門診中風患者之輔具需求與滿意度分析

Demand and Satisfaction Analysis of Assistive Technology for Stroke Patients

本研究目的旨在探討門診腦中風患者之輔具需求與滿意度分析。腦中風對於個人造成嚴重的生理及心理傷害，同時造成個人、家庭與社會龐大的照護負擔。而輔具是中風患者改善生活品質的一項重要輔助器材。因此，本研究以中部某區域教學醫院具腦血管疾病就診及住院紀錄的患者為對象，採全面普查之方式，在徵得受訪者同意受訪之情況下取得165位受訪樣本進行面訪調查。研究結果顯示165位樣本的分佈，主要以男性七十歲以上且為第一次輕度中風之患者為主，其日常活動功能評估（巴氏量表）正常者佔整體樣本的70.9%。需要輔具者佔整體樣本之41.2%（68人），實際使用輔具於生活中者佔47.3%（78人）。在輔具使用的人口學特質中，年紀以70歲以上之受訪者為主佔62.8%，性別以男性為主佔60.3%，照顧型態以家人照顧為主佔50.3%，中風類型以輕度中風為主佔75.8%。這樣的結果顯示，具有這些特質的受訪者其使用輔具的比例明顯偏高。若以巴氏量表之失能情況加以分析，當失能發生時，其輔具使用的情形幾乎高達九成（輕度失能：92.9%，中重度失能：85.0%，極重度失能：92.9%）。最常使用的輔具類型為行動類輔具(76.9%)、沐浴如廁類輔具(10.6%)與裝具類(3.8%)，其使用之滿意度皆可達到8成以上。

Stroke usually causes serious injury to individuals both physically and psychologically, and it becomes a heavy burden for individuals, families and society to care for these patients. However, with the help of aids, patients can significantly improve their quality of life. In this study we did a demand and satisfaction analysis of aids for stroke patients. The subjects were ischemic stroke patients in the outpatient department of a regional teaching hospital in central Taiwan. A total of 165 subjects were interviewed. The results showed that 60.3% were male, 62.8% were aged over 70, 50.3% were cared for by families, and most had suffered their firstever ischemic stroke. More than 90% of the stroke patients (mild: 92.9%, moderate: 85.0%, severe: 92.9%) used assistive devices. The most commonly used types of assistive devices were: mobile aids (76.9%), bathing aids (10.6%) and device aids (3.8%). Satisfaction with the use of aids approached 80%.