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  • 學位論文

臺北市重度以上身心障礙者對長期照護需求評估

The need assessment of long-term care services for the severely handicapped in the Taipei city

指導教授 : 屈蓮 韓柏檉 任麗華
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摘要


本研究目的在調查身心障礙者對長期照護的需求。由個案特質、家庭特質及主要照顧 者特質三方面,來探討重度及極重度身心障礙者,對長期照護模式:居家式及機構式的需 求,並探討影響這些需求之相關因素。 本研究以台北市政府社會局所提供的身心障礙者為抽樣母群體,採用隨機抽樣併系統 抽樣法。抽出774個電話號碼之個案,這些身心障礙者之主要照顧者即為本研究的訪問對象 。經調查訪問後,共完成有效問卷195份,完成率25.2%。 研究工具為自擬之結構式問卷。研究資料以SPSS 6.0 電腦統計程式分析。研究結果顯 示:195個個案中,主要照顧者認為當身心障礙者有長期照護的需求時,60.0%會選擇居家 式照護,40.0%會選擇機構式照護,其比率為1.5:1。多變項區別分析發現,「個案年齡」 51歲及以上、「家中人員數」5人以上及「主要照顧者與個案關係」是夫妻時,傾向選擇居 家式照護。而「依賴別人照顧情形」(ADL)中的11至15分、「依賴別人照顧情形」(ADL)中 的16至18分、「合併疾病數」中的二種以上及「主要照顧者年齡」中的51歲及以上時,傾 向選擇機構式照護。區別分析分組結果:居家式照護正確分組有74.4%,機構式照護正確分 組有73.1%,全部正確分組比率73.85%。 基於上述研究結果,本研究建議以日常生活依賴程度為指標,評估身心障礙者對長期 照護之需求,使不同依賴程度之個案獲得其所需要的服務。

並列摘要


The study was to designed to assess the need for long-term care of the handicapped in Taipei. The independent variables in this study were characteristics of the handicapped,family,and caregivers. The type of long- term care was classified as either home-based or institution-based. A self-designd construct questionnaire was adopted to interview family caregiver of the handicapped. Handicapped persons were randomly based on a review of films selected by systematic sampling of computer records maintained by Taipei goverment. Selected subjects were interview by a phone call. A total of 195 family caregivers (25% of 774) completed the questionnaires. Data collected was analyzed by using SPSS 6.0. Results showed that 40.0% of family caregivers chose home-based long-term care and 60.0% chose institution-based care(rate=1.5:1). According to discrimination analysis, home-based care was preferred by handicapped persons ages over 50 years, those with larger family size(>5),and those with a marital relationship between the handicapped person and the caregiver(husband or wife). However, handicapped persons with medium or severe physical dependence(ADL:11-15 or 16-18), with at least one complication, and family caregivers with age over 50 were inclined to use institution-based long-term care. Discrimination analysis indicated that classifications were in agreement with the preferences of the handicapped in 74.4% of those who preferred home-based care, 73.1% of those who preferred institution-based care, and 73.85% for total samples. Our study suggest the asseessment of the need for long-term care of the handicapped should be based on an evaluation of their dependence in activities of daily living and that the utilization of long-term care services should be appropriately matched with the degree of dependence.

被引用紀錄


沈佩曄(2012)。以國際健康功能分類系統(ICF)評量不同長期照護機構腦中風住民之試用性〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831%2fTMU.2012.00100
曾桂琴(2002)。運用衛生服務利用行為模式探討影響主要照顧者對長期照護服務利用及滿意度之相關因素〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714505492
陳淑婷(2008)。社區失能者長期照顧十年計畫服務使用情形相關研究〔碩士論文,亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-1511201215462482

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