職能治療提升巴金森氏症末期患者心理安適－個案報告

目的：探討職能治療提升長照機構末期患者之心理安適感之效益。病例報告：個案為75歲巴金森氏症末期之女性患者。職能治療於99年6月至12月間，運用人類職能模式做為臨床依據，以半結構會談及職能能力評量住民勝任感之成效。結論：個案獲得充實的生活經驗及思考歷程。當個案依意志參與生活時，可改善被動因應他人及環境的習慣。職能能力評量結果由1.33分提升至2.33分。同時個案使用肢體語言表達主觀感受的能力提升。本文介紹之治療策略及人類職能模式可做為未來臨床之參考。

關鍵字

長期照護；精神職能治療；心理安適感

並列摘要

Objectives: The purpose of this article is to explore how occupational therapy is able to promote the psychological well-being of a resident in a long-term care facility. Case report: The client is a 75 years old woman with terminal stage Parkinsonism. The occupational therapy approach was applied from June 2010 to December, 2010. The approach was based on the Model of Human Occupation. We used a semi-structure interview and occupational competence assessment to sum up the client's helpfulness in terms of volition and occupational competence. Discussions: The client showed improvements in her satisfied life experiences and thinking processes. Furthermore, the client changed from being in a habitually passive condition to one involving increased volition. Using occupational competence assessment, the client's score was improved from1.33 to 2.33. We will discuss our findings using the Model of Human Occupation and explore the therapeutic strategies available when treated end-stage Parkinsonism. The findings should useful offer clinical references that will help related staff involved in long-term care.

並列關鍵字

long-term care ； psychiatric occupational therapy ； activity participation erapy ； Activity participation

國際替代計量

職能治療提升巴金森氏症末期患者心理安適－個案報告

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