- 期刊
- OpenAccess
一公立精神專科醫院病友職能工作訓練情形之十年追蹤分析
A 10-Year Retrospective Analysis of Items and Benefits of Job Training in a Public Psychiatric Hospital
摘要
本研究旨在分析某精神專科醫院提供慢性精神病友之工作訓練資料，期望透過本研究之分析結果，作為評價職能治療工作之成果與未來工作訓練方向之依據。本研究採回溯性之世代描述研究；研究母群體為西元2000至2009年十年間接受某精神專科醫院工作訓練之住院精神病友共1,019人。研究者將十年檔案以Excel軟體彙整後，共獲得43,927筆（人次），利用SPSS14.0版統計軟體分析基本資料，及Excel樞紐分析十年間工作訓練項目、百分率、獎勵金之差異性情形。資料分析結果十年間工作訓練項目共有27項，分別為中西餐烘焙、洗車、洗衣、清潔、動力小舖、書坊、交流店、花坊、綠化等，其中以代工場(23.24 %)、庶務(13.07 %)、綠化(12.66 %)、清潔(10.9 %)等四項之比率最高，合計達59.87%。十年的工作訓練獎勵金總產值為新台幣28,395,158元，平均年產值2,839,516元，十年間獎勵金之變化呈現正成長。由資料分析發現在2002年及2005年獎勵金出現大幅度成長，成長率分別為40.8 %及30.4 %。由獎勵金分佈情形來看，十年中之前2 年以代工場獎勵金最高，自2005年至2009年獎勵金比率最高及次高分別為中西餐烘焙及洗衣坊。工作訓練所創造的產值說明了精神障礙者在接受治療期間亦可扮演生產者角色，而職能治療師提供工作復健，對病友取得其生產性角色具有重要的意義，足以作為其臨床工作成果之依據。
並列摘要
The aim of this study was to analyze the outcome of job training programs provided in a psychiatric hospital for clients with chronic mental illness. This was a retrospective cohort study with 1,019 clients receiving job training between 2000 and 2009. Results showed 27 training programs provided, including cooking and baking, laundry, cleaner, breakfast shop, laundry, industrial work, general office work, etc. The data through the 10-year period included 43,927 visits. The data were analyzed by SPSS 14.0 and Excel pivot table. Among the training programs, industrial work (23.24%), general office work (13.07%), laundry (12.66%), and cleaner (10.9%) were popular and accounted for 59.87% of the total job training programs provided. The incentives for clients over the 10-year job training were around $28,395,158 New Taiwan Dollars (NTD) and the average annual incentives were $2,839,516 dollars. The incentive growth showed an increasing trend over the 10 years, with significant increases in 2002 and 2005 with the growth rates of 40.8% and 30.4%, respectively. The results provide evidence for the outcome of job training by occupational therapists for clients with chronic mental illness.