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題名 C級巷弄長照站服務使用者友誼、孤獨感及生活滿意度之分析－以高雄市據點C為例
Analysis of friendship, loneliness, and life satisfaction among service users of tier C long-term care (LTC) stations around the blocks: taking Kaohsiung city tier C for example作者 王昱凱
Wang, Yu-Kai貢獻者 呂寶靜
Lu, Pau-Ching
王昱凱
Wang, Yu-Kai關鍵詞 老年人
C級巷弄長照站
友誼
孤獨感
生活滿意度
Elderly
Tier C－LTC stations around the blocks
Friendship
Loneliness
Life satisfaction日期 2024 上傳時間 1-Mar-2024 14:08:45 (UTC+8) 摘要 C級巷弄長照站係我國長期照顧十年計畫2.0中社區整體照顧服務體系之一環，期望透過布建綿密的社區據點，落實在地老化及初級預防。然而當今研究對於C級巷弄長照站服務使用者獲益瞭解甚少，故本研究以服務使用者觀點視角，探討參與高雄市C級巷弄長照站（據點C）長者之友誼、孤獨感及生活滿意度。 本研究之研究目的為：（1）瞭解長者在巷弄長照站參加活動或使用服務情形；（2）探討長者活動參與及使用服務後對於友誼建立之影響為何？（3）分析長者參與巷弄長照站之孤獨感及生活滿意度；（4）長者參與巷弄長照站之孤獨感及生活滿意度是否會因其個人人口特質、友誼、活動參與及使用服務而有異？（5）依據研究結果針對巷弄長照站現行概況提出政策建議。 本研究由研究者擔任訪員，以面訪形式收集15間據點C共計209份有效問卷，研究結果發現，高雄市C級巷弄長照站服務使用者以女性、70歲至79歲、經濟及健康狀況佳者為主；最常參與或使用的活動及服務為健康促進、社交活動及技能學習；且超過九成有建立友誼並擁有知心好友；整體孤獨感低、生活滿意度高。最重要的是，本研究發現活動相較於服務能帶來更多的友誼增進，此外，探究服務使用者對於友誼滿意度的主觀評量指標－「友誼品質」係影響孤獨感及生活滿意度高低的重要因素。 依據本研究之結果提出以下四點建議：（1）鼓勵長者積極參與C級巷弄長照站；（2）善用活動參與為長者所帶來之友誼增進；（3）積極落實促進友誼之方法，以利提升長者獲益；（4）重視C級巷弄長照站社會工作者及專業人員之專業能力。
Tier C－long-term care (LTC) stations around the blocks are a component of Taiwan’s LTC 2.0. It is envisioned as a crucial element in the comprehensive community care service system, aiming to actualize “aging in place” and implement “upstream prevention to delay disability” by establishing dense community bases. However, there is limited research on the benefits experienced by service users of Tier C. This study adopts a service user perspective to investigate the aspects of friendship, loneliness, and life satisfaction. The objectives of this study are as follows: (1) To comprehend the elderly’s engagement in activities or utilization of services at Tier C; (2) To explore the impact of the elderly’s participation in activities and use of services on the development of friendships; (3) To analyze the loneliness and life satisfaction of the elderly participating in Tier C; (4) To examine whether the loneliness and life satisfaction of the elderly at Tier C are influenced by personal demographic characteristics, friendships, and activity participation, and if these differ based on service usage; (5) To provide policy recommendations based on the research findings and the current state of Tier C. The researcher served as the interviewer and collected a total of 209 valid questionnaires through face-to-face interviews conducted at 15 Tier C locations. Results indicate that Tier C service users in Kaohsiung City are predominantly female, aged 70 to 79, economically stable, and mostly in good health. The most frequently participated activities and services include health promotion, social activities, and skill learning. Over 90% have established friendships and have close friends, experiencing low overall loneliness and high life satisfaction. Significantly, this study reveals that activities contribute more to enhancing friendships than services. Furthermore, it investigates whether “friendship quality”, a subjective evaluation index of friendship satisfaction among service users, influences loneliness and life satisfaction, identifying it as a crucial factor. Based on the study's outcomes, four suggestions are proposed: (1) Encourage active participation of the elderly in Tier C; (2) Leverage the friendship enhancements resulting from activity participation; (3) Actively implement and promote methods to enhance friendship benefits for the elderly; (4) Pay attention to the professional capabilities of social workers and professionals at Tier C.參考文獻 內政部戶政司（2022）。歷年全國人口統計資料－人口年齡結構重要指標。 朱芬郁（2011）。高齡教育：概念、方案與趨勢。五南。 行政院主計總處（2015）。104年高雄市農林漁牧業普查統計結果摘要。取自：https://www.stat.gov.tw/News_Content.aspx?n=2763&s=105514&Create=1&ccms_cs=1&state=1327FD6AD8DCDA52 吳秀汝、林金定、張必正、陳麗美（2012）。臺北縣三重市獨居老人參與休閒活動之調查研究。臺灣老人保健學刊，8(1)，29-50。 呂寶靜（2000）。老人朋友網絡支持功能之初探。社會政策與社會工作學刊，4(2)，43-90。 呂寶靜（2012a）。臺灣老人社會整合之研究：以社區生活參與為例。科技部高齡社會／人口研究。取自：https://www.most.gov.tw/most/attachments/01b46f65-2654-47e8-859b-5c6cdcdf8d45 呂寶靜（2012b）。老人福利服務。五南。 呂寶靜（2021a）。淺談長照2.0的理念與實施。停泊棧，110。取自：https://charity.wanhai.com/do/usr/Init?method=sildesPage&ariticle_id=ARITICLE20210521110012440&objId= 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國立政治大學
社會工作研究所
109264013資料來源 http://thesis.lib.nccu.edu.tw/record/#G0109264013 資料類型 thesis dc.contributor.advisor 呂寶靜 zh_TW dc.contributor.advisor Lu, Pau-Ching en_US dc.contributor.author (Authors) 王昱凱 zh_TW dc.contributor.author (Authors) Wang, Yu-Kai en_US dc.creator (作者) 王昱凱 zh_TW dc.creator (作者) Wang, Yu-Kai en_US dc.date (日期) 2024 en_US dc.date.accessioned 1-Mar-2024 14:08:45 (UTC+8) - dc.date.available 1-Mar-2024 14:08:45 (UTC+8) - dc.date.issued (上傳時間) 1-Mar-2024 14:08:45 (UTC+8) - dc.identifier (Other Identifiers) G0109264013 en_US dc.identifier.uri (URI) https://nccur.lib.nccu.edu.tw/handle/140.119/150252 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 社會工作研究所 zh_TW dc.description (描述) 109264013 zh_TW dc.description.abstract (摘要) C級巷弄長照站係我國長期照顧十年計畫2.0中社區整體照顧服務體系之一環，期望透過布建綿密的社區據點，落實在地老化及初級預防。然而當今研究對於C級巷弄長照站服務使用者獲益瞭解甚少，故本研究以服務使用者觀點視角，探討參與高雄市C級巷弄長照站（據點C）長者之友誼、孤獨感及生活滿意度。 本研究之研究目的為：（1）瞭解長者在巷弄長照站參加活動或使用服務情形；（2）探討長者活動參與及使用服務後對於友誼建立之影響為何？（3）分析長者參與巷弄長照站之孤獨感及生活滿意度；（4）長者參與巷弄長照站之孤獨感及生活滿意度是否會因其個人人口特質、友誼、活動參與及使用服務而有異？（5）依據研究結果針對巷弄長照站現行概況提出政策建議。 本研究由研究者擔任訪員，以面訪形式收集15間據點C共計209份有效問卷，研究結果發現，高雄市C級巷弄長照站服務使用者以女性、70歲至79歲、經濟及健康狀況佳者為主；最常參與或使用的活動及服務為健康促進、社交活動及技能學習；且超過九成有建立友誼並擁有知心好友；整體孤獨感低、生活滿意度高。最重要的是，本研究發現活動相較於服務能帶來更多的友誼增進，此外，探究服務使用者對於友誼滿意度的主觀評量指標－「友誼品質」係影響孤獨感及生活滿意度高低的重要因素。 依據本研究之結果提出以下四點建議：（1）鼓勵長者積極參與C級巷弄長照站；（2）善用活動參與為長者所帶來之友誼增進；（3）積極落實促進友誼之方法，以利提升長者獲益；（4）重視C級巷弄長照站社會工作者及專業人員之專業能力。 zh_TW dc.description.abstract (摘要) Tier C－long-term care (LTC) stations around the blocks are a component of Taiwan’s LTC 2.0. It is envisioned as a crucial element in the comprehensive community care service system, aiming to actualize “aging in place” and implement “upstream prevention to delay disability” by establishing dense community bases. However, there is limited research on the benefits experienced by service users of Tier C. This study adopts a service user perspective to investigate the aspects of friendship, loneliness, and life satisfaction. The objectives of this study are as follows: (1) To comprehend the elderly’s engagement in activities or utilization of services at Tier C; (2) To explore the impact of the elderly’s participation in activities and use of services on the development of friendships; (3) To analyze the loneliness and life satisfaction of the elderly participating in Tier C; (4) To examine whether the loneliness and life satisfaction of the elderly at Tier C are influenced by personal demographic characteristics, friendships, and activity participation, and if these differ based on service usage; (5) To provide policy recommendations based on the research findings and the current state of Tier C. The researcher served as the interviewer and collected a total of 209 valid questionnaires through face-to-face interviews conducted at 15 Tier C locations. Results indicate that Tier C service users in Kaohsiung City are predominantly female, aged 70 to 79, economically stable, and mostly in good health. The most frequently participated activities and services include health promotion, social activities, and skill learning. Over 90% have established friendships and have close friends, experiencing low overall loneliness and high life satisfaction. Significantly, this study reveals that activities contribute more to enhancing friendships than services. Furthermore, it investigates whether “friendship quality”, a subjective evaluation index of friendship satisfaction among service users, influences loneliness and life satisfaction, identifying it as a crucial factor. Based on the study's outcomes, four suggestions are proposed: (1) Encourage active participation of the elderly in Tier C; (2) Leverage the friendship enhancements resulting from activity participation; (3) Actively implement and promote methods to enhance friendship benefits for the elderly; (4) Pay attention to the professional capabilities of social workers and professionals at Tier C. en_US dc.description.tableofcontents 第一章 緒論1 第一節 研究緣起1 第二節 研究背景2 第三節 研究問題意識6 第四節 研究目的7 第二章 文獻回顧8 第一節 何謂Ｃ級巷弄長照站？8 第二節 老人活動參與21 第三節 老人孤獨感與生活滿意度46 第三章 研究方法78 第一節 研究架構78 第二節 研究工具81 第三節 研究對象與抽樣88 第四節 資料分析方法94 第五節 研究倫理95 第四章 資料分析96 第一節 服務使用者概況96 第二節 人口特質、參與頻率與期程、活動參與及服務使用與友誼之關聯性104 第三節 孤獨感之相關性分析132 第四節 生活滿意度之相關性分析141 第五節 孤獨感與生活滿意度之迴歸分析150 第五章 研究結論與建議155 第一節 結論155 第二節 討論與建議163 第三節 研究限制與未來研究建議169 參考文獻172 附錄一、施測問卷189 附錄二、C級巷弄長照站基本資料問卷193 附錄三、預試樣本次數分配表與敘述統計195 附錄四、高雄市C級巷弄長照站數量197 附錄五、高雄市農林漁牧戶數占各區總戶數之比例199 附錄六、樣本區201 附錄七、樣本區特性202 附錄八、孤獨感及生活滿意度迴歸分析表204 zh_TW dc.format.extent 3664302 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0109264013 en_US dc.subject (關鍵詞) 老年人 zh_TW dc.subject (關鍵詞) C級巷弄長照站 zh_TW dc.subject (關鍵詞) 友誼 zh_TW dc.subject (關鍵詞) 孤獨感 zh_TW dc.subject (關鍵詞) 生活滿意度 zh_TW dc.subject (關鍵詞) Elderly en_US dc.subject (關鍵詞) Tier C－LTC stations around the blocks en_US dc.subject (關鍵詞) Friendship en_US dc.subject (關鍵詞) Loneliness en_US dc.subject (關鍵詞) Life satisfaction en_US dc.title (題名) C級巷弄長照站服務使用者友誼、孤獨感及生活滿意度之分析－以高雄市據點C為例 zh_TW dc.title (題名) Analysis of friendship, loneliness, and life satisfaction among service users of tier C long-term care (LTC) stations around the blocks: taking Kaohsiung city tier C for example en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 內政部戶政司（2022）。歷年全國人口統計資料－人口年齡結構重要指標。 朱芬郁（2011）。高齡教育：概念、方案與趨勢。五南。 行政院主計總處（2015）。104年高雄市農林漁牧業普查統計結果摘要。取自：https://www.stat.gov.tw/News_Content.aspx?n=2763&s=105514&Create=1&ccms_cs=1&state=1327FD6AD8DCDA52 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