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題名:養護機構小單元照護研究--以屏東縣某老人養護中心為例
書刊名:臺大社會工作學刊
作者:黃松林 引用關係劉慧瑩許秀月
作者(外文):Huang, Song-linLiu, Hui-yinHsu, Hsiu-yueh
出版日期:2008
卷期:16
頁次:頁129-166
主題關鍵詞:養護機構小單元照護老人照護老人福利Medicare institutionUnit careTime for willingness of residents leaving bedsDaily steps of care workers
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:118
  • 點閱點閱:140
屏東縣迄至2006年底老人人口已占總人口之11.75%,當前縣內已有老人養護機構50家,大多數安養護老人是居於小型老人養護中心,極多學者認為老人養護中心適合推展日本小單元照護照護失智症老人。本研究就屏東縣某一養護機構規劃日本小單元照護模式提供護理與社會照顧服務,其後針對員工步伐數做測量以了解小單元照護實施對照護者的工作負擔情形;以住民長輩主動離床時間參與互動及滿意度問卷調查亦為其指標,以測量其服務品質。研究發現如下:施後第一週至14週有增加情形,其後在執行五個月後逐漸減低,在第20週後甚至低於實施前之步伐數,顯示方案執行後期員工之工作負荷降低。另針對院民主被動離床時間、滿意度做測量,初期院民主動離床時間有增加情形,其後有降低之情形,但五個月後仍維持在相當高的程度;而其受服務滿意度,後測亦有增加的趨勢,此一結果與日本相關小單元照護服務相互呼應考。
The elderly population in Pingtung County has risen to 11.75 per cent of the total population. There are more than 50 homes for the elderly in Pingtung County. Most of them are small medicare homes with less than 50 beds. Since 2000, the 'unit care', which has been promoted for several years in Japan, is regarded as a unique one for caring for disabled elderly people today. It is especially appropriate for elderly people with dementia. This research tried to promote a Unit Care Model Project and it included social and nursing care services. In this research, daily steps of care workers were taken into account to measure the work load under the Unit Care Model Project. In addition, time for willingness to leave beds of residents to join interactions and an investigation of satisfaction with services were also utilized to measure the quality of service. Findings were illustrated as follows: daily steps of care workers kept rising from the first week to the 14(superscript th) week and lessened after the 15(superscript th) week. After the 19(superscript th) wee, it was even less than the beginning of the project. This shows that the work load of care workers has been lower than at the beginning of the project. In addition, time for willingness of residents leaving beds increased significantly during the first two weeks and then gradually decreased. The scores were significantly higher than at the beginning of the project. Our findings were similar to the researchers in the Japanese study. Suggestions to institutions were given in the conclusion.
期刊論文
1.莊秀美(20050600)。『團體家屋』模式運用於失智症老人照護服務推動之探討。東吳社會工作學報,12,75-113。new window  延伸查詢new window
2.許佩蓉、黃耀榮、林健群、陳永煌、羅慶徽、李世代(20040300)。居住型態對照護機構內失智症患者問題行為之可能影響。臺灣家庭醫學雜誌,14(1),13-24。  延伸查詢new window
3.翁福居、林財源(20040100)。失智概念認知調查與老人團體照護模式之探討。身心障礙研究,2(1),56-67。  延伸查詢new window
4.楊培珊(20000600)。機構式失智症照顧中社會工作的執行。社會政策與社會工作學刊,4(1),199-236。new window  延伸查詢new window
5.李光廷(200406)。失智症老人照護模式與日本機構照護革命。臺灣社會福利學刊,5,119-171。new window  延伸查詢new window
會議論文
1.黃松林、劉慧瑩(2006)。養護機構單元照護初探。0。  延伸查詢new window
2.郭銀漢、謝錦鑾(2004)。長期照護機構民營化之實踐,以國立臺南護專承包經營署立臺南醫院護理之家為例。0。  延伸查詢new window
3.Martin, D. L.、Cheyer, A.、Lee, G. L.(1996)。Agent Development Tools for the Open Agent Architecture。London, UK。  new window
4.中村英三(2004)。於福利設施的組合照顧方式的實施與團體收容所的癡呆性老人家的照顧。南投縣草屯鎮。65-67。  延伸查詢new window
圖書
1.Ballew, Julius R.、Mink, George(1996)。Case Management in Social Work: Developing the Professional Skills Needed for Work with Multiproblem Clients。Charles C. Thomas。  new window
2.Holt, B. J.(2000)。The Practice of Generalist Case Management。Boston, MA。  new window
3.內政部統計處(2000)。老人狀況調查報告。台北:內政部統計處。  延伸查詢new window
4.Donabedian, Avedis(1980)。The Definition of Quality and Approaches to Its Assessment。Ann Arbor, Michigan:Health Administration Press。  new window
5.萬育維(1994)。福利計畫與評估。中華民國社區發展研究訓練中心。  延伸查詢new window
6.Zeithaml, Valarie A.、Parasuraman, A.、Berry, Leonard L.(1990)。Delivering Quality Service: Balancing Customer Perceptions and Expectations。New York:Simon and Schuster。  new window
7.呂寶靜(20010000)。老人照顧:老人、家庭、正式服務。臺北:五南。new window  延伸查詢new window
8.謝美娥(1993)。老人長期照顧的相關議題。老人長期照顧的相關議題。臺北市。  延伸查詢new window
9.外山義(2002)。個室化。個室化。日本。  延伸查詢new window
其他
1.內政部社會司(2005)。身心障礙福利統計資料,0。  延伸查詢new window
2.內政部統計處(2007)。96年老人福利服務概況,0。  延伸查詢new window
3.內政部統計處(1997)。老人狀況調查報告,臺北市。  延伸查詢new window
4.內政部統計處(2002)。老人狀況調查報告,臺北市。  延伸查詢new window
5.行政院衛生署(2004)。臺灣失智症機構照顧需求調查,臺北市。  延伸查詢new window
6.日本厚生勞動省社會保障審議會介護保險部會(2003)。2015年の高齢者介護-高齢者の尊厳を支えるケアの確立に向けて-,0。  延伸查詢new window
 
 
 
 
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