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研究生: 楊玫齡
Yang, Mei-Ling
論文名稱: 脊髓損傷者障礙適應與成功就業之相關性研究(以桃園地區為例)
Disability Acceptance and the Successful Employment Relevance on People with Spinal Cord Injury
指導教授: 林幸台
Lin, Hsin-Tai
邱滿艷
Chiu, Man-Yen
學位類別: 碩士
Master
系所名稱: 復健諮商研究所
Graduate Institute of Rehabilitation Counseling
論文出版年: 2017
畢業學年度: 105
語文別: 中文
論文頁數: 77
中文關鍵詞: 脊髓損傷者障礙適應成功就業
英文關鍵詞: disability acceptance, successful employment, people with spinal cord injury
DOI URL: https://doi.org/10.6345/NTNU202203244
論文種類: 學術論文
相關次數: 點閱:143下載:0
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  • 本研究旨在探討脊髓損傷者障礙適應與成功就業相關性,研究採調查研究法,係以『障礙適應量表-修訂版』中文修訂刪除版之「擴展個體的價值範圍」因素與「身體功能與障礙適應」因素蒐集研究資料,研究對象為桃園市脊髓損傷協會之會員,有效樣本 147 人並以 SPSS 22.0版套裝軟體進行資料處理與分析,研究結果如下:
    一、 脊髓損傷者在障礙等級對於「擴展個體的價值範圍」的程度有差異,性別、年齡、教育程度、障礙期間等背景變項則無差異。
    二、 脊髓損傷者影響成功就業的相關因素中,女性於職場上較男性容易重返就業市場;年齡層 31~40 歲者有較高的勞動力;教育程度較高者讓脊髓損傷者面對就業市場時有更多選擇。
    三、 成功就業的脊髓損傷者在「擴展個體的價值範圍」與「身體功能與障礙適應」兩項因素均高於未成功就業的脊髓損傷者。
    四、 就業情形與性別、教育程度、障礙期間、擴展個體的價值範圍、身體功能與障礙適應呈現正相關,且性別、教育程度、障礙期間等變項可區分脊髓損傷者是否成功就業。
    五、 在五項背景變項及障礙適應兩項因素方面,以「性別」、「教育程度」、「障礙期間」、「擴展個體的價值範圍」、「身體功能與障礙適應」的項目能區別脊髓損傷者的是否成功就業,本研究區別分析樣本結果,正確率為79.6%,表示區別的準確度是高的。

    The purpose of this study was to explore the relevance between disability acceptance and the success employment on people with spinal cord injury. The questionnaire of “Adaptation to Disability Scale-Revised” was used to collect data. 147 people with spinal cord injury in Taoyuan replied the questionnaire and data was analyzed by SPSS 22.0. The results were as the followings:
    1. It was significant on Enlarging the Scope of Values (C_ADSR_E) factor in different levels of injury.
    2. Women with spinal cord injury were more successful employment than men . People aged from 30 to 40 were more successful employment than the other ages. High-educated people with spinal cord injury had more choices back to the workplace.
    3. Successful employment people with spinal cord injury had better disability acceptance than those who were non-successful employment.
    4. There was positive relationship between employment situation and factors ( included gender, age, education level, duration of injury, C_ADSR_E and C_ADSR_SC). Factors of gender, education level, duration of injury were discriminant that people with spinal cord injury worked or not.
    5. Factors of gender, education level, duration of injury, C_ADSR_E and C_ADSR_SC had 79.6% correct rate by discriminant analysis. It meant that discriminant rate was high.

    目 錄 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的與研究問題 3 第三節 名詞解釋 4 第二章 文獻回顧 7 第一節 脊髓損傷者的障礙適應意涵 7 第二節 障礙適應評量工具 17 第三節 脊髓損傷者就業與障礙適應之研究 26 第三章 研究方法 33 第一節 研究架構 33 第二節 研究對象 35 第三節 研究工具 37 第四節 研究步驟 38 第五節 資料分析方法 39 第四章 研究結果與討論 41 第一節 脊髓損傷者的障礙適應及其與背景變項之差異情形 41 第二節 成功就業與未成功就業脊髓損傷者之背景分析 46 第三節 成功就業與未成功就業脊髓損傷者的障礙適應 47 第四節 背景變項、障礙適應對就業狀況之關聯分析 49 第五章 結論與建議 55 第一節 結論 55 第二節 研究限制與建議 57 參考文獻 59 附錄 73 附錄一『障礙適應量表-修訂版』中文修訂刪除版授權使用同意書 73 附錄二 問卷題項敘述與因素分布 74 附錄三 『障礙適應量表-修訂版』中文修訂刪除版 76

    一、 中文部分
    內政部統計處(2015)。中華民國104年身心障礙者生活狀況及各項需求評估調查報告。臺北:內政部統計處。
    王昭閔、王顏和(2006)。Gabapentin對脊髓損傷患者神經性疼痛的治療。臺灣復健醫學雜誌,34(4),197-208。
    李秀月、吳明宜(2014)。『障礙適應量表--修訂版』於臺灣脊髓損傷者之信效度檢驗。復健諮商,7,19-42。
    邱雅紅(2003)。協助一位脊髓損傷個體面對疾病適應之照護經驗。長期照護雜誌,7(2),174-174。
    社團法人中華民國脊髓損傷者聯合會全球資訊網(2015)。脊髓損傷的程因與分析。取自:http://www.fsci.org.tw/ap/news_view.aspx?bid=21&sn=6907d6d9-18ec-4901-bca4-aa56065444a9
    周俐君(2009)。脊髓損傷者就業狀況、工作滿意度與生活品質之相關研究(未出版之碩士論文)。國立彰化師範大學,彰化縣。
    林佩欣、曾佳珍(2006)。中途致殘者的職業生涯發展歷程及其影響因素之硏究-以一位脊髓損傷青年為例。中華民國特殊教育學會年刊,12,27-37。
    高潔純、林麗嬋(1995)。脊髓損傷老人生活品質提升之護理照顧。護理雜誌,49(2),75-79。
    徐維停(2011)。脊髓損傷者生涯信念與成功就業之相關性研究(未出版之碩士論文)。國立臺灣師範大學,臺北市。
    財團法人桃園縣私立脊髓損傷潛能發展中心(2015)。脊髓損傷的各項統計數字。取自:http://www.scrc.org.tw/snse0103.php
    張千惠、吳佩霖、梁忠詔(2013)。脊髓損傷者之就業歷程探討。中華輔導與諮商學報,35,39-64。
    張彧、王顏和、游正芬、鍾智文、王榮德(2000)。以焦點團體方式探討影響脊髓損傷患者生活品質之因素。中華復健醫誌,28(2),87-95。
    游世玲(2003)。職業傷害致殘勞工復原經驗之探討(未出版之碩士論文)。慈濟大學,花蓮縣。
    程敏華(2003)。網路媒體衛教方式對脊髓損傷患者自我照顧能力影響之探討(未出版之碩士論文)。國防醫學院,臺北市。
    廖美雲、楊志方、鄭寶釵、陳貞吟、胡璦玲、林孟志(2006)。脊髓損傷患者脊髓的損傷程度與其適能之相關性。中華民國復健醫學雜誌,28(1),19-28。

    二、英文部分
    Anderson, C. J., & Vogel, L. C. (2002). Employment outcomes of adults who sustained spinal cord injuries as children or adolescents. Archives of physical medicine and rehabilitation, 83(6), 791-801.
    Anderson, C. J., Krajci, K. A., & Vogel, L. C. (2003). Community integration among adults with spinal cord injuries sustained as children or adolescents. Developmental Medicine & Child Neurology, 45(2), 129-134.
    Anderson, C. J., Vogel, L. C., Willis, K. M., & Betz, R. R. (2006). Stability of transition to adulthood among individuals with pediatric-onset spinal cord injuries. The journal of spinal cord medicine, 29(1), 46.
    Anderson, D., Dumont, S., Azzaria, L., Le Bourdais, M., & Noreau, L. (2007). Determinants of return to work among spinal cord injury patients: A literature review. Journal of Vocational Rehabilitation, 27(1), 57-68.
    Berkowitz, M. (1998). Spinal cord injury: An analysis of medical and social costs. New York, NY: Demos Medical Publishing.
    Berry, J. W., Elliott, T. R., & Rivera, P. (2007). Resilient, undercontrolled, and overcontrolled personality prototypes among persons with spinal cord injury. Journal of personality assessment, 89(3), 292-302.
    Bishop, M. (2005). Quality of life and psychosocial adaptation to chronic illness and disability: Preliminary analysis of a conceptual and theoretical synthesis. Rehabilitation Counseling Bulletin, 48(4), 219-231.
    Bolton, B. (1994). Acceptance of disability scale. In D. J. Keyser, & R. C. Sweetland (Eds.). Test critiques (pp. 8-12). Texas, Austin: Pro-ed.
    Bolton, B. (2001). Measuring rehabilitation outcomes. Rehabilitation Counseling Bulletin, 44(2), 67-75.
    Bolton, B. (2004). Counseling and rehabilitation outcomes. In F. Chan, N. L. Berven, & K. R. Thomas (Eds.). Counseling theories and techniques for rehabilitation health profession (pp. 444-465). New York, NY: Springer.
    Burnham, R. S., Warren, S. A., Saboe, L. A., Davis, L. A., Russell, G. G., & Reid, D. C. (1996). Factors predicting employment 1 year after traumatic spine fracture. Spine, 21(9), 1066-1071.
    Chapin, M. H., & Kewman, D. G. (2001). Factors affecting employment following spinal cord injury: A qualitative study. Rehabilitation Psychology, 46(4), 400.
    Curnow, T. C.(1989). Vocational development of persons with disability. Career development quarterly, 37, 269-278.
    Dembo, T., Leviton, G. L., & Wright, B. A.(1956). Adjustment to misfortune: A problem of social-psychological rehabilitation. Artificial Limbs, 3(2), 4-62.
    deRoon-Cassini, T. A., de St Aubin, E., Valvano, A., Hastings, J., & Horn, P. (2009). Psychological well-being after spinal cord injury: Perception of loss and meaning making. Rehabilitation psychology, 54(3), 306.
    De Vivo, M. J., Rutt, R. D., Stover, S. L., & Fine, P. R. (1987). Employment after spinal cord injury. Archives of Physical Medicine and Rehabilitation, 68(8), 494-498.
    De Vivo, M. J., Richards, J. S., Stover, S. L., & Go, B. K. (1991). Spinal cord injury. Rehabilitation adds life to years. Western journal of medicine, 154(5), 602.
    Dryden, D. M., Saunders, L. D., Jacobs, P., Schopflocher, D. P., Rowe, B. H., May, L. A., ... & Voaklander, D. C. (2005). Direct health care costs after traumatic spinal cord injury. Journal of Trauma and Acute Care Surgery, 59(2), 441-447.
    Dubendorf, P. (1999). Spinal cord injury pathophysiology. Critical care nursing quarterly, 22(2), 31-35.
    Dunn, D. S., & Elliott, T. R. (2005). Revisiting a Constructive Classic: Wright's Physical Disability: A Psychosocial Approach. Rehabilitation psychology, 50(2), 183.
    Dunn, D. S. (2010). The social psychology of disability. In R. G. Frank, M. Rosenthal, & B. Caplan (Eds.). Hand book of rehabilitation psychology (2nd ed., pp.379-390). Washington, DC: American Psychological Association.
    Elliot, T. R. (1994). A place for theory in the study of psychological adjustment among persons with neuromuscular disorders: A reply to Livneh and Antonak. Journal of Social Behavior and Personality, 9(5), 231-236.
    Ferrin, J. M. (2002). Acceptance of loss after an adult-onset disability: development and psychometric validation of the multidimensional acceptance of loss scale (Doctoral dissertation). University of Wisconsin-Madison.
    Falvo, M. J., & Earhart, G. M. (2009). Six-minute walk distance in persons with Parkinson disease: a hierarchical regression model. Archives of physical medicine and rehabilitation, 90(6), 1004-1008.
    Ferrin, J. M., Chan, F., Chronister, J., & Chiu, C. Y. (2010). Psychometric validation of the Multidimensional Acceptance of Loss Scale. Clinical Rehabilitation, 10(13), 1-9.
    Field-Fote, E. C. (2009). Spinal cord injury: an overview. Spinal cord injury rehabilitation, 3, 20.
    Fulk, G., Schmitz, T. J., & Behrman, A. L. (2006). Traumatic spinal cord injury. Physical rehabilitation—assessment and treatment (5th ed.). Pennsylvania, PA: Fa Davis Company.
    Grist, V. L. (2010). The relationships between age of disability onset, adaptation to disability, and quality of life among older adults with physical disabilities (Doctoral dissertation) The Florida State University College of Education. Retrieved from http://etd.lib.fsu.edu/theses/available/etd-04122010-171802/
    Groomes, D. A., & Linkowski, D. C. (2007). Examining the structure of the revised acceptance disability scale. Journal of Rehabilitation, 73(3), 3-9.
    Hammell, K. W. (1995). Spinal cord injury; quality of life; occupational therapy: Is there a connection?. The British Journal of Occupational Therapy, 58(4), 151-157.
    Hanna, J. (2008). The relationship between adjustment to disability and environmental factors (Doctoral dissertation) Ohio University, 2008. Retrieved from
    http://etd.ohiolink.edu/view.cgi/Jadwisienczak%20Hanna.pdf?ohiou1226336804
    Hess, D. W., Ripley, D. L., McKinley, W. O., & Tewksbury, M. (2000). Predictors for return to work after spinal cord injury: a 3-year multicenter analysis. Archives of physical medicine and rehabilitation, 81(3), 359-363.
    Hoffman, J. M., Bombardier, C. H., Graves, D. E., Kalpakjian, C. Z., & Krause, J. S. (2011). A longitudinal study of depression from 1 to 5 years after spinal cord injury. Archives of physical medicine and rehabilitation, 92(3), 411-418.
    Jang, Y., Wang, Y. H., & Wang, J. D. (2005). Return to work after spinal cord injury in Taiwan: The contribution of functional independence. Arch Phys Medical Rehabilitation, 86, 681-686.
    Keany, KCM-H., & Glueckauf, R. L. (1993). Disability and value change: An overview and reanalysis of acceptance of loss theory. Rehabilitation Psychology, 38(3), 199-210.
    Kennedy, P., Lude, P., Elfström, M. L., & Smithson, E. F. (2011). Psychological contributions to functional independence: a longitudinal investigation of spinal cord injury rehabilitation. Archives of physical medicine and rehabilitation, 92(4), 597-602.
    Kirshblum, S., Campagnolo, D. I., & DeLisa, J. A. (2001). Spinal cord medicine. Lippincott Williams & Wilkins.
    Kortte, K. B., Gilbert, M., Gorman, P., & Wegener, S. T. (2010). Positive psychological variables in the prediction of life satisfaction after spinal cord injury. Rehabilitation Psychology, 55(1), 40.
    Krause, J. S., (1997). Personality and traumatic spinal cord injury: Relationship to participation in productive activities. Journal of Applied Rehabilitation Counseling, 28(2), 15-20.
    Krause, J. S., Sternberg, M., Lottes, S., & Maides, J. (1997). Mortality after spinal cord injury: an 11-year prospective study. Archives of physical medicine and rehabilitation, 78(8), 815-821.
    Krause, J. S., Sternberg, M., Maides, J., & Lottes, S. (1998). Employment after spinal cord injury: differences related to geographic region, gender, and race. Archives of physical medicine and rehabilitation, 79(6), 615-624.
    Krause, J. S., & Broderick, L. (2005). A 25-year longitudinal study of the natural course of aging after spinal cord injury. Spinal Cord, 43(6), 349-356.
    Krause, J. S., & Coker, J. L. (2006). Aging after spinal cord injury: a 30-year longitudinal study. The Journal of Spinal Cord Medicine, 29(4), 371.
    Krause, J. S., & Terza, J. V. (2006). Injury and demographic factors predictive of disparities in earnings after spinal cord injury. Archives of physical medicine and rehabilitation, 87(10), 1318-1326.
    Lin, M. R., Hwang, H. F., Chung, K. P., Huang, C., & Chen, C. Y. (2006). Rating scale, standard gamble, and time trade-off for people with traumatic spinal cord injuries. Physical therapy, 86(3), 337-344.
    Lin, K. H., Chuang, C. C., Kao, M. J., Lien, I. N., & Tsauo, J. Y. (1997). Quality of life of spinal cord injured patients in Taiwan: a subgroup study.Spinal Cord, 35(12), 841-849.
    Linkowski, D. C. (1971). A scale to measure acceptance of disability. Rehabilitation Counseling Bulletin, 14, 236-244.
    Linkowski, D. C., & Groomes, D. A. G. (2007). Examining the structure of the revised Acceptance Disability Scale. Journal of Rehabilitation, 73(3), 3-9.
    Livneh, H., & Antonak, R. F. (1997). Psychosocial adaptation to chronic illness and disability. Maryland, Frederick: Aspen Publishers.
    Livneh, H., & Antonak, R. F. (2005). Psychosocial adaptation to chronic illness and disability: A primer for counselors. Journal of Counseling and Development, 83, 12-20.
    Mayer, T., & Andrews, H. B. (1981). Changes in self-concept following a spinal cord injury. Journal of Applied Rehabilitation Counseling, 12(3), 135-137.
    McShane, S. L., & Karp, J. (1993). Employment following spinal cord injury: A covariance structure analysis. Rehabilitation Psychology, 38(1), 27.
    Meade, M. A., Lewis, A., Jackson, M. N., & Hess, D. W. (2004). Race, employment, and spinal cord injury. Archives of physical medicine and rehabilitation, 85(11), 1782-1792.
    Migliorini, C., Tonge, B., & Taleporos, G. (2008). Spinal cord injury and mental health. Australian and New Zealand Journal of Psychiatry, 42(4), 309-314.
    Mitcho, K., & Yanko, J. R. (1999). Acute care management of spinal cord injuries. Critical Care Nursing Quarterly, 22(2), 60-79.
    Mitchell, J. M., Adkins, R. H., & Kemp, B. J. (2006). The effects of aging on employment of people with and without disabilities. Rehabilitation Counseling Bulletin, 49(3), 157-165.
    Mpofu, E., & Oakland, T. (2010). Applying ICF Guidelines.
    Murphy, G. & Young, A. (2005). Employment participation following spinal cord injury: Relation to participant demographic, injury and psychological characteristics. Disability and Rehabilitation, 27, 1290-1306.
    Ottomanelli, L., & Lind, L. (2009). Review of critical factors related to employment after spinal cord injury: implications for research and vocational services. The journal of spinal cord medicine, 32(5), 503.
    Pflaum, C., McCollister, G., Strauss, D. J., Shavelle, R. M., & DeVivo, M. J. (2006). Worklife after traumatic spinal cord injury. The journal of spinal cord medicine, 29(4), 377.
    Schönherr, M. C., Groothoff, J. W., Mulder, G. A., Schoppen, T., & Eisma, W. H. (2004). Vocational reintegration following spinal cord injury: expectations, participation and interventions. Spinal Cord, 42(3), 177-184.
    Schönherr, M. C., Groothoff, J. W., Mulder, G. A., & Eisma, W. H. (2005). Participation and satisfaction after spinal cord injury: results of a vocational and leisure outcome study. Spinal cord, 43(4), 241-248.
    Smedema, S. M., Bakken-Gillen, S. K., & Dalton, J. (2009). Psychosocial adaptation to chronic illness and disability: Models and measurement. Understanding psychosocial adjustment to chronic illness and disability: A handbook for evidence-based practitioners in rehabilitation, 51-73.
    Snead, S. L., & Davis, J. R. (2002). Attitudes of individuals with acquired brain injury towards disability. Brain injury, 16(11), 947-953.
    Targett, P. S., Wehman, P. H., McKinley, W. O., & Young, C. L. (2004). Successful work supports for persons with SCI: Focus on job retention. Journal of Vocational Rehabilitation, 21(1), 19-26.
    Tomassen, P. C., Post, M. W., & Van Asbeck, F. W. (2000). Return to work after spinal cord injury. Spinal cord, 38(1), 51-55.
    Trieschmann, R. B. (1986). Psychosocial adjustment to spinal cord injury. Management of spinal cord injuries, 303-4.
    Valtonen, K., Karlsson, A. K., Alaranta, H., & Viikari-Juntura, E. (2006). Work participation among persons with traumatic spinal cord injury and meningomyelocele1. Journal of rehabilitation medicine, 38(3), 192-200.
    Wang, R. Y., Yang, Y. R., Yen, L. L., & Lieu, F. K. (2002). Functional ability, perceived exertion and employment of the individuals with spinal cord lesion in Taiwan. Spinal cord, 40(2), 69-76.
    Williamson, M. L., & Elliott, T. R. (2013). Major depressive disorder and factorial dimensions among individuals with recent-onset spinal cord injury. Rehabilitation psychology, 58(1), 10.
    Wright, B. A. (1983). Physical disability: A psychosocial approach (2nd ed.). New York, NY: Harper Collins.
    Young, A. E., & Murphy, G. C. (2009). Employment status after spinal cord injury (1992–2005): a review with implications for interpretation, evaluation, further research, and clinical practice. International Journal of Rehabilitation Research, 32(1), 1-11.

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