社區復健中心精神病人手部靈巧度與工作表現關係之探討

The Study of Relationships between Hand Dexterity and Vocational Performances for Psychiatric Patients in the Community Rehabilitation Centers

李淑君(Shu-Chun Lee) ； 賴冠宇(Kuan-Yu Lai) ； 李柏森(Posen Lee)

《臺灣職能治療研究與實務雜誌》 7卷2期 (2011/12) Pp. 97-105

https://doi.org/10.6534/jtotrp.2011.7(2).97

摘要

Objective: The Community Rehabilitation Center that provides individual psychiatric rehabilitation programs for clients is one kind of community psychiatric rehabilitation services in Taiwan. The purposes of this study were to discuss the hand dexterity the clients in these centers and the difference that induced by the gender, age, educational backgrounds and the characteristics of job oriented programs. Methods: The sample was from the four Community Rehabilitation Centers that belonged to a psychiatric hospital in Taipei City. The demographic data was collected by chart review and the results of Purdue Pegboard Test were collected in groups by four senior occupational therapists. Purdue Pegboard Test is a standardized test and used to assess the dexterity of hand functions. Results: Two hundred and five clients were from the four Community Rehabilitation Centers. There were 44.4% (91) males, 81.5% schizophrenia, 58.0% graduated from senior high school, and the average age was 39.01 years old. The average of the 5 subtests were 6.33 (average deviation = 2.39) by the dominated hand, 3.00 (average deviation = 2.24) by the non-dominated hand, 4.33 (average deviation = 2.05) by both hands, 15.33 (average deviation = 6.27) by the sum of the dominated, non-dominated, and both hands, and 5.33 (average deviation = 7.59) by assembly. Conclusions: The hand dexterity of female was slightly better than male in these four centers. The remunerations by the job oriented training programs were positive significant relative with the 5 subtests. There was no significant difference between the four centers and the 5 subtests. Finally, there was a significant difference between different job oriented programs and the 5 subtests. The hand dexterity of the clients in competitive employment was much better than that of the job oriented training assistants in these four centers. The hand dexterity of the job oriented training assistants was much better than that of the clients accepted job oriented training programs. In this study, we suggest that better hand dexterity satisfied the job skill concerned requirement for psychiatric clients. Besides, the dexterity of hand function could be one of the references for clinicians to set the goals of rehabilitation programs.

關鍵字

社區復健中心 ； 手部靈巧度 ； 精神病人

並列摘要

Objective: The Community Rehabilitation Center that provides individual psychiatric rehabilitation programs for clients is one kind of community psychiatric rehabilitation services in Taiwan. The purposes of this study were to discuss the hand dexterity the clients in these centers and the difference that induced by the gender, age, educational backgrounds and the characteristics of job oriented programs. Methods: The sample was from the four Community Rehabilitation Centers that belonged to a psychiatric hospital in Taipei City. The demographic data was collected by chart review and the results of Purdue Pegboard Test were collected in groups by four senior occupational therapists. Purdue Pegboard Test is a standardized test and used to assess the dexterity of hand functions. Results: Two hundred and five clients were from the four Community Rehabilitation Centers. There were 44.4% (91) males, 81.5% schizophrenia, 58.0% graduated from senior high school, and the average age was 39.01 years old. The average of the 5 subtests were 6.33 (average deviation = 2.39) by the dominated hand, 3.00 (average deviation = 2.24) by the non-dominated hand, 4.33 (average deviation = 2.05) by both hands, 15.33 (average deviation = 6.27) by the sum of the dominated, non-dominated, and both hands, and 5.33 (average deviation = 7.59) by assembly. Conclusions: The hand dexterity of female was slightly better than male in these four centers. The remunerations by the job oriented training programs were positive significant relative with the 5 subtests. There was no significant difference between the four centers and the 5 subtests. Finally, there was a significant difference between different job oriented programs and the 5 subtests. The hand dexterity of the clients in competitive employment was much better than that of the job oriented training assistants in these four centers. The hand dexterity of the job oriented training assistants was much better than that of the clients accepted job oriented training programs. In this study, we suggest that better hand dexterity satisfied the job skill concerned requirement for psychiatric clients. Besides, the dexterity of hand function could be one of the references for clinicians to set the goals of rehabilitation programs.

並列關鍵字

Community rehabilitation center ； Hand dexterity ； Psychiatric patients