找出生命成長能量—老年失智症家庭照顧者心路歷程之初探

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Title:	找出生命成長能量—老年失智症家庭照顧者心路歷程之初探 Finding the energy of life development:A preliminary study on the experience of family caregivers for the elderly dementia
Authors:	董姿妤 Tung, Jr-Yu
Contributors:	社會福利學系
Keywords:	失智症家庭照顧者心路歷程 dementia family caregivers experience
Date:	2013-06
Issue Date:	2013-11-05 13:11:06 (UTC+8)
Abstract:	隨著老年人口增加及失智症罹病率上升，失智症相關議題備受重視。本研究以社會工作優勢觀點的角度，探究失智症家庭照顧者之心路歷程。一方面藉由研究結果的呈現，喚起社會大眾對失智症家庭照顧者之關心與注意；另一方面透過優勢個案工作處遇模式的建構，提供實務工作者在協助失智症家庭照顧者時之參考依據。首先，研究者從失智症相關文獻、照顧經驗、優勢觀點三個層面，整理相關資料與理論，作為後續研究進行之參考依據。研究者依選擇受訪者之原則，選取3位失智症家庭照顧者為受訪對象，以一對一深度訪談的方式，收集受訪者之生命經驗與心路歷程，並依據訪談資料的整理與歸納，建構失智症家庭照顧者個案工作處遇模式。受訪者經歷照顧患者一事後，仍能樂觀面對，主要是因三項重要指標，第一為家人的支持，每當受訪者在照顧過程中，遭遇挫折與負荷時，家人的支持可讓受訪者有動力與意願繼續維持照顧者的角色；第二為特殊的經歷與經驗，持續影響著受訪者對於老化、死亡的看法；第三則為受訪者會運用個人優勢與環境優勢，來解決照顧過程中所面臨之困境，以利調適自我在照顧患者過程中，在各階段所遭遇之困難。受訪者透過照顧患者之經驗影響，讓受訪者在面臨自我老化、死亡的議題時，能更加坦然面對；同時，也會思索自我面對老化時的態度與想法。最後，研究者依據研究結果，建構失智症家庭照顧者優勢個案工作處遇模式，其包含對服務對象與問題看法、工作者與服務對象角色關係、處遇程序此三部分。 With the increase of the aging population and dementia morbidity, the issues of dementia has attracted increasing attention. In this study, the view of the advantages of social work, to explore the difficulties in the caregivers of dementia. On the one hand by the presentation of the result, to arouse the public focus on the caregivers of dementia. The other hand, from the advantages of practical treatment model to be constructed to help the caregivers of dementia. First, the researchers from the literature of dementia, the experience of taking care, the strengths perspective three levels view, finishing the relevant information and theory, as a reference of follow-up study. Research chooses three caregivers of dementia of the target respondents base on the principles of the respondents. One by one in-depth interviews, to collect the experiences and the difficulties of the respondents, and based on finishing the information of interviews and induction to construct the practical treatment model for the caregivers of dementia. Three important indicators to keep the respondents optimistic after taking care of patients, first is family support, when the respondents are frustration in the care of the process, family support provides power and willingness to maintain the role of the caregivers. Second is special experience to influence the views of respondents in aging and death. Third is the respondents will use personal and environmental advantages, to save the difficulties in the care process, in order to adapt the difficulties in process of taking care for patients. Respondents from the experience of taking care patients to let the respondents will be more calm when they face on aging. Also think about the attitudes to face aging of themselves. Finally, based on the results, to construct the advantage of practical treatment model for caregivers of dementia include three parts, first the view and problem to service object, second the relationship between workers and service object, third practical treatment model.
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