台灣職能治療師服務癌症患者調查

Survey of Occupational Therapy Service for Persons with Cancer in Taiwan

賀筱涵(Hsiao-Han Ho)

指導教授 ： 陳瓊玲

中山醫學大學/醫學科技學院/職能治療學系/碩士(2022年)

https://doi.org/10.6834/csmu202200123

摘要

背景：癌症存活是癌症治療中的一個獨特階段，但國內少有職能治療介入癌症存活者的相關研究。
目的：1.調查目前國內職能治療師服務癌症病人的經驗；2.職能治療師對癌症服務的知識及其相關因素；3.職能治療師對癌症職能治療的觀念；4.職能治療師參與癌症職能治療服務意願及其相關因素。
方法：以方便取樣徵招有執業登記的職能治療師為研究參與者，以自編問卷進行線上調查。用SPSS26.0進行t檢定、單因子變異數分析、皮爾森積差相關分析等統計分析。
結果：參與者平均年齡32.48歲，執業年資三年(含)以下及以在區域醫院執業居多，超過半數參與者於臨床有接到癌症個案。參與者回答了關於轉介時機、最常解決的相關問題、哪些未得到改善及額外培訓和教育等癌症職能治療觀念。部分人口學資料及臨床服務經驗對癌症服務相關知識及癌症服務意願有顯著較高；癌症服務相關知識、癌症職能治療觀念與癌症職能治療服務意願為正相關。
結論：職能治療師應提供癌症個案治療介入，幫助癌症存活者回歸生產性職能及自我照顧相關之職能，促進對職能的關注可能有助於其他醫療專業人員認識到職能治療的介入。

關鍵字

癌症存活 ； 癌症職能治療 ； 服務意願

並列摘要

Background: Although cancer survivorship is a unique stage across the cancer care continuum, there is very little research about occupational therapy interventions for cancer survivors in Taiwan.
Purpose: This study aimed: 1. to overview the experience of occupational therapists working with cancer survivors 2. to explore occupational therapists’ knowledge of cancer care and its related factors 3. to overview occupational therapists’ attitudes toward occupational interventions in cancer 4. to explore occupational therapists’ willingness of occupational interventions in cancer and its related factors.
Methods: Registered occupational therapists were enrolled by convenience sampling with a cross-sectional online survey. Responses were analyzed and tested by independent t-test, one-way ANOVA and product-moment correlation by SPSS 26.0.
Results: The average age of participants was 32.48. Most of their clinical experience was for three years and below and in regional hospitals. Over half of the participants had worked with cancer survivors in clinical. The timing to refer cancer survivors, the most frequent occupational therapy interventions for cancer-related problems, problems without occupational therapy interventions, and what kind of extra training or education were identified by participants. Some demography and clinical experience were related to cancer care related knowledge and the willingness to participate in cancer occupational therapy. Cancer-related knowledge and cancer occupational therapy attitudes were related to the willingness to participate in cancer occupational therapy.
Conclusion: Occupational therapists offer cancer-related interventions to help cancer survivors back to productive and self-care related occupations. Promoting the focus on occupations may help other health professionals to recognize occupational therapy interventions. As there are still some limitations in this study, it is recommended to continue to clarify the related issues based on the outcomes of this study.

並列關鍵字

cancer survivor ； cancer occupational therapy ； willingness to service

參考文獻

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