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Please use this identifier to cite or link to this item: http://ir.lib.stu.edu.tw:80/ir/handle/310903100/767

Title: 早期療育機構中輔具需求之現況調查研究
A Study on the Current Status of the Demand of Rehabilitation Assistive in Early Intervention Institutes
Authors: 安蘭桂
An, Lam-Kuei
Contributors: 周俊良
Chou, Chun-Liang
幼兒保育學系
Keywords: 早期療育機構;發展遲緩幼兒;輔具;需求
early intervention institutions;children with developmental delay;rehabilitation assistive;need
Date: 2005
Issue Date: 2011-05-23 16:35:16 (UTC+8)
Publisher: 高雄市:[樹德科技大學幼兒保育學系]
Abstract: 早期療育機構中輔具需求之現況調查研究
摘要
本研究係以南部四縣市(屏東縣、高雄市、高雄縣、台南市、台南縣、嘉義市、嘉義縣)有辦理早期療育之社會福利機構為研究對象,以問卷調查方式,探究早期療育機構中,提供輔具服務的各種問題面向。針對四種不同職務如:機構行政人員、治療師、社工師、特教老師或教保人員等,進行問卷填答。研究結果,獲得下列結論:
一、 早期療育機構對輔具需求的現況
(一) 早療機構收托之身心障礙幼兒輔具需求,以多重障礙、肢體障礙為最多。
(二) 提供輔具服務最多的項目是提供輔具諮詢。
(三) 經費來源不足是提供輔具最主要的困難因素,最少困難者為提供輔具諮詢。
(四) 選擇輔具時最主要的考量因素為提供個案有效幫助。
(五) 機構符合需求的輔具以擺位輔具及坐姿擺位輔具最能符合需求。
(六) 機構無障礙環境以斜坡道最符合,而電梯提供無障礙設施最不符合需求。
(七) 機構最需增設的輔具為教育訓練器材,其次是生活類輔具。
二、 早療機構之不同背景變項對其輔具需求之差異
(一)早療機構機構會為障礙之幼兒,會提供通報轉介的服務,亦會為數種不同障礙類別幼兒提供一對一個別教學及感覺統合的訓練。而私營的早療機構在經費的運用上,比公營機構更有自主性。
(二)私營機構在提供輔具服務時,多數服務均比公立機構做得好。
(三)影響機構提供輔具服務,最主要因素是宗教屬性。
(四)療育機構提供輔具服務最困難的項目為在宅療育,足見到宅服務對於輔具的提供,有一定的困難性。
(四)天主教與基督教比其他宗教會考量到,對個案有效幫助。影響機構選擇輔具的因素,以提供一對一個別教學時較高。
(五)屏東縣早療機構多數輔具符合需求程度大於其他縣市,財團法人在多數的輔具提供符合程度大於其他類型機構。經營形式是影響輔具符合需求最重要的因素。
(六)高雄市早療機構,無障礙環境緊急疏散通路優於其他縣市,電梯提供無障礙設施以台南市優於其他縣市。在宅療育是影響無障礙環境符合需求的重要因素。
(七)機構急需增設的輔具有移行輔具、生活類輔具、教育訓練輔具、聽覺類輔具及矯正輔具等。
三、早療機構人員背景變項對於機構輔具需求的差異
(一)個人服務年資及職位的不同,是影響機構在提供輔具服務、輔具的選擇、輔具符合個案需求的程度及決定機構急需增設輔具的主要因素。
(二)個人其他服務年資是在提供輔具服務困難中,找出問題的癥結的主要變項。亦在選擇輔具有較高的關聯性。
(三)職位的不同,是影響機構中無障礙環境符合需求與否的重要因素。
本研究針對結論提出具體建議,俾供相關主管機構、早期療育機構、早期療育機構服務人員及後續研究者之參考。
關鍵字:早期療育機構、發展遲緩幼兒、輔具、需求。
A Study on the Current Status of the Demand of Rehabilitation Assistive in Early Intervention Institutes
Abstract
This study is targeted at seven cities and counties in Southern Taiwan (Pintung County, Kaohsiung City, Kaohsiung County, Tainan City, Tainan County, Chiayi City, Chiayi County). These cities and counties have social welfare institutions like early intervention centers. I use questionnaires to investigate how rehabilitation assistive is provided in the early intervention institutes. The testees include administrative personnel, therapists, specialists for social work, and teachers of special education, etc. of institutions. The result can be summarized as follows:
I. The current status of the demand of rehabilitation assistive in early intervention institutions
1. The children with multiple disabilities and physical disability need rehabilitation assistive most urgently.
2. Most of the services for providing rehabilitation assistive are counseling service.
3. The most difficult problem in services is the lack of finances; counseling service is the easiest service.
4. The most important factor of choosing rehabilitation assistive is how to effectively help with each individual case.
5. The most satisfactory rehabilitation assistive are those for adjusting gestures, especially sitting gestures.
6. In terms of disability-free surroundings, the slope path is the most satisfactory. But elevators need disability-free equipment most urgently.
7. The equipment for educational training is the most needy, so is the rehabilitation assistive for daily life.
II. The demand of rehabilitation assistive varies with different backgrounds of early intervention institutions
1. Early intervention institutions provide children with intellectual disabilities with the services of reporting and transferring. They also provide individual teaching and the training of perception unity for children with intellectual disabilities. The study shows that private early intervention institutions are more autonomous in using budgeted funds than public early intervention institutions.
2. Averagely speaking, private institutions offer better services than public ones. Religion is the determining factor affecting the service quality.
3. It is the most difficult service to go to the homes of children with intellectual disabilities to take care of them.
4. Catholics and Christianity are most instrumental in dealing an individual case. The one-to-one teaching may affect the choice of rehabilitation assistive.
5. Pintung County is the best in satisfying the need of rehabilitation assistive. And among all kinds of institutions, corporate institutions are the best in providing services. The way of how to run an institution is the most important factor affecting service quality.
6. Kaohsiung City is second to none in constructing paths for emergencies in disability-free surroundings. In addition, Tainan City is the best in providing disability-free equipment for elevators. It depends on medical service at home whether the disability-free surroundings are qualified.
7. The most needy rehabilitation assistive are those for moving, for daily life, for educational training, for listening, and for correcting.
III. The demand of rehabilitation assistive in early intervention institutions varies with personal background
1. Personal seniority and position are the major factor affecting service providing, the choice of rehabilitation assistive, users’ satisfactory degree, and the purchase of the most needy rehabilitation assistive.
2. Personal service seniority is deeply associated with the choice of rehabilitation assistive. Seniority also helps resolve the difficulty in the service of providing rehabilitation assistive.
3. Position can make an important influence on whether the disability-free surrounding is qualified.
This study also offers some advices as references for the related administrations, early intervention institutions, the administrative personnel of early intervention institutions, and other follow-up researchers.
Key Words: early intervention institutions, children with developmental delay, rehabilitation assistive, demand
Appears in Collections:[兒童與家庭服務系(所)] 博碩士論文

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