某精神科日間留院復健治療環境之改善方案

Improvement of Therapeutic Milieu for Rehabilitation in Psychiatric Day-care Ward

當復健治療環境無法滿足病患需求時，容易造成學習動機下降，並排斥其到院接受復健治療。本專案藉由改善精神科日間留院復健治療環境，經現況分析歸納為：人為、方法、硬體及流程四大方面，探討病患對復健治療環境滿意度偏低的原因，並進行改善方案。透過病患分組給予雙重關懷，創造溫馨的復健環境，訂定每週每位病患固定會談治療時間，依病患的個別功能規劃多元性團體治療課程，並設計完整復健工作訓練流程等五項對策實施。歷經六個月的執行，結果顯示病患對復健治療環境滿意度已由67.4%提昇至89%，出席率由79%提昇至90%，足以證明本改善方案值得持續推行。

The dissatisfaction with rehabilitation milieu would decrease the patient's learning motivation and willingness to accept rehabilitation programs in a hospital. This work explores the rooted causes of low satisfaction with therapeutic milieu for rehabilitation in the psychiatric day-care ward in terms of behavior, strategy, hardware and process. An improvement plan was initiated to enhance the efficacy of rehabilitation milieu. To do so, the patients were divided into groups for therapists to provide more intensive and direct care. A warm rehabilitation milieu was then created. Next, a routine talk with each patient was scheduled and diversified group treatment courses were also planned based on patient's individual function. Furthermore, a comprehensive rehabilitation training program was established. The results show the satisfaction rate of rehabilitation milieu was improved from 67.4% to 89% and the attendance rate increased by 79% to 90% after implementing the proposed plan for six months. This improvement plan has been proved to be effective and is worth implementing.