肢體障礙學生輪椅類輔具使用滿意度研究

A Study of Satisfaction with Assistive technology for Physical Disabled Students Using Wheeled Mobility Devices

林映華(Ying-Hua Lin)

指導教授 ： 吳淑瓊

共同指導教授 ： 毛慧芬(Hui-Fen Mao)

國立臺灣大學/公共衛生學院/衛生政策與管理研究所/碩士(2008年)

https://doi.org/10.6342/NTU.2008.10623

摘要

身心障礙學生常因肢體受限導致無法順利完成學業。因此教育部規劃提供身心障礙學生學習輔具（assistive technology device）以及支持學生使用輔具之服務系統，以提供學生公平參與學習活動的機會。但目前輔具及提供服務的品質仍為未知。輔具使用者的滿意度調查則可幫助相關人員：補助者、服務提供者和廠商了解在服務過程中改善之處。但輔具使用的感受隨輔具種類型式而異，而輪椅類輔具（wheeled mobility device）是目前在學肢體障礙學生使用比率最高的輔具類別，故本研究以大專校院及高中職以上並接受教育部補助而使用輪椅類輔具（包含手動輪椅、電動輪椅及電動代步車）之學生為對象，調查學生對於輔具及服務的滿意度，並以媒合人與科技模式（matching person and technology model）為研究架構，探討影響滿意度的重要因素為何。
滿意度調查以台灣版魁北克輔具使用者滿意度調查量表（QUEST-T）為研究工具，滿意度相關影響因素則以自行編製之問卷調查，以電話訪問方式進行。樣本數共76人。分數以1~5分記算，QUEST-T平均總分為3.97，表示滿意程度介於中等程度滿意至滿意之間；與加拿大及荷蘭等輔具福利先進國家之調查結果無明顯差異。而不同的身心障礙等級、疾病診斷、自覺無障礙環境完善程度的差異、不同提供服務單位在QUEST-T總分或次量表分數上具顯著差異。
本研究結果驗證教育部提供大專校院及高中職學生之輔具和服務系統具良好成效。若欲提升滿意度及學生就學權益，無障礙環境的完善程度和提供服務單位的素質是補助者、服務提供者和學校等相關人員可介入改善之處。未來可進一步探討其他輔具服務成果指標如：功能的改善、生活品質、成本效益分析，以利國內輔助科技及服務之發展。

關鍵字

身心障礙 ； 滿意度 ； 輔具 ； 輪椅類輔具 ； 服務提供系統

並列摘要

Disabled students fail to finish their school work usually due to physical limitations. Therefore, Ministry of Education plans to offer these students assistive technology devices and relevant support system so that they can take part in their studies as the others. However, the quality of these devices and services currently remain unknown. A satisfaction investigation among the device users helps the people (assistant, service provider, and the manufacturer) to improve their jobs. The experience of using assistive device changes with the device type. The wheeled mobility device is the most popular type among the disabled students today. In this study, the students accepting assistance from Ministry of Education and using wheeled mobility devices (including manual wheelchair, power wheelchair and scooter) are adopted as targets and their satisfactions on the device and the service are investigated. Referred to the structure of Matching Person and Technology Model, the factors affecting the satisfaction are studied.
The satisfaction investigation is based on the the Taiwanese version of Quebec User Evaluation of Satisfaction with Assistive Technology（QUEST-T）. The satisfaction related factors are based on some unofficial satisfaction questionnaire according to review literature. Up to 76 samples are collected by telephone interview. The score QUEST-T adopts Likert-scale , and the average total score of QUEST-T is 3.97, the satisfaction is between moderate satisfied and satisfied. This is quite close to the advanced countries like Canada and Netherland. The total score of QUEST-T or the subscale score are significantly different among people with different disability level, diagnose, environment, and service provider.
Results confirm the good effect of devices and service delivery system to the university and high school students. To improve the satisfaction and the study rights of the students, the barrier-free environment and the quality of service provider can be improved by the assistant, service provider, and the school. In the future, other devices and services including function enhancement, life quality, and the cost-benefit analysis can be discussed to help the development of technology and the service.

並列關鍵字

disabled ； satisfaction ； assistive technology ； wheeled mobility device ； service delivery system

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