失能老人照顧與家庭代間關係之探討

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Title:	失能老人照顧與家庭代間關係之探討 The Study on the Care of Disabled Elderly and the Family Intergenerational Relationship
Authors:	黃瓊儀 Huang, Qiong-Yi
Contributors:	中山與中國大陸研究所中山學術組
Keywords:	失能老人長期照顧外籍看護工家庭關係 Disabled elders Long-term Care IADLs Foreign Care Family relationship
Date:	2013-06
Issue Date:	2013-10-29 14:23:32 (UTC+8)
Abstract:	高齡社會的來臨及家庭照顧的功能衰退，突顯了成年子女需要照顧失能老人的困境。本研究的目的在於探究原照顧者角色的轉換與失能老人使用長期照顧服務(含聘請外籍看護工)後，家庭代間關係品質的變化。將集中焦點於以下問題： 1.探討女性的照顧角色與照顧困境。 2.探討父母產生失能狀況時，子女在成為照顧者或尋求其他方式替代中的抉擇過程。 3.探討失能老人使用長期照顧服務(含聘請外籍看護工)後，原照顧者的角色改變與身心狀態。 4.探討失能老人使用長期照顧服務(含聘請外籍看護工)後，成年子女與父母之間家庭關係品質的變化。本研究採半結構式深度訪談與田野觀察法，將訪談台北市及鄰近區域的10個有失能老人的家庭，分別立意抽樣於不同之長期照顧模式，並以原照顧者與家庭關係為研究焦點。透過研究結果顯示(一)老人使用長期照顧服務(含聘請外籍看護工)的決定過程中，家庭成員參與的情形可歸納為四種模式；(二)透過使用長期照顧服務(含聘請外籍看護工)的幫助，女性照顧者有更多的時間為自己而活；(三)原照顧者角色轉變後，其照顧責任的減輕與維持家庭的和諧是同步的；(四)家庭關係品質不會因為使用長期照顧服務(含聘請外籍看護工)而有任何負面的評價。 The advent of an aging society and family care function decline, highlights the dilemma of needed care for the disabled elderly from family members. The purpose of this study is to explore the role changes of primary caregivers and the changes of family intergenerational relationship after the disabled elders use long-term care (including foreign care workers’ service). The study focuses on the following issues: 1.Women’s caring role and caring dilemma. 2.The decision process of the family members becoming the caregiver or seeking alternative solution. 3.The role changes of the original caregivers and their mental status after the disabled elderly using long-term care (including foreign care workers’ service). 4.The changes of family intergenerational relationship after the disabled elders using long-term care (including foreign care workers’ service). By using semi-structured questionnaire and field investigation, the families that live with disabled elderly around Taipei City, were interviewed. This research focuses on the relationship between original caregivers and families, base on purposive samples from different modes of long-term care. From the result of the research, it shows: (1) On the progresses of making decisions to get the service of long-term care for elders, there are four modes of the participation of family members. (2) Female caregivers have more time for their own life by getting the service of long-term care, including hiring foreign nursing assistance. (3) After the change of role, there will have positive growth of the concordance keeping when the responsibilities of attendance decrease. (4) The quality of family relationship doesn’t have negative evaluation from getting long-term care, including hiring foreign nursing assistance.
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