科技部專題研究計畫主持人
MOST 109-2410-H-016-001 -SSS
機構成年智能障礙者長期適應情形影響因子探討:一年期縱貫型追蹤研究
Influencing factors of inappropriate adjustment among adults with intellectual disability in the institution: a follow-up study
科技部
Ministry of Science and Technology
國防醫學院公共衛生學系
National Defense Medical Center, School of Public Health
林富宮
LIN, FU-GONG
國防醫學院公共衛生學系
National Defense Medical Center, School of Public Health
林富宮
教授
(02)8792-3100#18449
fugong@mail.ndmctsgh.edu.tw
計畫執行期間起:2020-08-01
計畫執行期間迄:2022-07-31
2021-11-22
2022-04-25
機構成年智能障者
1
003,096
07
智能障礙、適應不良、友伴關係、長期追蹤
Intellectual disability, inappropriate adjustment, friendships, longitudinal follow-up
背景 智能障礙者需要較多的照護資源與社會支持,機構的發展也是為了減輕家庭的負擔。機構照護上也由過往的照護方式轉以讓智能障礙者有能力於社區中適應甚至是能獨立生活為目標。而機構內的成年智能障礙者其於機構中的適應狀況,影響著其日後之生活獨立、技能培養、社會適應及回歸社區生活自理的結果。 目的 一、長期追蹤並記錄成年智能障礙者於機構中之適應情形 二、瞭解影響成年智能障礙者於機構環境中適應狀況之變化及影響因子 方法 研究對象為使用機構服務之成年智能障礙者,包含24小時全日型照護、夜間照護、日間照護、以及小作所等。研究期間委請孰悉該智能障者之機構內照護者以觀察的方式填寫問卷,每3個月記錄一次共調查2個波次。在共2波調查中,有任1波次於機構適應不良視為本研究之依變項,自變項皆使用第1波次資料。使用羅吉斯回歸分析機構智能障礙者基本特質、生活品質以及友伴關係等對於機構內適應不良之影響。 結果 研究對象共83人。機構適應不良第一波25人(30.1%),第二波26人(31.3%);在2波調查裡面,有任1波機構適應不良為37人(44.6%)。有精神徵狀比例為13.3%。影響機構成年障礙者機構內適應不良之因素為照護型態以及友伴關係。照護型態為24小時全日型相較於使用日間照護為危險因子,風險比為3.77(95% CI=1.09-13.00)。友伴關係則為機構內不良適應之保護因子,風險比為0.41(95% CI=0.20-0.83)。 結論與建議 本研究之PIMRA量表機構適應不良之點盛行率分別為30.1%跟31.3%,與國外研究調查全部智能障礙者包含機構與非機構之適應不良數據相近(27.5%)。本研究結果顯示影響機構智能障礙者機構適應的變項為照護型態以及友伴關係。建議機構照護者可以增進智能障礙者的社會參與、練習自我照護技能、加強友伴關係以增進其於機構內適應。
Background People with intellectual disabilities need more care resources and social support, and the development of institutions is also to reduce the burden on families. Institutional care has also shifted from the past care methods to enable people with intellectual disabilities to be able to adapt to the community and even live independently. The adaptation status of adults with intellectual disabilities in institutions affects their future independence, skills development, social adaptation, and return to community life. Purpose The aim of this study were1. to record the inappropriate adjustment in people with ID in institution, and 2. to explore the influencing factors of inappropriate adjustment among people with ID in the institution. Method The research objects are adults with ID who use institutional services, including 24-hour full-day care, night care, day care, and small workshops. The questionnaires for an individual with ID were completed by that individual’s main caregivers from the institution. The questionnaire was recorded every 3 months for 2 waves of investigation. Logistic regression was used to analyze the influence of basic characteristics, quality of life, and companionship of people with ID on inappropriate adjustment in the institution. Results It included 83 samples in this study. There were 25 people (30.1%) in the first wave of inappropriate adjustment, 26 people (31.3%) in the second wave, and 37 people (44.6%) who ever had inappropriate adjustment in the entire study period. The prevalence of having at least one psychiatric symptom was 13.3%. Caregiving and friendship were associated with inappropriate adjustment among adults with ID in the institution. Conclusions and recommendations The point prevalence rates of inappropriate adjustment were similar to other research (27.5%), which included people with ID in institutions and non-institution. The results of this study show that the variables that affect inappropriate adjustment for persons with ID are caregiving style and companionship. It is suggested that caregivers can enhance social participation of persons with ID, practice self-care skills, and strengthen peer relationships to improve their adjustment in institutions.
是,已處理
除檢查有無可識別個人身份資料外,另檢查個案編號是否重複、變項及選項數值說明是否與問卷一致或未被定義,發現前述狀況時,將於確認後協助修改。
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