- 學位論文
應用層級分析法探討失智友善示範社區之經營管理成功因素
Applying Analytic Hierarchy Process (AHP) to Explore the Critical Success Factors of Dementia Friendly Demonstration Community Management
摘要
伴隨人口高齡化，年齡愈大因心智功能退化或心血管疾病因素導致罹患失智症風險增加，根據衛生福利部全國失智症盛行率調查結果，九成以上的失智者都住在家中，失智程度以極輕度及輕度者為多數約七成四，超過五成完全由家人照顧，三成聘請外籍看護。除了失智人口快速增加且多由家人照顧外，照顧人力也因少子化的影響更顯缺乏，由此情勢觀之，社區對失智者的認同、社區凝聚力及支持更具重要性。 屏東縣竹田鄉西勢村失智友善社區歷經近兩年的社區擾動，從招募培訓友善天使、志工、友善商家及友善組織，到當地社區環境友善資源與設施的評估、改善及建置；落實地方的特色文化與社區結合在地化的經營，讓失智友善議題可以確實融入社區民眾的生活日常。本研究將失智友善社區的經營管理元素分成三大構面，分別為友善居民、友善組織及友善環境，並以此制定評估準則，以應用層級分析法(Analytic Hierarchy Process，AHP)，探討社區資源連結、行的便利與安全、活動環境設施建置及友善等營造成功的關鍵因素，以做為未來推展到各個鄉鎮市時之參考。
並列摘要
With the aging of the population, the risk of getting dementia is increasing in older people due to mental function degradation or cardiovascular disease. According to the results of the survey on the prevalence of dementia in the Ministry of Health and Welfare, more than 90% of the mentally ill people live at home. With the majority of those with extremely mild and mild degrees of dementia being about 74%, more than 50% are fully in the care of their families, and 30% employ foreign caretakers. Apart from the rapid increase of the mentally ill population and the care of their families, the impact of caring for human resources is, even more, lacking due to fewer people born. Therefore, making community recognition, community cohesion, and support of the mentally ill is more critical. The dementia-friendly community in Xisai Village, Zhutian Township, Pingtung County, has experienced community disturbances for nearly two years. From recruiting and training friendly angels, volunteers, businesses and organizations, to the evaluation, improvement, and construction of environmentally friendly resources and facilities in the local community. This village is set as the research object. Through the literature review, we divided the critical management factors of the dementia-friendly community into three primary constructs, including friendly residents, friendly organizations, and friendly environment. We applied the analytic hierarchy process (AHP) to explore the critical factors for the success of community resources connection, convenience and safety of travel, construction of event environment facilities and friendliness, as a reference for future expansion to various towns and cities.