http://www.nihpromis.org/images/domain_framework3.gif
定義也複雜：
Social function is defined by PROMIS as involvement in, and satisfaction with, one’s usual social roles in life’s situations and activities. These roles may exist in dyadic or family relationships, parental responsibilities, work responsibilities and social activities.
Social function has also been referred to with terms such as role participation and social adjustment.
A conceptual division of social function into “ability to participate” and “satisfaction with participation.”
依據名容的檢索，評量 stroke 病人的社會功能，大都是 HRQOL 的次量表，還看不到單獨為中風病人設計的「社會功能量表」。
Schizo 的「社會功能量表」就比較多。
我認為，目前無中風病人之「社會功能量表」，可能是因中風病人之社會功能缺損主要是因動作限制，而非如schizo之社交技巧不足，因此臨床上較少直接評估中風病人之社會功能作為療效參考。
回覆刪除雖然架構圖中的informational support, instrumental support等層面不是很清楚指得是甚麼，跟社會功能有甚麼關係...(maybe指environment?)
回覆刪除但我覺得定義中提到social function包含2個主要概念層次的說法很不錯，即ability to 與satisfaction with participation。而"involvement in"與"satisfaction with" one's usual social roles豈不是OT最關心的治療核心價值、最終目標? 應是相當重要的OT治療成效指標~
根據上面2點概念，中風病人也十分需要了解個案當前的社會功能呢！對某些個案而言，不滿意或自覺social isolation的程度恐怕也蠻高。