養護機構小單元照護研究：以屏東縣某老人養護中心為例

Research of Unit Care in the Medicare Institution: A Case Study in Pingtung

黃松林(Song-Lin Huang) ； 劉慧瑩(Hui-Yin Liu) ； 許秀月(Hsiu-Yueh Hsu)

《臺大社會工作學刊》 16期 (2008/01) Pp. 129-166

https://doi.org/10.6171/ntuswr2008.16.04

摘要

屏東縣迄至2006年底老人人口已占總人口之11.75%，當前縣內已有老人養護機構50家，大多數安養護老人是居於小型老人養護中心，極多學者認為老人養護中心適合推展日本小單元照護照護失智症老人。本研究就屏東縣某一養護機構規劃日本小單元照護模式提供護理與社會照顧服務，其後針對員工步伐數做測量以了解小單元照護實施對照護者的工作負擔情形；以住民長輩主動離床時間參與互動及滿意度問卷調查亦為其指標，以測量其服務品質。研究發現如下：施後第一週至14週有增加情形，其後在執行五個月後逐漸減低，在第20週後甚至低於實施前之步伐數，顯示方案執行後期員工之工作負荷降低。另針對院民主被動離床時間、滿意度做測量，初期院民主動離床時間有增加情形，其後有降低之情形，但五個月後仍維持在相當高的程度；而其受服務滿意度，後測亦有增加的趨勢，此一結果與日本相關小單元照護服務相互呼應考。

關鍵字

養護機構 ； 小單元照護 ； 老人照護 ； 老人福利

並列摘要

The elderly population in Pingtung County has risen to 11.75 per cent of the total population. There are more than 50 homes for the elderly in Pingtung County. Most of them are small medicare homes with less than 50 beds. Since 2000, the 'unit care', which has been promoted for several years in Japan, is regarded as a unique one for caring for disabled elderly people today. It is especially appropriate for elderly people with dementia. This research tried to promote a Unit Care Model Project and it included social and nursing care services. In this research, daily steps of care workers were taken into account to measure the work load under the Unit Care Model Project. In addition, time for willingness to leave beds of residents to join interactions and an investigation of satisfaction with services were also utilized to measure the quality of service. Findings were illustrated as follows: daily steps of care workers kept rising from the first week to the 14(superscript th) week and lessened after the 15(superscript th) week. After the 19(superscript th) wee, it was even less than the beginning of the project. This shows that the work load of care workers has been lower than at the beginning of the project. In addition, time for willingness of residents leaving beds increased significantly during the first two weeks and then gradually decreased. The scores were significantly higher than at the beginning of the project. Our findings were similar to the researchers in the Japanese study. Suggestions to institutions were given in the conclusion.

並列關鍵字

medicare institution ； unit care ； time for willingness of residents leaving beds ； daily steps of care workers

參考文獻

中村英三()。

內政部統計處(1997)。老人狀況調查報告。台北:內政部。

九十六年八月內政統計通報

身心障礙福利統計資料

行政院衛生署