高齡者之家庭照顧者經驗與因應策略

Experiences and Coping Strategies of Family Caregivers of Older Adults

陳育嫺(Yu-Hsien Chen) ； 江家璇(Chia-Hsuan Chiang) ； 王綉敏(Hsiu-Min Wang) ； 黃佳慧(Chia-Hui Huang) ； 辜美安(Malcolm Koo)

《台灣老年醫學暨老年學會雜誌》 16卷3期 (2021/08) Pp. 165-175

https://doi.org/10.29461/TGGa.202108_16(3).0001

摘要

隨著台灣人口快速老化，照顧高齡者的角色日益重要，家庭成員往往需要肩負主要照顧者的責任。過去研究集中探討照顧者負荷及負向照顧經驗，但照顧工作其實亦可能帶來正向的經驗。本文統整家庭照顧者於生理、心理、社會與經濟面向之正向及負向照顧經驗，與面對負面照顧經驗之因應策略，並提供照顧者可參考之支持資源專線。雖然各類介入策略對家庭照顧者的效益在目前仍然欠缺高品質的實證研究支持，但認知行為療法、正念減壓和運動應能對照顧者的心理健康有正面的效益，期望本文對未來與家庭照顧者相關之研究及政策研擬能提供參考建議。

關鍵字

照顧者 ； 長期照護 ； 照顧服務員 ； 家庭照顧者 ； 照顧者負荷

並列摘要

As Taiwan's population is aging rapidly, the role of caregivers of older adults has become increasingly important. Family members often have to assume the responsibility as the primary caregivers of older adults in families. Previous research has focused mainly on the burden and negative experiences of these caregivers. However, positive experiences can also be gained from caregiving. The present article presents an integrated view of both positive and negative caregiving experiences, covering the physical, mental, social, and economic aspects of those experiences. In addition, strategies for dealing with negative caregiving experiences are summarized and available resources for family caregivers of older adults are offered. Although the effectiveness of various interventions remains in need of evidence from quality empirical studies, cognitive behavioral therapy, mindfulness-based stress reduction programs, and exercise have been reported to be promising strategies for improving the mental health of family caregivers of older adults. It is hoped that the present article can offer suggestions for further studies dedicating to developing effective interventions and policies for supporting caregivers of their older family members.

並列關鍵字

caregivers ； long-term care ； nurse's aides ； family caregivers ； caregiver burden