CAJ | 학술논문

目的：调查我国不同等级医院言语治疗师(ST)的现状。方法采用问卷调查法，对我国30个省、自治区、直辖市457家不同等级医院ST的知识结构、康复工作情况及ST认证相关情况进行调查。结果共发出问卷685份，回收663份，有效问卷657份。不同地区ST在不同等级医院分布有非常高度显著性差异(P<0.001)，大城市倾向于集中在三级医院；在学历、专业背景、资格证书、聘用性质、从事ST工作时间、ST兼职现象、年收入方面，不同等级医院ST有显著性差异(P<0.05)，三级医院一般较优；服务对象前4位为构音障碍(91.3%)、吞咽障碍(84.7%)、神经性语言障碍(73.6%)、语言发育迟缓(52.7%)。结论要加大二级、一级医院言语康复工作的扶持力度，有效地发挥言语治疗在康复事业中的作用。
목적：조사아국불동등급의원언어치료사(ST)적현상。방법채용문권조사법，대아국30개성、자치구、직할시457가불동등급의원ST적지식결구、강복공작정황급ST인증상관정황진행조사。결과공발출문권685빈，회수663빈，유효문권657빈。불동지구ST재불동등급의원분포유비상고도현저성차이(P<0.001)，대성시경향우집중재삼급의원；재학력、전업배경、자격증서、빙용성질、종사ST공작시간、ST겸직현상、년수입방면，불동등급의원ST유현저성차이(P<0.05)，삼급의원일반교우；복무대상전4위위구음장애(91.3%)、탄인장애(84.7%)、신경성어언장애(73.6%)、어언발육지완(52.7%)。결론요가대이급、일급의원언어강복공작적부지력도，유효지발휘언어치료재강복사업중적작용。
Objective To observe the practice of speech therapists (ST) in various grades hospitals in China. Methods Speech therapists of 457 hospitals of various grades in 30 provinces, autonomous regions or municipalities were investigated with self-developed question-naire. Results 657 valid questionnaires were returned among 685 questionnaires. The distribution of speech therapists in grades of hospitals was varied with the size of cities (P<0.001), which was concentrated in the grade 3 hospitals in the large cities. For the degree of education, professional background, qualification certificate, employment nature, work time, part-time work, and annual income of the speech thera-pists, it was varied with the grades of hospitals (P<0.05), which trended to be better in the grade 3 hospitals. The first 4 subjects the speech therapists dealt were dysarthria (91.3%), dysphagia (84.7%), aphasia (73.6%) and language development delay (52.7%). Conclusion It is im-portant to support the practice of speech therapists, especially in grade 1 or 2 hospitals in order to match with the international standards.