中風個案自陳職能治療服務需求與滿意度之探討

Clinicians' lack of understanding of the needs for occupational therapy (OT) and the satisfaction of OT in patients with stroke may decrease the efficiency of communication between therapists and patients, thereby reducing the patients treatment participation and OT efficacy. This study aimed to investigate the self-reported needs and satisfaction of OT in patients with stroke. The raters conducted one-on-one interviews using the ”Subjective Illness Experience Screening Measure for Patients with Stroke”. Out of the 14 items on the list, the participants chose up to three OT services, which they felt that they needed the most, ranked the needs by the order of importance and then expressed their satisfaction for these needs. Thirty-four patients participated in this study. The results showed that the three most needed OT services patients reported were motor training, home program education and self-care training. The three OT services with the highest level of satisfaction were the same as above. The four OT services with the lowest level of satisfaction were assistance in applying for allowance or certificate, recommendations for assistive devices and home modification and sensory training. Stroke patients were mostly satisfied with the three most important needs, but some of the OT needs were unmet. We recommend that therapists should be aware of patients self-reported needs and knowledge of OT services while planning treatment, in order to provide individualized services and enhance patients' functional recovery.