家庭照顧者中年危機轉化歷程之研究

本研究旨在探討家庭照顧者遇到中年危機的轉化經驗，研究目的為二：（一）探究家庭照顧者產生中年危機的影響因素。（二）分析家庭照顧者歷經中年危機轉化歷程之經驗。期望家庭照顧者面臨中年危機轉化時，能有更多的瞭解與認識。本研究先以國內外相關研究文獻進行評閱，再以Stein提出的中年轉化歷程為分離、過渡、再整合三階段，作為資料分析脈絡。研究結果發現以下二點：（一）家庭照顧者在面臨中年危機時，會產生心理、生理、工作、家庭問題，以及社會支持等內外因素影響。（二）研究對象在中年轉化時經歷三個階段，第一階段要分離的是傳統父權、兄弟共同承擔扶養責任、多重角色的壓力以及自我認同。第二階段過渡所採用的因應策略有問題導向、彈性調整、心理調適、學習成長、社會支持。第三階段再整合為每一位受訪者觀點的轉換，以作為接下來行動的依據。研究結果發現，此轉化歷程符應Stein的中年轉化三個階段理論，也發現夫妻同心，彼此扶持和自我心靈調整，是家庭照顧以及中年轉化重要的正向能量轉化的力量。最後提出實務上的建議，期能幫助每個人有意識的渡過中年危機，迎接身心靈健康的高齡生活。

關鍵字

中年危機；家庭照顧者；轉化歷程

並列摘要

This research aims to explore the transformational experience of family caregivers encountering a mid-life crisis. The purpose of the research is two: (1) to explore the factors influencing family caregivers' mid-life crisis. (2) Analyze the experience of family caregivers who have gone through the middle-aged crisis transformation. Expect family caregivers to have more understanding and knowledge when facing the transformation from the middle-aged crisis. This research first reviews the literature of relevant research at home and abroad, and then uses the three stages of the middle-aged transformation process proposed by Stein: separation, transition, and reintegration as the data analysis context. The results of this study found the following two points: (1) When family caregivers face a year-round crisis, they will have psychological, physical, work, family problems, and social support and other internal and external factors. (2) The research objects go through three stages when they are transformed into middle-aged. The first stage to be separated is traditional patriarchy, brothers sharing support responsibilities, pressure from multiple roles, and self-identity. The response strategies adopted in the second stage of transition include problem orientation, flexible adjustment, psychological adjustment, learning growth, and social support. The third stage is the transformation of each interviewee's point of view, as the basis for the next action. The results of the study found that this transformation process is in line with Stein's three-stage theory of middle-age transformation. It also found that husbands and wives are concentric, support each other and self-soul adjustment, which is an important positive energy transformation force for family care and middle-age transformation. Finally, we put forward practical suggestions, hoping to help everyone consciously tide over the middle-aged crisis and welcome a healthy elderly life in body, mind, and soul.

並列關鍵字

family caregivers ； middle-aged crisis ； transformation process

參考文獻

Doki, S., Hirai, Y., Kaneko, H., Ohtaki, Y., Oi, Y., Sasahara, S., (2019). Relationship between suicidal ideation and family problems among young callers to the Japanese crisis hotline. PLoS ONE 14(7): e0220493. From https://doi.org/10.1371/journal.pone.0220493

王櫻璁（2012）。初期失智症家庭照護者照護經驗探索（未出版之碩士論文），國立成功大學，臺南市。