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自立支援照顧的臺灣實踐

Self-supporting Care for Taiwan's Practice

摘要


隨著科技進步、醫藥發達,出生率及死亡率逐年降低,臺灣老年人口的比例正大幅增加,失智人口數逐年攀升,失能者的臥床時間也不見改善,消耗大量的醫療及社會資源,高齡化社會已然成為重大議題,所產生的現象與問題也逐漸浮現。如何維護高齡生活的品質與尊嚴,以及訂定健全的社會福利和健康政策已刻不容緩。面對諸多挑戰,雲林縣老人福利保護協會的執行長林金立先生前往日本取經,率先引進「自立支援照顧」模式,堅持不約束、不尿布、不臥床的「三不原則」,以期改善傳統照顧模式下產生的疑難雜症,讓長輩得以老有所安。

並列摘要


With the new technology and medical science advances, the birth and mortality drops year by year which brings the proportion of "the population with dementia" in Taiwan increasing and the duration of the disability stay on bed keep remaining. This situation has been already consuming lots of medical and social resources. Aging society has become a major issue, and the problems caused by the situation gradually emerging. It's urgent to find the way keeping the qualities and dignities of elder's life and establishing a full function of social welfare and health policy. Rising to the occasion, Mr. Lin Jin-Li, the CEO of Senior Citizens Welfare and Protection Association of Yunlin Country, went to Japan and took the lead in introducing "self-supporting care" model with three principles "non-restraint, non-diaper and non-bedridden" to improve all kinds of problems we met in traditional care model, so that elder will be set into rest.

參考文獻


JSCI 日本自立支援協會(2012)。自立支援介護とは。取自 http://jscil.com/concept
介護の精神と社会(2014)。自立支援とは何か介護 の お 仕事 の 疑問 を 解 く 。 取自http://kaigo-mind-social.com/independence-support-57

被引用紀錄


鐘美娥、童雅瑩(2018)。運用自立支援模式照顧老年失明者遷住機構之經驗長期照護雜誌22(3),275-285。https://doi.org/10.6317/LTC.201812_22(3).0005
徐明仿(2021)。日本長照領域推動自立支援照顧模式經驗之初探台灣公共衛生雜誌40(4),355-370。https://doi.org/10.6288/TJPH.202108_40(4).110033
張育瑄、陳欣蘭(2023)。居家機構應用自立支援照顧於失能個案效益之研究管理資訊計算12(1),25-36。https://doi.org/10.6285/MIC.202303_12(1).0003
林艷君、黃璉華(2018)。高齡者自立支援之照護模式護理雜誌65(2),20-26。https://doi.org/10.6224/JN.201804_65(2).04
鄭理月、莊培凱、陳善群、徐佳瑜、蔡佩君、鄭涵、許志民(2023)。以復能觀點對腦中風患者自我照顧能力之探討-個案報告北市醫學雜誌20(3),359-368。https://doi.org/10.6200/TCMJ.202309_20(3).0008

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