改善失智症照顧者負荷之專案

背景：失智症者認知功能障礙影響日常生活功能是導致照護者負荷的重要因素，而疾病退化影響社會功能將造成家庭及社會沉重的負荷，因此適切的失智症者照護可減輕照顧者負荷。目的：本專案旨倡權失智症者自立支援活動參與以提升其社會功能並降低照顧者負荷。方法：專案自2019年6月至2019年11月，經由照顧者負荷及失智症社會功能評估量表，進行評估照顧者負荷及失智者社會功能，運用實證查證文獻及要因分析確立問題為個案缺乏互動學習、照顧者缺乏照護知識與支持及缺乏輔助器材申請方法，運用失智病友會團體、出版失智症家庭照護者經驗分享故事集、個別討論及護理指導、主動提供輔具資源及轉介長照服務等改善對策。結果：共有31位輕度失智症者及照顧者參與專案前後效果評值，個案社會功能評估結果平均分數由32.64降至20.77，改善進步36.37%，照顧者負荷統計由38.45降至27.26，改善進步為29.10%。結論：結合病友會活動，倡權失智症者自立支援活動參與、提供認知促進活動及輔具資源，可有效改善失智症者社會功能及降低照顧者負荷。

關鍵字

倡權失智症者；社會功能；照顧者負荷

並列摘要

Background: Cognitive dysfunction of dementia affects daily life function is an important factor leading to the burden of caregivers, and disease degradation affects social function will cause a heavy burden on the family and society, so appropriate dementia care can reduce caregivers' load. Purpose: The purpose of this project is to promote the participation of independent dementia support activities to improve their social function and reduce the burden of caregivers. Methods: From June 2019 to November 2019, the project evaluated the caregiver load and dementia social functioning scale through the caregiver load and dementia social function assessment scale, and used empirical verification literature and factor analysis to establish the problem as a case. Lack of interactive learning, caregivers lack care knowledge and support, and lack of assistive device application methods introduce measures to improve long-term photo services. Results: A total of 31 patients with mild dementia and caregivers participated in the evaluation of the effect before and after the project. The average score of the social function evaluation results of the cases fell from 32.64 to 20.77, an improvement of 36.37%, and the caregiver load statistics decreased from 38.45 to 27.26 The progress is 29.10%. Conclusion: Combined with the activities of the society of patients, advocate the participation of independent support activities of dementia patients, provide cognitive promotion activities and assistive resources, effectively improve the social function of dementia patients and reduce the burden of caregivers.

並列關鍵字

advocacy for people with intellectual disabilities ； social function ； caregiver load

參考文獻

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林艷君、黃璉華 (2018)．高齡者自立支援之照護模式。護理雜誌，65(2), 20-26。https://doi.org/10.6224/JN.201804_65(2).04

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陳敏佳、邱逸榛、魏碧美、徐文俊 (2017)．輕度認知功能障礙長者其家庭照顧者負荷改善案例－以家庭為基礎之個案管理計畫。護理雜誌，64(3), 105-111。https://doi.org/10.6224/JN.000046

馬先芝 (2003)．照顧者負荷之概念分析。護理雜誌，50(2), 82-86。https://doi.org/10.6224/JN.50.2.82

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