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來源文獻資料
摘要
外文摘要
引文資料
題名:
獨立與依賴意涵的重新檢視
書刊名:
臺灣職能治療研究與實務雜誌
作者:
張玲慧
/
王劼
/
施陳美津
/
毛慧芬
作者(外文):
Chang, Ling-hui
/
Wang, Jye
/
Chen-Sea, Meijin
/
Mao, Hui-fen
出版日期:
2010
卷期:
6:2
頁次:
頁111-120
主題關鍵詞:
獨立
;
依賴
;
復健
;
Independence
;
Dependence
;
Rehabilitation
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:0
共同引用:0
點閱:20
個案獨立或依賴程度為目前老人健康照護服務的重要考量,也是醫療、社會資源分配的重要指標,然而少有研究有系統的探討獨立或依賴的意涵,中文文獻更是付之闕如,本文回顧相關英文文獻,以歷史觀與醫學、社會、心理、文化與職能治療等觀點,有系統的探討獨立/依賴的意涵,凸顯職能治療專業人員面臨的臨床實務與理論的差異。 以歷史觀而言,職能治療的治療重心從以有目的的活動為治療重心到重視個人自我照顧能力,反映出專業因應社會文化演變與專業發展的需要。近年社會、心理、與文化學學者提出醫療環境所強調的功能性獨立/依賴為一充滿價值觀、多層次、有主觀與客觀面向的概念、是個人與社會文化情境與環境互動的產物。職能治療理論整合近年來的相關理論,對獨立/依賴的新闡釋與所提倡的職能參與為職能治療主要範疇的理念也有同樣特質。然而此理解與目前生物醫學意識型態主導、視獨立/依賴為可客觀測量量化的個人單面屬性的論述互相衝突,職能治療專業人員因此需要在理論與實務的差異中調適。 隨著社會醫療資源分配與失能者的人權議題日益受到關注,身為一重要指標的獨立/依賴相關課題也日益重要。然而如何在實務層次融入獨立/依賴的多面向概念這重要課題仍缺乏明確的實證架構,發展職能參與的評估工具,進而驗證奠基於職能參與理念的治療療效可以幫助縮小理論與實務的差異。
以文找文
Independence and dependence is a significant issue in the provision of health services to older adults. It is also an important indicator for medical and social resource allocation. However, there is limited research systematically exploring its meanings. Our best effort did not identify any relevant systematic study in Chinese. This paper reviews relevant English literature and explores the meanings of independence and dependence from both historical and inter-disciplines perspectives. The results highlight the gap between clinical practice and theories on this issue. From a historical perspective, the changes in the domains of occupational therapy practice from purposeful activities to self care independence reflect the profession's adjustment to socio-cultural changes and needs for professional development. Dominated by biomedical ideology, current medical literature considers independence and dependence as an observable, measurable, and quantifiable individual attribute. However, this view has been under heavy criticism by scholars from other disciplines. The inter-disciplinary literature conceptualizes independence and dependence as value-laden, multi-dimensional, and inclusive of both objective and subjective perspectives. It is the result of interaction among personal, social-cultural, and environmental factors. Empirical studies that explored meanings of independence and dependence from the perspectives of practicing occupational therapists and occupational therapy students also revealed the adjustment the therapists had to make in their practice to reconcile the differences between relevant theories and practice. The issue of independence and dependence as an important indicator for social and medical resources allocation will receive increasing attention as the public become more concerned with resource allocation and human right issues for people with disability. Although occupational therapist literature shows a lack of clear and concrete evidence-based framework for putting the multi-facet conceptualization of independence/dependence into practice. Scholars have proposed to narrow the gap by development of occupation-based assessment instruments, clinical studies that supports the effectiveness of occupation-based therapy.
以文找文
期刊論文
1.
張玲慧(200612)。生物醫學意識型態於臺灣復健病房住院患者的復健經驗之呈現。職能治療學會雜誌,24,36-54。
延伸查詢
2.
AOTA(2008)。Occupational Therapy Practice Framework: Domain & Process 2nd Edition。American Journal of Occupational Therapy,62,625-683。
3.
Bailey, D. M.(1990)。Reasons for attrition from occupational therapy。American Journal of Occupational Therapy,44,23-29。
4.
Baker, M. W.(2005)。Creation of a model of independence for community-dwelling elders in the United States。Nursing Research,54,288-295。
5.
Beeber, A. S.(2008)。Interdependence: Building partnerships to continue older adults' residence in the community。Journal of Gerontological Nursing,34,19-27。
6.
Bottari, C.、Dutil, É.、Dassa, C.、Rainville, C.(2006)。Choosing the most appropriate environment to evaluate independence in everyday activities: Home or clinic?。Australian Occupational Therapy Journal,53,98-106。
7.
Ellefsen, B.(2002)。Dependency as disadvantage: Patients' experiences。Scandinavian Journal of Caring Sciences,16,157-164。
8.
Finlayson, M.、Kaufert, J.(2002)。Older women's community mobility: A Qualitative exploration。Canadian Journal on Aging,21,75-84。
9.
Fisher, A. G.(1992)。Functional measures, part 1: What is function, what should we measure, and how should we measure it?。American Journal of Occupational Therapy,46,183-185。
10.
Gignac, M. A. M.、Cott, C.(1998)。A conceptual model of independence and dependence for adults with chronic physical illness and disability。Social Science and Medicine,47(6),739-753。
11.
Haak, M.、Fänge, A.、Iwarsson, S.、Ivanoff, S. D.(2007)。Home as a signification of independence and autonomy: Experiences among very old Swedish people。Scandinavian Journal of Occupational Therapy,14,16-24。
12.
Hammarström, Gunhild、Torres, Sandra(2010)。Being, feeling and acting: A qualitative study of Swedish home-help care recipients' understandings of dependence and independence。Journal of Aging Studies,24(2),75-87。
13.
Kaufman, S. R.(1994)。The social construction of frailty: An anthropological perspective。Journal of Aging Studies,8,45-58。
14.
Kondo T(2004)。Cultural tensions in occupational therapy practice: Considerations from a Japanese vantage point。American Journal of Occupational Therapy,58,174-184。
15.
Nosek, M. A.、Fuhrer, M. J.(1992)。Independence among people with disabilities: I. A heuristic model。Rehabilitation Counseling Bulletin,36,6-20。
16.
Penoquin, S. M.(1989)。Moral treatment: Contexts considered。American Journal of Occupational Therapy,43,537-544。
17.
Plath, D.(2008)。Independence in old age: The route to social exclusion?。British Journal of Social Work,38,1353-1369。
18.
Rogers, J. C.(1982)。The spirit of independence: The evolution of a philosophy。American Journal of Occupational Therapy,36,709-715。
19.
Rugg, S.(1999)。Junior occupational therapists' continuity of employment: What influences success?。Occupational Therapy International,6,277-297。
20.
Russel, C.、Fitzgerald, M. H.、Williams, P.、Manor, D.、Whybrow, S.(2002)。Independence as a practice issue in occupational therapy: The safety clause。American Journal of Occupational Therapy,56,369-379。
21.
Schwartz, K. B.(2009)。Reclaiming our heritage: Connecting the founding vision to the centennial vision。American Journal of Occupational Therapy,63,681-690。
22.
Secker, J.、Hill, R.、Villeneau, L.、Parkman, S.(2003)。Promoting independence: But promoting what and how?。Ageing and Society,23,375-391。
23.
Shah, S.、Cooper, B.(1993)。Issues in the choice of activities of daily living assessment。Australian Occupational Therapy Journal,40,77-82。
24.
Stabell, A.、Eide, H.、Solheim, G. A.、Solberg, K. N.、Rustoen, T.(2004)。Nursing home residents' dependence and independence。Journal of Clinical Nursing,13,677-686。
25.
Tamaru, A.、McColl, M. A.、Yamasaki, S.(2007)。Understanding 'independence': perspectives of occupational therapists。Disability and Rehabilitation,29(13),1021-1033。
26.
Taylor, M. C.(2001)。Independence and empowerment: Evidence from the student perspective。British Journal of Occupational Therapy,64,8。
27.
Townsend, P.(2006)。Policies for the aged in the 21st century: more ‘structured dependency’ or the realisation of human rights?。Ageing and Society,26,161-179。
28.
Turnbull, A. P.、Turnbull III, H. R.(1985)。Developing independence。Journal of Adolescent Health Care,6(2),108-119。
29.
Ueda, S.、Okawa, Y.(2003)。The subjective dimension of functioning and disability: What is it and what is it for?。Disability and Rehabilitation,25(11/12),596-601。
30.
Whiteneck, G. G.(1994)。The 44th annual John Stanley Coulter Lecture. Measuring whatmatters: Key rehabilitation outcomes。Archives of Physical and Medical Rehabilitation,75(10),1073-1076。
31.
Wilkin, D.(1987)。Conceptual problems in dependency research。Social Science and Medicine,24(10),867-873。
圖書
1.
Crepeau, E. B.、Cohn, E. S.、Schell, B. A. B.(2009)。Willard and Spackman's occupational therapy。Baltimore, MD:Lippincott Williams & Wilkins。
2.
Gritzer, G.、Arluke, A.(1985)。The making of rehabilitation: A political economy of medical specialization, 1890-1980。CA:University of California Press。
3.
World Health Organization(2001)。International classification of functioning, disability, and health。Geneva:World Health Organization。
4.
Baltes, M. M.(1996)。The many faces of dependency in old age。Cambridge:Cambridge University Press。
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