- 期刊
社區賦權的模式下推動新店區某社區老人健康促進
Promoting Health and Community-living for Elderly People through Community Empowerment in Mei Cheng Village, Xindian District, Taiwan
摘要
前言：台灣人口老化速度領先全球，高齡化的社會變遷、人口老化的健康與疾病問題，牽動著國家整體經濟成長趨勢。新店區美城社區65歲以上人口佔11.5%。本研究討論社區賦權的概念與策略在美城社區推動老人健康促進的實踐歷程。方法：以行動研究法的方式進行，與社區人士協同參與在規劃、執行與評估的過程，解析美城社區透過社區賦權的策略，有效促進社區老人的健康與生活。本研究的研究者參與計劃的推動，以賦權作為介入策略，並在計畫執行中進行評估與修正，以利反映在地問題及社區居民需求，有效促進社區老人健康。結果：研究者基於社區賦權的策略來推進行動研究，藉此有效促進社區老人健康，包含在地的領導者(local leadership)：成立美城團隊，主導權在社區，專業及行動人力則由美之城行道會、耕莘醫院來支援。社區為基礎的組織(community-based organization)：美城團隊共同規劃老人健康課程，課程分為兩梯次，參與者女性22名(88%)，平均年齡為67.2±8.6歲。社區參與(participation)：藉由老人健康課程增加社會參與和支持網絡，結果呈現參與課程的老人快樂程度增加23%。討論：本研究透過行動研究法的方式進行，並以社區賦權作為介入策略，結果顯示本研究透過美城團隊的合作、課程的規劃能夠提升社區老人的快樂程度，因此此項策略可以嘗試在其他社區推動，讓社區推動工作時有更多的助益，並有效促進社區老人健康。
並列摘要
Objectives: The aging population is rapidly increasing in Taiwan, and the greater vulnerability of elderly people to physical and mental illnesses has generated serious financial and social impacts. In Mei Cheng Village, Xindian District, 11.5% of the residents age 65 and over. Therefore, this project adopted the community empowerment approach to promote healthy community living for the elderly people in Mei Cheng Village. Methods: The study employed action research to examine the community empowerment approach applied to Mei Cheng Village. Researchers participated in the entire process of planning, implementing, and evaluating the approach. During the process of empowering Mei Cheng Village, researchers endeavored to identify and respond to the health needs of local elderly residents for effectively promoting their health and wellbeing. Results: The three empowerment domains identified by Glenn were adopted to address the health needs of the elderly residents in the study. Local leadership: A Mei Cheng alliance was formed with the village assuming the leadership of the empowerment program and a local church and Cardinal Tien Hospital providing additional manpower and professional support. Community-based organization: The alliance developed and hosted two-session health promotion courses for local elderly residents. 22 participants were female (88%) and the average age of all participants was 67.2±8.6. Participation: The community-based courses increased participants’ social engagement and happiness level by 23%. Discussion: In the action research of empowering Mei Cheng Village, the cooperative alliance and the courses it provided were found capable of promoting the health and wellbeing of local elderly residents. Therefore, it is suggested that other communities can employ the strategies used in the study for health promotion among older people.