- 期刊
由一位長照機構老年婦女的生命故事衍生十位老人的正向經驗
Ten Elders' Positive Experiences Derivate from the Life Story of an Old Woman in the Long-Term Care Facility
摘要
背景：面對高齡社會和子女無法照顧長者的問題，老人大多入住於長照機構，如何留住老人人生的正向經驗，使其活著有存在價值？目的：本研究目的在敘說由一位長照老年婦女生命故事衍生十位老人人生的正向經驗。方法：本研究採敘事研究法，以立意取樣方式，半結構訪談十位符合條件的長照老人，資料收集由2018年12月1日至2019年9月30日，IRB FR-002-1020430-1-2。資料分析乃依據Lieblich et al.（2008）敘事研究之「整體－內容」分析模式，及遵從其信效度研究嚴謹度準則，於資料分析飽合後即停止收案。結果：首先，一位老年婦女描述其人生的縱向故事，接著導引其敘說橫向人生故事，研究者再透過人生正向故事捲軸，引導本老年婦女每天看和思想自己的正向人生經驗，使其充滿正能量，以面對自己老化過程的疾病和死亡。延續本老年婦女的成果，研究者再半結構訪談9位機構老人故事，並統整其人生正向經驗，及製作其人生正向故事捲軸。結論／實務應用：長照護理人員於老人身、心、社會、靈性衰退的過程中，可運用人生正向經驗，使其由深陷泥沼轉向陽光，並能夠於老人安養機構持續地保持平靜，和安穩地度過人生的最後階段。
並列摘要
Background: Facing the problems of aging society and children unable to take care of the elders, elders often live in the long- term care facilities. How could we keep the positive experiences of the elders that have them lived with existential value? Purpose: The purpose of this study was to narratively describe the ten elders' positive experiences derivate from the life story of an old woman in the long-term care. Methods: This study used narrative research method by purposive sampling to semi-structure interview 10 long-term care elders who were fitted into the inclusion criteria. Data collection was from 12.1., 2018 to 9.30., 2019 with IRB FR -002-1020430 -1-2. Data analysis was by Lieblich et al. (2008) narrative research「integrate-content」analysis model and followed the rigor principles of reliability and validity until data analysis approaching at saturation with closing data collection. Results: Initially, the old woman described her longitudinal life stories and the researcher guided her narrating the horizontal life stories. Lately, the researcher led the old woman to look and think about the positive experiences daily through the life positive story scroll that she could be full of positive energy to face own illness and death during the aging process. Continuing the results of this old woman, the researcher semi-structure interviewed 9 elders in the institution and integrated their positive experiences with producing their life positive story scrolls. Conclusion/ Clinical: Implication Long-term care nurses could apply the positive experiences to help the elders from the deep trapped mud to climb out of facing the sun during declining process of the physical, mental, social, and spiritual aspects that could continuously keep calm and stable until the final life stage in the elderly care institution.