家庭女性照顧者需求之探討：以高雄市長期照顧管理中心為例

論文名稱：家庭女性照顧者需求之探討：以高雄市長期照顧管理中心為例校院系：國立暨南國際大學社會政策與社會工作學系碩士班頁數104頁畢業時間：九十七年十二月學位別：碩士研究生：王品喬指導教授：古允文博士論文摘要社會變遷、家庭型態改變、婦女就業率增加等因素影響下，照顧失能老人不再是個人或家庭能獨立承擔，不論是政府或家庭的照顧負擔都將愈來愈大。照顧是一種「愛的勞務」性質的工作，尤其是家庭中的照顧者幾乎都由女性擔任，台灣家庭照顧者的現況實際上反應相當程度「照顧者女性化」的意涵。因此引發研究者對於女性照顧者的角度來暸解台灣長期照顧政策是否符合其需求將是非常重要的議題；又，基於不同失能程度、身份別老人之女性照顧者間存在事實的差異，但此差異是否有不同的需求與滿足感受，則是研究者另一個想暸解的現象。基於上述，本研究之目的在於瞭解我國長期照顧服務是否符合家庭女性照顧者的需求，並探討其對長期照顧政策所提供服務項目的滿意情形與看法，以期提出相關建議而有助於長期照顧服務在規劃上的參考。欲達本研究目的，需較深入且豐富性之資料，因此本研究採用質性研究典範；以訪談法進行資料蒐集，針對10位家庭女性照顧者，照顧對象分別為不同失能程度：輕、中度失能與重度失能，以及不同身分別：一般戶、中低收入戶與低收入戶等進行訪談。經訪談資料分析之後，研究發現如下：ㄧ、家庭女性照顧者對長期照顧需求現況：從津貼補助的需求上，可以暸解經濟情況為家庭照顧者最為關切的問題，因為負擔的部份會因為老化或生病，對於醫療和食物的需求提高而增加；在服務需求上，對於居家服務和喘息服務有高度的需求，認為藉此可以紓解照顧者的身體和心理的負荷。二、長期照顧服務滿意情形：家庭女性照顧者肯定長期照顧服務能夠減輕照顧困擾，而且對於長期照顧管理中心之照顧管理專員定期複評，瞭解失能程度，藉以調整服務內容、時數和頻率，也提高對於長期照顧服務的觀感。三、對長期照顧福利服務的看法：在過去，失能老人的女性照顧者大多是以自己及家庭力量來處理老人的照顧問題，現在研究發現，女性照顧者除對長期照顧舊制與新制間的轉變是持正向的看法外，對於整體政府在老人福利服務上，女性照顧者已能感受到政府於老人照顧是希望幫助到需要的家庭，往好的方向走，覺得滿意。關鍵字：家庭女性照顧者、長期照顧、居家服務

關鍵字

家庭女性照顧者；長期照顧；居家服務

並列摘要

Title of Thesis: Exploring Female Caregiver’s Needs: A Study of Long-Term Care Resource Center in Kaohsiung City Name of Institute: Department of Social Policy and Social Work, Pages: 104 National Chi Nan University Graduation Time: 12/2008 Degree Conferred: Master Degree Student Name: Pin- Chiao Wang Advisor Name : Yeun-wen Ku Abstract Due to changes in family structure and female employment increase, it is difficult for the family alone to take the full responsibility of caring disable elderly and also the burden to the government will be getting bigger and bigger. Care is naturally as ‘the service which one kind loves’, especially those who family caregivers are nearly held by the female. Taiwan family caregivers’ present situation in fact responds the suitable degree of the caregiver feminization. Therefore the initiation of this study would like consider, from the angle of female caregivers, the policy for long-term care, especially on whether it can meet female caregivers’ needs. However, based on differences in degree of disability for the cared and family economic status, this study also would like to understand whether such differences influence female caregivers’ satisfaction to long-term care services in Taiwan. In short, the main purpose of this study is to understand the real situation of long-term care services in Taiwan and its impacts on female caregivers, by which we may propose related suggestions for service reform in the future. Deep and rich information is necessary for achieving these purposes. This study adopts qualitative research strategy to collect data by in-depth interview. Totally ten family female caregivers are selected to join this study with their conditions in moderate and severe disability, as well as their economic status of general, middle-low income, and low income. The main findings are as follows: 1. Family female caregivers’ needs to long-term care services: economic assistance is the most concerned issue with female caregivers, and the medical burden is increasing with the disability degree because of ageing or illness; also, there are high demands for residential and respite services, which are critical important for relieving physical and mental burden of female caregivers. 2. Satisfaction to long-term care services: the family female caregivers affirm the importance of long-term care services, and, especially, the helps offered by the Long-Term Care Resource Center in its regular reevaluation and adjustment of services necessary to the cared, respecting to service items, hour and frequency. 3. Female caregivers’ view on long-term care services: instead of cared by their own families, female caregivers hold rather positive attitude towards long-term service reform that demonstrates more public responsibility in the provision of elderly welfare. Keywords: Female Caregiver, Long-term Care, Home Services