提升精神科復健病人工作訓練參與率專案

A Project to Raise Rates of Participation in Occupational Training among Rehabilitative Psychiatric Patients

鄧美玲(Mei-Lin Teng) ； 薛素霞(Su-Hsia Hsueh) ； 張翠真(Jang-Jen Chang) ； 賴怡錦(I-Chin Lai) ； 林清壽(Ching-Show Lin)

《精神衛生護理雜誌》 5卷1期 (2010/10) Pp. 40-47

https://doi.org/10.6847/TJPMHN.201010_5(1).0005

摘要

工作訓練為精神科復健病房主要復健項目之一，其成果具有整體復健成效的指標意義。本專案執行期間2005年6月1日至2006年3月31日，旨在提升精神科復健病人工作訓練參與率，經由資料收集及訪談，確定問題為：工作人員未積極推動病房內工作訓練、院內工作訓練項目及轉介機會少、家屬不了解工作訓練之重要性、無獎勵辦法且病人缺乏工作訓練動機、申請及訓練過程繁複。針對問題研擬的改善方案包括：開創病房內工作訓練機會、製定獎勵辦法及定期召開支持性工作訓練團體、聯繫家屬說明復健病房的治療目標及對病人的工作訓練、工作人員觀察及評估病人工作能力，依病人意願及個別性安排適合的病房內工作訓練。執行後復健病人工作訓練參與率由4%提升至78%，且病人對工作訓練的動機及持續度增加，已達專案設定之目的，故此介入方案可作為其他精神科復健病房參考。

關鍵字

精神科復健病房 ； 工作訓練 ； 動機

並列摘要

Occupational training is one of the main tasks of rehabilitation programs in psychiatric rehabilitation wards. The rate of participation in occupational training has been used as an indicator of the effectiveness of rehabilitation programs. This project aimed to raise that rate among psychiatric patients. According to previous studies and data available to us, a low rate of participation in occupational training may result from several factors, such as lack of motivation, lack of incentives, scarcity of job opportunities and of variety of job opportunities, and the tediousness of referral procedures, etc. Patients' families, moreover, may not be well informed about the goals of occupational training, and may therefore not know how to cooperate and support the rehabilitation programs. Our staff members had had little involvement in promoting occupational training. It was for these reasons that we developed this project. We first tried to create more job opportunities, incentives and positive enhancements for patients, and established periodic support group meetings for working patients. Then we encouraged more family involvement in rehabilitation programs, to enhance their understanding of the goals of occupational training. Finally, patients were assigned jobs individually, after detailed assessments of motivation and functionality. The patients' rate of participation in occupational training was increased from 4% to 78% after implementation of the project, which we believe may usefully be considered by other psychiatric rehabilitation wards.

並列關鍵字

psychiatric rehabilitation ward ； occupational training ； motivation