患者的生活技能：個案自評和職能治療師評估的差異

Differences of Life Skills Rating for Persons with Schizophrenia as Rated by Self and by Therapist

成冠緯(Kuan-Wei Chen) ； 謝清麟(Ching-Lin Hsieh) ； 吳明宜(Ming-Yi Wu) ； 李淑君(Shu-Chun Lee) ； 夏榮輝(Jung-Hui Hsia) ； 留淑婷(Shu-Ting Liu)

《職能治療學會雜誌》 34卷1期 (2016/06) Pp. 73-89

https://doi.org/10.6594/JTOTA.2016.34(1).04

摘要

本研究目的是檢驗思覺失調症個案與職能治療師以生活技能調查表評估生活技能結果之差異。研究者從台灣南部一間社區復健中心進行方便取樣，共邀請92位一般認知能力無明顯障礙的思覺失調症個案參與研究，個案以自填方式完成生活技能調查表，另由社區復健中心的職能治療師完成每位個案的生活技能調查表評分。結果發現個案自評與職能治療師評分生活技能調查表二者顯著不一致，個案自評分數於5 個分量表分數以及總分皆顯著高於職能治療師評估分數。因此建議臨床人員勿以單一結果判斷個案生活技能上的問題，應在個案主觀測量方式外合併使用客觀測量方法，才能全面了解個案的生活技能。

關鍵字

思覺失調症 ； 生活技能 ； 生活技能調查表

並列摘要

The Life Skills Inventory for individuals with physical disabilities was examined as a life skill measure for people with schizophrenia. We have recruited 92 individuals with schizophrenia who had no obvious general cognitive barriers from a community rehabilitation center in Southern Taiwan to participate in the study. All participants have completed the Life Skills Inventory and were rated by the center’s occupational therapists using the Life Skills Inventory at the same time. Results from this study show that the Life Skills Inventory in individuals with schizophrenia had great differences between clients’ self-report and occupational therapists’ ratings. The patients’ self-report scores were significantly higher than the therapists’ ratings in the total and subscales’ scores. The discrepancy challenges the accuracy and utility of the Life Skills Inventory for individuals with schizophrenia. It is concluded that when assessing life skills of people with schizophrenia, it is important not to use only one dimensional measure (whether self- report or professional assessment), but to combine subjective and objective measures in order to fully understand the complete picture of clients’ life skills.

並列關鍵字

Schizophrenia ； Life skills ； Life Skills Inventory