台灣地區立案老人長期照護機構對物理治療人力與需求的調查

Manpower and Need of Physical Therapy in Licensed Long-Term Care Facilities in Taiwan: A Survey

熊嘉玲(Chia-Ling Hsiung) ； 林光華(Kwan-Hwa Lin) ； 吳肖琪(Shiao-Chi Wu) ； 胡名霞(Ming-Hsia Hu) ； 林昭宏(Jau-Hong Lin) ； 郭美英(Mei-Ying Kuo)

《物理治療》 25卷6期 (2000/11) Pp. 317-335

摘要

Purpose: to investigate the needs for physical therapy service in licensed long-term care (LTC) facilities and the content of physical therapy service. the professional manpower, and service satisfaction﹒ Methods: Questionnaires were mailed to chief administrators of licensed LTC institutions in Oct, 1998. The correspondence rate was 89% with 100 usable replies. Subjects were randomly selected through the multistage sampling method stratified according to the type of facilities, ownership and geography, 437 residents with stroke, dementia, heart disease, spinal cord injury etc. were selected and evaluated by physical therapists auring site visit Nithin the period of March to June of 1999. The physical therapy impairment assessment (PTIA) and functional independence measure (FIM) were used to assess the need for physical therapy management. The interrater reliability of PTIA was examined by intraclass correlation coefficient which was 0.94. The validity of PTIA was examined by Pearson correlation coefficient which was 0.85 (p ＜ 0.001). Results: Most subjects in nursing homes were bedridden, and those in adult centers were ambulatory. 111e marital status, education, and economic status were different between nursing homes and adult care centers. 76.7% of subjects would accept PT if provided. The most commonly utilized physical therapy services were strength training, range of motion and therapeutic exercise for nursing home residents. Services such as balance training, ambulation training, and strength training were most common prescritions for adult care center residents. The predicted needful physical therapists in nursing homes was 285 (low prediction) to 640 high prediction), and 957 to 1516 for adult care centers. Conclusion: the need of physical ther apists in LTC facilities is ligy. The physical therapy profession as a whole should improve communication with administrators and residents of LTC facilities and provides opportunities for them to know what PT profession can offer.

關鍵字

物理治療 ； 長期照護 ； 需求

並列摘要

Purpose: to investigate the needs for physical therapy service in licensed long-term care (LTC) facilities and the content of physical therapy service. the professional manpower, and service satisfaction﹒ Methods: Questionnaires were mailed to chief administrators of licensed LTC institutions in Oct, 1998. The correspondence rate was 89% with 100 usable replies. Subjects were randomly selected through the multistage sampling method stratified according to the type of facilities, ownership and geography, 437 residents with stroke, dementia, heart disease, spinal cord injury etc. were selected and evaluated by physical therapists auring site visit Nithin the period of March to June of 1999. The physical therapy impairment assessment (PTIA) and functional independence measure (FIM) were used to assess the need for physical therapy management. The interrater reliability of PTIA was examined by intraclass correlation coefficient which was 0.94. The validity of PTIA was examined by Pearson correlation coefficient which was 0.85 (p ＜ 0.001). Results: Most subjects in nursing homes were bedridden, and those in adult centers were ambulatory. 111e marital status, education, and economic status were different between nursing homes and adult care centers. 76.7% of subjects would accept PT if provided. The most commonly utilized physical therapy services were strength training, range of motion and therapeutic exercise for nursing home residents. Services such as balance training, ambulation training, and strength training were most common prescritions for adult care center residents. The predicted needful physical therapists in nursing homes was 285 (low prediction) to 640 high prediction), and 957 to 1516 for adult care centers. Conclusion: the need of physical ther apists in LTC facilities is ligy. The physical therapy profession as a whole should improve communication with administrators and residents of LTC facilities and provides opportunities for them to know what PT profession can offer.

並列關鍵字

Physical therapy ； Long-term care ； Need