洪佳慧Chia-Hui Hung潘乙伶Yi-Lin Pan職能治療學系2026-03-242021/7/2220212021/7/2https://handle.ncl.edu.tw/11296/he4tachttps://scholars.csmu.edu.tw/handle/123456789/6480研究背景與目的: 醫療協助人員包含傳送人員及清潔人員，為醫療環境中重要的成員，大多為中高齡女性，其工作性質常須久站與久走，體力負荷量大，尤其是在足部的承重。本研究以職能治療觀點設計出「模組墊片」，重視使用者的職能行為，並設計多種分級，將墊片分為前足、中足、足跟三區，可供使用者依據工作內容調整。據此，本研究之目的為希望透過醫療協助人員穿著模組墊片在足底壓力的變化，了解模組墊片之可行性。研究方法: 本研究共收集12位於中部某醫學中心工作的醫療協助人員，並透過在動態及靜態足壓測量儀器上執行「走、站、推、抬」四種動作，比較三種情境(裸足、對照組、模組墊片)的足壓變化；問卷部分為受試者「穿著模組墊片之主觀感受問卷」及邀請治療師填寫「專家評比問卷」，了解受試者及專家對模組墊片的滿意度。研究結果: 受試者性別以女性居多(83.3%)，平均年齡為60±10.3歲，以無母數分析、重複量數比較三種情境的足底壓力六區之差異，發現模組墊片在前足外側(LM)足壓顯著下降、中足外側(LLA)及中足內側(MLA)足壓顯著上升，其中中足內側(MLA)足壓與裸足差異較大，與對照組相近。 足跟較無顯著性，可能係由於足跟為壓力承重重點區，造成三種情境之間較無顯著性，但以平均數來看，模組墊片在足跟內側(MH)足壓較裸足及對照組低，顯示模組墊片可協助足跟內側(MH)達減壓效果，此結果與相關文獻得以呼應。 以動作結果來看，發現「走、站、推」在顯著區域具一致性，「抬」在足壓較無一致性的顯著區域，推測原因為可能為在一平面上連續抬舉重物所需的重心轉移及穩定較多，造成此動作足壓六區無一致性結果。 以左右腳重心百分比(%)結果來看，模組墊片不論在哪種動作強度中，左右腳重心百分比都趨於理想值50%，顯示模組墊片能讓雙足執行動作時達到穩定效果。 問卷部分，「穿著模組墊片之主觀感受問卷」滿意度為4分(滿意)以上、「專家評比問卷」滿意及符合程度為4分(滿意)以上，在市場潛力及使用方法受專家認可，但技術可行性及設計美感向度平均分數偏低，未來需針對專家建議進行修正。結論: 總和上述結果顯示，模組墊片可在前足及足跟達到減壓效果，而中足則可協助吸收前足及足跟所分散出來的壓力，達重新分配壓力的效果，並且讓雙足在執行動作時穩定身體重心；模組墊片在「穿著模組墊片之主觀感受問卷」及「專家評比問卷」上可獲的專家及受試者認可，總和模組墊片之功能及問卷滿意度，顯示出模組墊片具有發展可行性。Background and Purpose: The hospital assistants, including hospital porters and cleaners, are essential members of the hospital working environment. Most of them were middle-aged and older women, the characteristics of hospital assistants including long hours of standing, long distance of walking, and the highly physical loading, especially of the feet. Thus, this study uses an occupational-based perspective to design the "Modified Module Insoles" (MMI) to consider the occupational behaviors of the users. MMI is designed with three gradations in the forefoot, arch, and heel parts of feet, and users could adjust according to their working situations. The purpose of the study is to evaluate the feasibility of using MMI by examining the changes in plantar pressure when hospital assistants wear MMI.Methods: There were12 medical workers working in a medical center in the central region of Taiwan invited as participants in the study. Participants perform four movements, including walking, standing, pushing, and lifting on the dynamic and static foot pressure measuring instruments. The changes in plantar pressure were compared among the three conditions (barefoot, control group, and modified module insoles). Then, all subjects completed a subjective questionnaire about their feelings about wearing the MMI. The therapists completed the Expert Evaluation Questionnaire to collect their opinions of the appropriateness of the MMI.Results: Most of the participants were female by gender (83.3%). The mean age was 60±10.3 years. Nonparametric statistics and repeated measures were used to compare the differences between the six zones of plantar pressure in the three conditions. The plantar pressure in MMI decreased significantly in the lateral forefoot (LM). It increased significantly in the lateral arch (LLA) and medial arch (MLA), among which the difference between the plantar pressure in the medial arch (MLA) and barefoot was more significant and similar to that of the control group. As for the questionnaires, the score (1-10 scale) of "Questionnaire About Subjective Feeling When Wearing MMI" was over 8, and the satisfaction and compliance level of the "Expert Evaluation Questionnaire" was over 4 (1-5 scale). The experts recognized the market potential and usage. However, the average scores for technical feasibility and design aesthetics were low. In the future, we need to improve according to the experts' suggestions.Conclusion: The results showed that MMI could reduce pressure on the forefoot and heel. The arch can absorb the pressure and distribute pressure to the forefoot and heel. Experts and participants approved that the MMI made the wear experience comfortable and functionally. MMI was a feasible assistive device to develop.模組墊片醫療協助人員足底壓力問卷職能治療Modified Module InsolesHospital AssistantsPlantar PressureQuestionnaireOccupational Therapythesis