精神科慢性病人接受職業復健之主觀經驗

Chronic Psychiatric Patients' Experiences While Participating in a Vocational Rehabilitation Program

潘再鎔(Zai-Rong Pan) ； 陳淑齡(Shu-Ling Chen) ； 李世凱(Shih-Kai Lee) ； 楊政議(Cheng-I Yang)

《精神衛生護理雜誌》 16卷2期 (2021/09) Pp. 22-30

https://doi.org/10.6847/TJPMHN.202109_16(2).03

摘要

職業復健幫助精神病人具備工作能力及取得工作機會、促進病人康復並改善其生活品質，然目前研究多以量性研究檢視職業復健成效，缺乏當事者經驗之相關研究。本研究旨在了解慢性住院精神病人接受職業復健的主觀經驗，採質性研究，立意取樣方式，訪談12位參與職業復健計畫之慢性精神病人，並以內容分析法進行資料分析與歸類，將研究結果歸納為四大主題：「職業復健的意涵」、「內在挑戰」、「不友善的職業復健環境」，以及「支持與維持」。整體而言，職業復健對於病人具有多重意義，但過程中也有許多挑戰及負面感受，具備支持自己繼續接受職業復健的力量，將有助於克服困難與挑戰。本研究結果將提供專業人員了解病人參與職業復健的主觀經驗，在病人訓練過程中可給予適當支持，以協助其工作訓練之規劃與調整，並可做為未來教學及研究之參考。

關鍵字

職業復健 ； 慢性精神病人 ； 質性研究

並列摘要

Vocational rehabilitation enables psychiatric patients to regain the capacity to work, helps them obtain work opportunities, facilitates their recovery, and improves their quality of life. However, existing studies on vocational rehabilitation have mostly applied quantitative approaches and examined the treatment effects of vocational rehabilitation on patients. Research on the experience of patients participating in vocational rehabilitation programs is unavailable. This study aimed to explore the experiences of hospitalized patients with chronic psychiatric disorders who received vocational rehabilitation. A qualitative research method with purposive sampling was adopted, and 12 psychiatric patients involved in vocational rehabilitation projects were interviewed regarding their experiences. Data analysis and classification were performed using content analysis. The results were categorized into four major themes: ＂the meaning of vocational rehabilitation,＂ ＂inner challenges,＂ ＂an unfriendly vocational rehabilitation environment,＂ and ＂support and persistence.＂ Overall, the patients had multiple interpretations of the meaning of vocational rehabilitation, and also faced numerous challenges and negative feelings during the rehabilitation process. Certain supports can help them battling with the difficulties and challenges, and engaging in vocational rehabilitation. Our research findings will inform professionals to gain an understanding of patients' experience in vocational rehabilitation and to provide individualized supports in planning and adjusting for job training during the rehabilitation. It also serves as a reference for education and future research.

並列關鍵字

vocational rehabilitation ； chronic psychiatric patient ； qualitative research

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