| Abstract: | 目的：輔具是協助身心障礙者改善或維護身體功能重要的設備。台灣雖然有提供輔具給付，但是有研究指出輔具申請程序繁瑣、未經專業諮詢等問題，導致申請輔具意願下降。本研究目的探討復健個案對輔具的知識及態度對申請輔具意願之相關因素。
方法：採橫斷性調查使用結構式問卷進行，研究對象為中部某區域教學醫院並同意受訪復健個案及主要照顧者，受訓過訪員進行面對面訪談蒐集資料，蒐集期間為2017年1月1日至2017年5月31日。使用相關分析及T檢定進行分析。
結果：110位個案中男性66位(60%)，女性44位(40%)，平均年齡64.5歲(SD:15.5歲)。平均ADL分數50.4分(SD:34.3分)，呈現中重度失能。若輔具知識認為輔具是協助獨立自主(p=0.032)、能協助行走功能(p=0.026)及協助移位或轉位功能(p=0.044) ，願意申請輔具。對輔具的態度認為使用輔具會生活便利（p=0.033）及能提升與他人的互動（p=0.007）也願意申請輔具。
結論:復健個案願意申請輔具與協助日常生活更加方便，能協助行走及移動能力，並且能與他人互動為最主要因素。本研究結果希望提供政府訂定推廣輔具申請相關政策之參考。
Objective: Assistive devices can help people with disabilities improve or maintain their physical function. In Taiwan, financial subsidies are offered for assistive device applications, however, the process is complicated and without professional consultation, resulting in the lack of willingness to apply. The present study aims to investigate the factors influencing the willingness of disabled people to apply for assistive devices, as well as their knowledge about and attitude towards the devices.
Method: Cross-sectional survey design. Participants were recruited from the rehabilitation department of a regional teaching hospital in central Taiwan. A face to face interview was held with the disabled participant and the main caregiver by a well-trained investigator. The data collection was from Jan, 1, 2017 to May, 31, 2017. Correlation analysis and the T-test were used for analysis.
Result: 110 subjects participated in the study, including 66 men (60%) and 44 women (40%), mean age 64.5±15.5 years-old. Their average ADL score was 50.4±34.3, presenting a medium to severe the disability level. Participants who think that assistive devices can create some form of independence (p=0.032), can be an aid for ambulation (p=0.026), and assist in transferring (p=0.044) would be more willing to submit applications. Moreover, those with positive attitudes, like acknowledging that assistive devices can make life more convenient（p=0.033）, and improve interaction with others（p=0.007） are also more likely to submit application.
Conclusion: Patients who think assistive devices can make their lives more convenient, help them transfer and ambulate, as well as improve their interaction with others are most likely willing to apply for an assistive device subsidy. Results of this study can assist the government in formulating relevant policies for the promotion of assistive devices. |
