臺北市長期照護居家語言治療服務之現況分析

Analysis Current Status of the Speech Therapists Serving as the Home Long-term Care in Taipei City

臺北市衛生局納入語言治療師參與臺北市長期照護居家復健始於2012年，其服務的主軸為語言溝通與吞嚥進食的復健。服務的目標為建立以家庭為中心的介入模式，在語言溝通方面指導家人及主要照顧者，透過日常活動增進案主的溝通能力、能於日常生活中運用有效的溝通方式與案主互動，提升案主的溝通能力及生活品質。在吞嚥進食方面，指導家人及主要照顧者安全的吞嚥訓練方案及餵食技巧，以增進吞嚥進食的有效性與安全性。至今（2014年8月）已有30位語言治療師投入此居家服務的行列，共服務過496位案主，且逐年增加申請人數。案家對於語言治療師的居家服務，95％的受訪者對於語言治療師的服務態度是滿意或非常滿意，80％的受訪者對於語言治療師的衛教內容是滿意或非常滿意，65％的受訪者認為語言治療師服務後，案主的語言溝通功能或是吞嚥功能有達到期望。67％的語言治療師則認為在服務期間案主進步很多或有進步，29％表示僅有一些進步，不過所有的語言治療師皆表示有意願繼續服務於居家語言治療。透過兩年多來，語言治療服務的成果整理，期望能成為提升服務有效性之基石，亦期望能作為規畫新增專業（如聽力師）服務之參考。

Taipei City Health Bureau included speech therapists involved in long-term care home began in 2012. The key services are language communication and swallowing. The target services to establish a family-centered intervention model, guiding families/caregivers, to enhance communication efficiency and the safety and effectiveness of swallowing through daily activities, for improving the quality of life. So far (Aug, 2014) there are 30 of speech therapists involved the home service, and served a total of 496 clients, and increased year by year the number of applicants. The results show 95% of respondents to the speech therapist's attitude are satisfied or very satisfied, 80% of respondents to the speech therapist's health education content is satisfied or very satisfied, 65% of respondents believe that the client's function up to expectation in communication or swallowing after the speech therapist services. And 67% of the speech therapists believe that the clients' progress so much during the service, 29% said only some progress. All of the speech therapists responded willingness to continue to serve the long-term care home. Through the results of more than two years of speech therapy services, hoping to become the database to enhance the effectiveness of the service, also look forward to new professions, such as planning reference audiologist services.