失智家屬照護者之失落概念分析

Dementia Family Caregiver's Loss: A Concept Analysis

王麗雲(Li-Yun Wang)

《慈惠學報》 10期 (2014/12) Pp. 25-34

https://doi.org/10.6202/THJ-2014-10-03

摘要

失智家屬照顧者之失落普遍存在於照顧失智親人的日常生活中。一但親人被診斷出失智症，失智親人與家屬照顧者的關係將產生了微妙變化，隨著評估失智親人的病情變化與照顧歷程所累積的壓力，失智家屬照顧者感受到將失去與失智親人平時相互信賴、分享、託付的關係會被剝奪之失落感。回顧過去文獻並未對失智家屬照顧者之失落概念作有系統的分析，因此本文依據Walker和Avant（2005）所提出的概念分析步驟，對失智家屬照顧者之失落進行概念分析。以典型案例、邊緣案例與相反案例說明失智家屬照顧者之失落定義特徵，並分析失智家屬照顧者之失落的前因後果，以實證參考文獻做驗證，希望釐清失智家屬照顧者之失落概念，並以同理心為基礎的調適照顧失落信念，達到照顧者與被照顧者雙向靈性安適境界。

關鍵字

失智家屬照護者 ； 失落 ； 概念分析

並列摘要

The prevalence of dementia family caregiver's loss is an existent phenomenon and an important part of our lives. The dyadic identity relationship between care giver and care receiver has been changed once one of the lovers was diagnosed with dementia. With the caregiving process of assessed the patient's condition and accumulated caregiving burden, the dementia family caregiver will fell to lose the person with dementia who is usually mutual trust, sharing, and entrusted with caregiver would be deprived of the sense of loss. Reviewing the literatures, there is not systematic concept analysis of dementia family caregiver's loss. According to the methodology of concept analysis by Walker and Avant (2005), this article propose the concept analysis of dementia family caregiver's loss to define attributes with model case, borderline case, and contrary case. The antecedents and congruency with empirical references are also included. After recognizing the concept of dementia family caregiver's loss, the caregiver by coping based on empathy with care receiver can reach dyadic well-being.

並列關鍵字

Dementia family caregiver's loss ； Loss ； Concept analysis

參考文獻

中華民國教育部(2005)，重編國語辭典修定本，取自http://dict.revised.moe.edu.tw [The Republic of China Ministry of Education (2005), Reedit Mandarin dictionary revised book, Retrieved from http://dict.revised.moe.edu.tw]

牛津英文線上字典(1933)，牛津學習者字典，取自http://www.oxfordlearnersdictionaries.com/definition/english/emotion [The Oxford Dictionary (1993). The Oxford Learner’s Dictionaries, Retrieved from http://www.oxfordlearnersdictionaries.com/definition/english/emotion]

白明奇(2012)，成大醫院失智中心掲幕紀-進到病人的內心。台灣醫界，55(2)，49-53。[Pai,Ming-Chy (2012). Inaugurate of Dementia Center, National Cheng Kung University Hospital Center - Into the Patient's Heart. Taiwan's Medical Professionals, 55 (2), 49-53.]

行政院經濟建設委員會(2012，8月)，中華民國2012年至2060 年人口推計，取自http://iknow.stpi.narl.org.tw/Post/Files/policy/2012/policy_12_037_2.pdf [Council for Economic Planning and Development, Executive Yun (2012). The Population Reckon of the Republic of China from 2012 to 2060. Retrieved from http://iknow.stpi.narl.org.tw/Post/Files/policy/2012/policy_12_037_2.pdf]

行政院國家發展委員會(2014，8月18日)，2014年至2061年中華民國人口推計，取自http://www.ndc.gov.tw/m1.aspx?sNo=0061246#.VAPiR9eSyCk [National Development Council, Executive Yun (2012). The Population Reckon of the Republic of China from 2014 to 2061. Retrieved from http://www.ndc.gov.tw/m1.aspx?sNo=0061246#.VAPiR9eSyCk]