長期照護機構實施自立支援照顧模式之歷程

摘要學號： N10570002 論文名稱：長期照護機構實施自立支援照顧模式之歷程總頁數：97 學校名稱：國立屏東科技大學系（所）別：技術及職業教育研究所畢業時間及摘要別： 107 學年度第二學期博（碩）士學位論文摘要研究生：李淡江指導教授：鍾鳳嬌教授論文摘要：我國已邁入高齡化社會，人口老化指數逐年攀升，顯示老年照護的重要性與急迫性。研究者從事護理工作已達27年之久，在長照機構服務多年的經驗發現，住民因為老化的關係而更易有失能的現象，常因照顧人力不足或照顧者觀念不正確及照顧方式不週全，致使機構內的老人失能程度驟升，藉由參加自立支援照顧模式的講習後，致力於服務機構推動自立支援照顧模式。本研究之目的為：一、探討長期照護機構主要照顧者實施自立支援照顧模式之歷程。二、探討機構實施自立支援照顧模式對失能老人的影響；本研究採質性研究之現象詮釋法來探討蒐集到的資料，透過深入訪談與直接觀察來對欲探討的問題做深入及正確的瞭解。本研究以屏東縣安安老人養護中心作為研究場域，所得結論如下：一、長期照護機構主要照顧者實施自立支援照顧模式之歷程部分：（一）自立支援照顧模式認知不足。（二）需重新學習來增進對失能老人的尊嚴之重視。（三）需透過認知改變來翻轉長期照顧機構既定的負面印象。二、實施自力立支援照顧模式對失能老人的影響部分：（一）失能老人對恢復自主生活能力有意願者，可提高實施成效。（二）個案沒有配合意願時無法顯現成效。（三）持續給予訓練時，可達到提升生活自理能力的目標，提升自主生活的能力。工作成就感是人才留任的重要因素，需要基本知識與技能的支持，經過教育訓練，培訓出專業照護人力，投入長照體系，共同推動自立支援照顧模式，達到提升照護品質的目標。研究者也期許自己可以為理想目標繼續努力。關鍵詞：自立支援照顧模式、長期照護機構、失能老人

關鍵字

自立支援照顧模式；長期照護機構；失能老人

並列摘要

Student Number: N10570002 Title of Thesis: The Process of the Implementation of Self-Supporting Care Model by Long-Term Care Institutions Total Pages:97-- Department/Graduate Institute: National Pingtung University of Science and Technology ,GRADUATE Institute of Technological and Vocational Education, Date of Graduation: June, 2018　　　　 Degree Conferred: Master Graduate student: Li, Tan-chiang　　　Advisor: Dr. Chung, Feng-chiao Abstract Taiwan has entered an aging society, the gradual escalation of population aging index has indicated the importance and urgency of geriatrics care. The researcher has been practicing nursing services for 27 years. From the experiences gained in long-term care institutions, the researcher has found that the residents were more easily prone to be disabled due to aging. The level of disability of the elders inside organization were risen because of the lack of manpower, misconception, or inadequate care. By attending the seminars of self-supporting care model, the researcher is devoted to the promotion of self-supporting care model in her service institute. The purposes of this study are to explore the process of implementing self-supporting care by primary caregivers in long-term care institutions. And to investigate the impact on disabled elders of self-supporting care model. The study has adopted interpretive research from qualitative research to investigate the data gathered. To explore deeper and more accurate through in-depth interview and direct observation. The research field of the study is An-An Nursing Home in Pingtung County, the findings of the study are: 1. The parts of the process of implementing self-supporting care by primary caregivers in long-term care institutions. a. Cognitive deficits in self-supporting care model. b. Need of relearn to increase the value of respect toward disabled elders. c. Need of cognitive changes to flip the established negative impression on long-term care institutes. 2. The impact on the disabled elders by implementing self-supporting care model. a. The disabled elders who are willing to restore independent living skills can heighten the effectiveness. b. The effectiveness cannot be reached without the cooperating willingness of cases. c. When continuous training is given, the independent living skills of cases can be raised and improved. Sense of achievement is an important factor in the retention of talents, it requires the bulwark of basic knowledge and skills. Through educational training, professional manpower is trained to put into the system of long-term care. By promoting self-supporting care model together to reach the goal of enhancing the quality of care. The researcher also expect herself to keep working hard for ideal goals. Keywords: Self-Supporting Care Model， Long-Term Care Institutions，The disabled elders