- 學位論文
遷居安養機構老人晚年生命經驗之探討
Life Experiences of Relocated Elders in a Residential Care Home
摘要
本研究主要目的是探討遷居安養機構老人晚年生命經驗中，居所對於老人晚年生命的意義、老人晚年情感需求以及老人晚年死亡態度。本研究採質性研究方式進行，以立意取樣方式篩選出4位年老長者為本研究之研究參與者，於2014年9月至10月進行深度訪談蒐集文本資料，並以Boeije提出的質性分析方式進行分析（張可婷譯，2013），結果發現如下： 一、「機構」對老人的存在意義有二個面向：1.機構可以為家，因為機構具有功能性及依附性。2.機構不能為家，因為機構缺乏家人情感、歸屬感、空間實質擁有權。而「家」之於老人的存在意義；家是家人團聚、延續情感、充滿回憶、安全的避風港及生命最終停靠處，同時家也是悲傷及鄉愁的代表。 二、老人晚年情感需求分成二個面向：（一）家庭內情感需求，包含伴侶陪伴需求、子女陪伴需求、孫子女陪伴需求及親屬陪伴需求。（二）非家庭的社會支持系統，包括友誼支持、宗教支持及其他情感慰藉。 三、遷居安養機構老人晚年生命經驗中，視死亡為自然界的一部分，具有不怕死、欣然接受死亡、未視死亡為禁忌之事、願意認識死亡及與死亡共處等五種死亡態度的呈現。 根據上述結果，本研究提出建議供後續相關研究及實務工作者參考。
並列摘要
The main purpose of this study was to investigate how older residents experienced when they relocated to Residential Care Home during their later years. The researcher was curious about what Residential Care Home meant to its older residents, and how it influenced their emotional needs and attitudes toward death. The researcher used qualitative research method to conduct this study and applied Boeije's method (2010) to analyze all data. In terms of the participants, the researcher used purposive sampling to select 4 elders who resided at a care home in central Taiwan. Besides, the researcher used in-depth interviews to collect data. All participants were interviewed by the researcher between September and October in 2014. The findings were as follows: First, the “Care Home” was a existential symbol to its older residents. Part of participants considered the care home as their home which could provide emotional function and the sense of adherence. For those who considered the care home is only a resident organization because they could not feel emotional interaction, sense of belongingness, and ownership to the space. To the elders, "Home" is such the existential symbols as the sense of family reunions, extended emotions, significant memories, a haven, the terminal resort to life, and meanwhile home is also the representative of sadness and nostalgia. Second, there were two dimensions concerning about emotion needs of the older residents in their later years. (a) The elders could meet their emotional needs within the family, for instance, from the companions of their couple, children, grandchildren and relatives. (b) They could also gain social support outside of the family to meet their emotional needs, for example their friendships, religions and other emotional comforts. Three, the older residents who resided at the care home considered the death as a part of nature. Their attitudes toward death were as follows: (a) they showed absolute fearlessness of death, (b) they were willing to accept death, (c) for them, death was not such a taboo issue, (d) they were open to understand death, and (e) they realized that they were growing old and closed to death gradually. According to the results of this study, the researcher would provide researchers and the helping professionals with some recommendations.