目的：本研究探討中高齡者(45~64歲)從事照顧服務員工作時可能面臨的動作、認知及溝通互動等工作能力之挑戰，期能藉由研究結果對於現行的職訓課程規劃提出建議，使其能更符合中高齡者勝任照顧服務員的需求。
方法：建置「照顧服務員工作能力要求標準」問卷，共徵得251位雲嘉南及高屏地區的職業訓練師參與問卷填寫。並將其填答之工作能力要求之標準與常用之職業評估工具常模比較，以推估中高齡族群在各項所需工作能力上可勝任之比例。
結果：依職業訓練師所回覆的標準，在動作功能方面：維持站立姿勢與抬舉及腰所需的負荷標準較高，負重程度屬於中度負重，若曾從事重度負重工作的中高齡者多可勝任照顧服務員之工作；在認知功能方面：此工作所需之多數能力皆需要較一般大眾為佳，而中高齡者則在判斷能力與定向感等項目之勝任比例略低；溝通互動方面：此工作之全部項目皆需要較一般大眾為佳，而中高齡者可勝任比例較高。
結論：照顧服務員之工作對部分中高齡者仍具有相當挑戰。建議針對中高齡者從事照顧服務員之職訓課程，加入體能強化的訓練並且協助學員養成自主運動的習慣，以加強其動作功能表現。亦可教導學員使用工作輔具以減少工作負擔並提升效能。並建議將其工作內容結構化，以提高工作效率。此外，建議中高齡者善用溝通互動的優勢於照顧服務工作。

PURPOSE: Older workers (45-64 year-olds) may have their challenges of motor, cognition and interaction skills which mismatch the needs of workload as caretakers. The study aimed to find out the challenge levels of older workers in serving as caretakers. The findings can help to propose some suggestions for occupational training in the future.
METHODS: A questionnaire--“The Standard of Functional Capacity of Caretakers” was designed based on work capacity evaluation tools. A total of 251 respondents who were occupational trainers in southern Taiwan answered the questionnaire to identity the requirements of motor, cognition and interaction skills that a caretaker needs. We then compared the results of questionnaire with the age-specific norms of the related evaluation tools to estimate the competency proportions of older workers in motor, cognition and interaction skills if they are engaged in the work of caretakers.
RESULTS: Firstly, in motor skills, the most challenge in caretaker for older workers were prolonged-standing and lifting-up-to-waist-level. However, the workers who had jobs with heavy physical demand before still could overcome the challenge. Secondly, caretakers were expected to have better cognitive skills than ordinary people, and older workers may have less competency in judgment and orientation for the job. Finally, caretaking job needed higher interaction skills and most of older workers can fulfill the requirement of the job.
CONCLUSIONS: Older workers have greater degree of challenges in motor and cognitive skills when they are engaged in the work of caretakers. For the challenge of motor, we suggest that occupational training courses include enhancement of physical capacity and utilization of assistant device. For the challenges of cognitive skills, organizing tasks in advance could improve efficiency. In addition, making good use of older workers' advantages on interpersonal interaction may be an important strategy to enhance the performance of older workers serving as caretakers.

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