以單元照顧理念建構閒置空間再利用之社區日間照顧中心 —以竹東地區為例—

Constructing a community day care centre for the elderly by re-using of unused space with the concept of unit care. --- By the case of Chu-Tung area---

高宜民(Yi-Ming Kao)

指導教授 ： 陳政雄

中原大學/設計學院/建築學系/碩士(2008年)

https://doi.org/10.6840/CYCU.2008.00387

摘要

隨著高齡化社會的人口變遷下，國人養育觀念亦隨之改變，加上教育水準普遍提升，高齡者對自主生活和照顧方式將更重視。一些北歐國家也提出「在地老化」（aging in place）的政策目標，認為長期照護應盡可能協助高齡者或身心功能障礙者留住家中，過獨立常態的生活。而近年來，政府亦積極推動「去機構化」，將機構之功能擴散至社區中，使高齡者能生活在自己住慣的社區中接受「社區式模式」的照顧。

社區照顧為從居家照顧到機構式照顧的過程中，極為重要的一環，本研究冀望改善現階段機構型老人照顧設施的型態，思考以社區照顧減少高齡者對機構式照顧的需求，以延緩高齡者老化之時間，並達到以下目的：

1. 研究並釐清「單元照顧」理念之各項原則，期望改善高齡者日間照顧服務與環境品質。
2. 藉由照護環境需求調查及閒置空間類型調查分析，探討社區閒置空間再利用為高齡者福利設施之可行性。
3. 瞭解高齡者日間照顧機構環境，環境設施現況於軟、硬體層面之相關課題，對於未來社區日間照顧之設置提出對策。

本研究之調查內容分為三個階段性，第一階段欲釐清竹東地區照顧服務以及閒置空間現況，針對竹東鎮中25個里之里長及里幹事，進行訪談調查，並對當地長期照護單位現況、閒置空間現況以及日間照顧服務需求進行調查；第二階段則經由日間照顧服務需求之問卷調查結果進行交叉顯著性分析，以瞭解當地高齡者對日間照顧服務之看法及需求；第三階段將理論及調查分析結果彙整後，擬定設計條件與設計準則，並依閒置空間調查分析結果，選定竹東鎮農會倉庫進行環境改造計畫的案例操作，做為理論和實務之間的支持與驗證。

研究成果除呈現以群體生活照顧單元理念，進行閒置空間再利用之模擬設計操作之方案外，經調查與分析後提出相關結論與建議：結論部分，分別針對照顧環境需求以及閒置空間再利用兩課題提出分析結果；研究建議部分，提出以閒置空間建構高齡者日間照顧中心環境規劃的操作策略，以及軟、硬體課題等注意要項。

關鍵字

生活據點 ； 生活重心 ； 閒置空間 ； 日間照顧 ； 單元照顧

並列摘要

Take demographic change of society lay with advanced age, compatriot’s idea of bring up also change thereupon, in addition, the level of education raise generally, advanced age person pay more attention to independent life and treatment way. Some Northern European countries propose the policy goal of aging in place, to consider it should help advanced age person or physical and psychological function obstacle person keep one’s home as much as possible to be take care for a long time , and pass the life of the independent normality. In recent years, government actively promote the idea of ' get rid of organization ', spread the function of the organization into the communities, treatment accepting the ' community care ' in the community enabling advanced age person to live and is used to living in oneself.

The community care is in an extremely important point of the course from taking the home type into organization , this research hopes to improve the type that the advanced age person of the organization type care facilities of the present stage attitude, think that looks after the demand that the person who reduces advanced age looks after for the organization type with the community, in order to the time to wear out of person who delays advanced age, achieve the following purpose:

1. Study and distinguish every principle of the idea ' unit care ', and expects to improve a enhance the quality of day care services and the environment for the elderly.
2. To investigated and analysis care environmental demand and the unused space , probe into the feasibility of constructing welfare facilities for advanced age person by re-sing the unused space.
3. To understand the environment of day care organization and the relevant subjects in the software and hardware aspect of present situation of environmental facility, and put forward the countermeasure to establish the community day care centre in the future.

The content of this study can be categorized into three parts. In the first part, to distinguish the present situation of care service and unused space in Chu-Tung area, carry on interview investigation 25 pieces secretary. In the second part, via is it serve questionnaire investigation result of demand is it cross the dominance is analysis to go on to look after , in order to understand locality to looking after the view and demand served in the day care of advanced age person. In the third part, after gather together the theory and investigation analysis result to draft the design condition and design criteria, and according to the analysis result of unused space, select case operation of carrying on the environmental transformation plan of warehouse of peasant association of Chu-Tung area, do it for the support and verification between the theory and practice.

The research results look after with constructing a community day care centre for the elderly by re-using of unused space with the concept of unit care, and based on the findings, several conclusions and research recommendations are to be proposed. The conclusions include analysis result of two subject care environmental demand and re-using of unused space. As for the research recommendations, to bring up proposition of the operation strategies of constructing a community day care centre for the elderly by re-using of unused space with the concept of unit care and the attention point of software and hardware subject

並列關鍵字

unused space ； unit care ； life pursuit ； day care ； living place

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