| dc.contributor.advisor | 林顯宗 | zh_TW |
| dc.contributor.author (Authors) | 陳人瑜 | zh_TW |
| dc.creator (作者) | 陳人瑜 | zh_TW |
| dc.date (日期) | 2005 | en_US |
| dc.date.accessioned | 18-Sep-2009 10:50:29 (UTC+8) | - |
| dc.date.available | 18-Sep-2009 10:50:29 (UTC+8) | - |
| dc.date.issued (上傳時間) | 18-Sep-2009 10:50:29 (UTC+8) | - |
| dc.identifier (Other Identifiers) | G0912540022 | en_US |
| dc.identifier.uri (URI) | https://nccur.lib.nccu.edu.tw/handle/140.119/34654 | - |
| dc.description (描述) | 碩士 | zh_TW |
| dc.description (描述) | 國立政治大學 | zh_TW |
| dc.description (描述) | 社會學研究所 | zh_TW |
| dc.description (描述) | 91254002 | zh_TW |
| dc.description (描述) | 94 | zh_TW |
| dc.description.abstract (摘要) | 台灣面臨高齡化所帶來的問題日趨嚴重，就失能老人而言，家庭依然是老人最能接受的照顧方式，然而仍然有漸多的老人接受機構式照護。他們早年的生命經驗，如何影響晚年居住安排，最後又是何種因素使他們作出入住機構的決定；他們的感受為何亦是研究所關心的。 以此，本研究以質化研究的敘說分析進行，訪談了八位目前入住機構的失能老人，希望透過老人敘說自己過去的生命經驗，能深入探討他們早年累積的重要資源與晚年居住安排之關聯，並瞭解晚年居住的安排過程、最後入住機構的原因及入住後的適應狀況等。茲將結果摘述如下：一、 早年生命歷程對晚年居住安排的影響健康資源：這些老人早年是在物資缺乏的環境中成長，身體照顧極為忽視、受教育的機會亦不多，在先天條件不佳的情況下，他們沒有太多的機會為老年的生活提早進行規劃。經濟資源：人力資本不足薪資所得偏低，使財富累積困難；而女性從事的無酬家務勞動、照顧者角色，更使女性居於經濟的弱勢地位。家庭資源：養兒防老的觀念隨著時代改變、久病臥床等因素，越來越窒礙難行，子女數多不代表擁有的家庭資源多，親情依附、子女願意承擔照顧責任，才是老人真正擁有的資源。二、 晚年居住安排的過程老人晚年選擇居住安排的過程，符合「層級補償模式」，首先是配偶及子女、最後才是由正式的照顧服務提供，呈現一個有順序的過程。最末接受機構照護的原因因人而異，但就整體而論，老人的健康狀況與自我照顧程度，才是入住機構的主因。三、 入住機構後的適應狀況主動入住機構的失能老人，對機構的環境適應較佳，此與入住機構的意願、親情支持等，正向感受較多有關。被動入住的老人雖然心中不願，在缺乏掌控力的情況下，他們通常都認命地接受家人安排，但入住後較難以適應機構的生活。 | zh_TW |
| dc.description.abstract (摘要) | Past researches mostly focus on living arrangement of the healthy elders. Therefore, the study attends to emphasize on the relationship between housing and living arrangements of disabled elders and their life course. The samples include 8 elderly people (over 60 years old) living in the institution, and had difficulties performing in the ADL and IADL activities because of health or physical problems. As a result of the research, the purpose of this qualitative research include: (1) to research the connection between disabled elders living in the institution and the process of their early life; (2) to understand the proceeding of living arrangement for the disabled elders; (3) to discuss their point of view and subject explanations on the institutional care; (4) on according to research finding, the effective suggestions will be proposed, and some of them may as well be put on practice. The analysis in the content revealed the theme that emerged from narratives -- the health, family resources, especially economic factors in the early life will affect the later life in the way that diminishes choices and opportunities in arranging the elder’s living; the main reasons for the elders to be accepted into institutional care are their healthy status and their degrees of self-care; the elder who voluntarily move into the institution usually have better ability in adapting the passive ones. Although several meaningful findings are recognized, some limitations are also identified. Practice suggests and future research orientations are discussed. | en_US |
| dc.description.tableofcontents | 第一章 緒論 第一節 研究背景 …………………………………………… 6 第二節 研究動機與目的 …………………………………… 6 第三節 名詞解釋 …………………………………………… 7第二章 文獻探討 第一節 老人人格發展與老化理論 ………………………… 9 第二節 失能老人之居住安排 ……………………………11 第三節 老化、居住、與生命週期 …………………………15 第四節 老人選擇照顧來源之探討 …………………………17第三章 研究方法 第一節 敘說分析法 ………………………………………20 第二節 研究對象的選擇 ……………………………………22 第三節 資料分析方法 ……………………………………23第四章 調查結果分析 第一節 受訪者的生命故事 …………………………………27 第二節 影響老人入住機構之因素 …………………………54 第三節 入住機構的過程 …………………………………63 第四節 入住機構的看法與詮釋 ……………………………68 第五節 社會資源與支持 …………………………………71第五章 結論 第一節 研究發現 …………………………………………74 第二節 研究建議 …………………………………………76 第三節 今後課題 …………………………………………78參考書目 ………………………………………………………80附件 訪談大綱 | zh_TW |
| dc.format.extent | 12963 bytes | - |
| dc.format.extent | 14963 bytes | - |
| dc.format.extent | 19695 bytes | - |
| dc.format.extent | 15830 bytes | - |
| dc.format.extent | 26174 bytes | - |
| dc.format.extent | 45891 bytes | - |
| dc.format.extent | 37059 bytes | - |
| dc.format.extent | 154777 bytes | - |
| dc.format.extent | 28357 bytes | - |
| dc.format.extent | 31315 bytes | - |
| dc.format.extent | 18089 bytes | - |
| dc.format.mimetype | application/pdf | - |
| dc.format.mimetype | application/pdf | - |
| dc.format.mimetype | application/pdf | - |
| dc.format.mimetype | application/pdf | - |
| dc.format.mimetype | application/pdf | - |
| dc.format.mimetype | application/pdf | - |
| dc.format.mimetype | application/pdf | - |
| dc.format.mimetype | application/pdf | - |
| dc.format.mimetype | application/pdf | - |
| dc.format.mimetype | application/pdf | - |
| dc.format.mimetype | application/pdf | - |
| dc.language.iso | en_US | - |
| dc.source.uri (資料來源) | http://thesis.lib.nccu.edu.tw/record/#G0912540022 | en_US |
| dc.subject (關鍵詞) | 失能老人 | zh_TW |
| dc.subject (關鍵詞) | 機構照顧 | zh_TW |
| dc.subject (關鍵詞) | 生命週期 | zh_TW |
| dc.subject (關鍵詞) | 敘說分析 | zh_TW |
| dc.subject (關鍵詞) | disabled elderly | en_US |
| dc.subject (關鍵詞) | institutional care | en_US |
| dc.subject (關鍵詞) | life course | en_US |
| dc.subject (關鍵詞) | narrative analysis | en_US |
| dc.title (題名) | 失能老人入住養護機構之過程─以生命歷程之敘說分析出發 | zh_TW |
| dc.type (資料類型) | thesis | en |
| dc.relation.reference (參考文獻) | 中文部份： | zh_TW |
| dc.relation.reference (參考文獻) | 行政院主計處 | zh_TW |
| dc.relation.reference (參考文獻) | 1994 台灣地區老人狀況調查報告。http://www.dgbas.gov.tw | zh_TW |
| dc.relation.reference (參考文獻) | 2000 台閩地區老人狀況調查摘要分析。http://www.dgbas.gov.tw | zh_TW |
| dc.relation.reference (參考文獻) | 王潔媛 (2003)。活的久，更要活的好─高齡化社會的老人照顧需求及養護服務。台北：老人福利議題專刊 | zh_TW |
| dc.relation.reference (參考文獻) | 沙依仁 (1983)。人類行為與社會環境。台北：五南出版社。 | zh_TW |
| dc.relation.reference (參考文獻) | 吳恩慈 (1997)。第二屆全國婦女國是會議。高雄：高雄縣政府。 | zh_TW |
| dc.relation.reference (參考文獻) | 吳宇娟 (2003)。少年家庭照顧者之生命故事。台北：國立政治大學社會學研究所碩士論文。 | zh_TW |
| dc.relation.reference (參考文獻) | 吳淑瓊 (1997)。台灣老人醫療及長期照護的需要，詹火生編著，迎接高齡化社會的挑戰。台北：桂冠圖書股份有限公司。 | zh_TW |
| dc.relation.reference (參考文獻) | 呂寶靜 (2001)。老人照顧：老人、家庭、正式服務。台北：五南出版社。 | zh_TW |
| dc.relation.reference (參考文獻) | 呂寶靜。家對老人的意義。台北：行政院國科會計劃。 | zh_TW |
| dc.relation.reference (參考文獻) | 易之新譯 (2000)。敘事治療─解構並重寫生命的故事。台北：張老師出版社。 | zh_TW |
| dc.relation.reference (參考文獻) | 林彥妤(1988)生活事件、因應方式及社會支援對老人心理適應的影響。台北：臺灣大學：心理研究所碩士論文。 | zh_TW |
| dc.relation.reference (參考文獻) | 卓春英 (2001)。頤養天年－臺灣家庭老人照護的變遷。台北：巨流圖書公司。 | zh_TW |
| dc.relation.reference (參考文獻) | 邱清榮 (1997)。我國老年婦女自主性之初探─以台北市居住在社區中的老年婦女為例。台北：國立政治大學社會學研究所碩士論文。 | zh_TW |
| dc.relation.reference (參考文獻) | 周雅容(1994)「不同來源的社會支持與老年人的心理健康」，人口變遷、國民健康與社會安全國際學術研討會論文。台北：中央研究院。 | zh_TW |
| dc.relation.reference (參考文獻) | 林歐貴英、郭鐘隆譯 (2003)。社會老人學。台北：五南出版社。 | zh_TW |
| dc.relation.reference (參考文獻) | 林靜湄 (2001)。老人居住安排決定過程之探討。台北：國立台灣大學社會學研究所碩士論文。 | zh_TW |
| dc.relation.reference (參考文獻) | 林靜瑩 (2000)。宜蘭縣老年人居住安排相關因素之研究。台中：東海大學社會工作研究所碩士論文。 | zh_TW |
| dc.relation.reference (參考文獻) | 胡幼慧 (1996)。質性研究 理論、方法及本土女性研究實例。台北：巨流圖書公司。 | zh_TW |
| dc.relation.reference (參考文獻) | 施教裕 (1994)。老人福利服務使用之相關因素的探討。台北：社會工作學刊，3：61-92 | zh_TW |
| dc.relation.reference (參考文獻) | 連賢明 (1994)。台灣老人的居住選擇。台北：國立台灣大學經濟學研究所碩士論文。 | zh_TW |
| dc.relation.reference (參考文獻) | 陳錦玉 (1996)。紮根土地的生命之花：洪醒夫及其文學研究。台南：國立成功大學中國文學研究所 | zh_TW |
| dc.relation.reference (參考文獻) | 陳芷如 (1997)。承命生根之過程－臺灣機構化失能老人遷居之心路歷程。台北：長庚醫學暨工程學院護理碩士論文。 | zh_TW |
| dc.relation.reference (參考文獻) | 陳肇男 (1999)。90年代台灣地區老人之居住安排，見胡勝正主編，老人問題與政策研討會論文集。台北市：孫運璿基金會。 | zh_TW |
| dc.relation.reference (參考文獻) | 黃惠雯等譯 (2002)。質性方法與研究。台北：韋伯文化國際出版有限公司。 | zh_TW |
| dc.relation.reference (參考文獻) | 費孝通 (1985)。家庭結構變動中的老年瞻養問題，喬健主編，現代化與中國文化研討會論文彙編。香港：香港中文大學社會科學院暨社會研究所。 | zh_TW |
| dc.relation.reference (參考文獻) | 經建會人力規劃處 (2001)。http://www.cepd.gov.tw/business | zh_TW |
| dc.relation.reference (參考文獻) | 蕭新煌 (1991)。台灣的老人福利與家庭福利功能之再檢討。中國家庭及其變遷。香港：亞太研究所。 | zh_TW |
| dc.relation.reference (參考文獻) | 謝美娥 (1993)。老人長期照護相關論題。台北：桂冠圖書股份有限公司。 | zh_TW |
| dc.relation.reference (參考文獻) | 謝美娥 (2002)。失能老人與成年子女照顧者對失能老人遷居的歷程與解釋：從家庭到機構。南投：社會政策與社會工作學刊，6：7- 61 | zh_TW |
| dc.relation.reference (參考文獻) | 簡春安、陳宇嘉 (1995)。台灣推展社區照顧的方向。台中：台灣社區照顧研究會論文集，65-75。 | zh_TW |
| dc.relation.reference (參考文獻) | 嚴毋過、呂莉婷 (2000)。台灣中老年人的健康狀況與照顧需求。桃園：康寧醫護暨管理專科學校。 | zh_TW |
| dc.relation.reference (參考文獻) | 英文部份： | zh_TW |
| dc.relation.reference (參考文獻) | Arber, S. and Evandrou, M. (1993). ‘Ageing, Independence and the Life Course’, London: Jessica Kingsley. | zh_TW |
| dc.relation.reference (參考文獻) | Atchley, R. C. (1987). ‘Aging : continuity and change’, Belmont, California : Wadsworth | zh_TW |
| dc.relation.reference (參考文獻) | Bengtson , Vern L., Burgess, Elisabeth O., & Parrott, Tonya M. (1997). ‘Theory, explanation, and a third generation of theoretical development in social gerontology’, Journal of Gerontology, Social Sciences, 52B (2), S72-S88. | zh_TW |
| dc.relation.reference (參考文獻) | Cantor, Marjorie and Virginia Little (1985). ‘Aging and Social Care’, in Handbook of Aging and the Social Sciences. New York: Van Nostrand Reinhold. | zh_TW |
| dc.relation.reference (參考文獻) | Cicirelli, Victor G. (1992). ‘Family Caregiving-autonomous and Paternalistic Decision Making’, Newbury Park: Sage. | zh_TW |
| dc.relation.reference (參考文獻) | Di Gregorio, S. (1987). ‘Managing ─ A concept for contextualizing how people live their later lives’, Social Gerontology: New Directions. London: Croom Helm. | zh_TW |
| dc.relation.reference (參考文獻) | Dwyer, J. W. (1996). ‘The Influence of Community Context on the Decision to Enter a Nursing Home’, Journal of Aging Studies, 10(3):237- 256. | zh_TW |
| dc.relation.reference (參考文獻) | Erickson, E. (1963). ‘Childhood and Society’ , New York: Norton. | zh_TW |
| dc.relation.reference (參考文獻) | Erickson, E. (1966). ‘Eight ages of man’, International journal of psychiatry, 2,281-297 | zh_TW |
| dc.relation.reference (參考文獻) | Erickson, E. (1982). ‘The life cycle completed’, New York: W. W. Norton. | zh_TW |
| dc.relation.reference (參考文獻) | Ferrini, A. F. and R. L. Ferrini (1989). ‘Health in the Later Years’, Dubuque, IA: William C. Brown | zh_TW |
| dc.relation.reference (參考文獻) | Forrest, R. and Kemeny, J. (1984). ‘Careers and Coping Strategies: Micro and Macro Aspects of the Trend Towards Owner-Occupation’, University of Bristol, Mimeo. | zh_TW |
| dc.relation.reference (參考文獻) | Forrest, R. and Murie, A. (1985). ‘The Housing Histories of Home Owners: Some Preliminary Observations’, Mimeo. | zh_TW |
| dc.relation.reference (參考文獻) | Freud, S. (1924). ‘Collected papers, Volume I.’, London: Hogarth Press | zh_TW |
| dc.relation.reference (參考文獻) | George, L. K. (1996). ‘Missing links: The case for a social psychology of the life course’, The Gerontologist, 36, 248-255. | zh_TW |
| dc.relation.reference (參考文獻) | Guralnik, J.M. and Simonsick, E. M (1993). ‘Physical disability in older Americans’, Journal of Gerontology, 48(Suppl):3-10 | zh_TW |
| dc.relation.reference (參考文獻) | Gurney, C. and Means, R. (1993). ‘The meaning of home in later life’, Aging, Independence and the Life Course, London: Jessica Kingsley. | zh_TW |
| dc.relation.reference (參考文獻) | Gurney, C. (1990). ‘The Meaning of Home in the Decade of Owner Occupation’, Work Paper. (Bristol: School for Advanced Urban Studies). | zh_TW |
| dc.relation.reference (參考文獻) | Hanley, R. J., Alecxhi, L. M., Wiener, J. M., and Kennell, D. L. (1990). ‘Predicting Elderly Nursing Home Admissions: Results from the 1982-1984 National Long-Term Care Survey’, Research on Aging, 12,199-227. | zh_TW |
| dc.relation.reference (參考文獻) | Hansson, R. O., Nelson, R. E., Carver, H. D., Neesmith, D. H., Dowling, E. M., Fletcher, W. L., and Suhr, P. (1990). ‘Adult Children with Frail Elderly Parents: When to Intervene ?’, Family Relations, 39,153-158. | zh_TW |
| dc.relation.reference (參考文獻) | Hareven, T.K. and Adams, K.J (eds.) (1982). ‘Ageing and Life Course Transitions: An Interdisciplinary Perspective’, London: Tavistock. | zh_TW |
| dc.relation.reference (參考文獻) | Higgins, J. (1989). ‘Defining community care: realities and myths’, Social Policy and Administration, 23:1 | zh_TW |
| dc.relation.reference (參考文獻) | Hillier, S., Barrow G. M. (1999). ‘Aging, the Individual, and Society’ Belmont, Calif. : Wadsworth | zh_TW |
| dc.relation.reference (參考文獻) | Horowitz, Amy, Babara M. Silverstone and Joann P. Reinhardt (1991). ‘A Conceptual and Empirical Exploration of Personal Autonomy Issue within Family Caregiving Relationship’, The Gerontologist 31(1): 23-31. | zh_TW |
| dc.relation.reference (參考文獻) | Janet Z.G. and Glen H. Elder Jr. (1998). ‘Methods of Life Course ─ Qualitative and quantitative approaches’, London: Sage. | zh_TW |
| dc.relation.reference (參考文獻) | Jung, C. G. (1959). ‘Concerning the archetypes, with special reference to the anima concept’, In C. G. Jung, Collected work, Vol.9, Part I. Princeton, NJ: Princeton University Press. | zh_TW |
| dc.relation.reference (參考文獻) | Kane, R. A. and Kane, R. L. (1987). ‘Long-term care: Principles, programs, and policies’, New York: Springer. | zh_TW |
| dc.relation.reference (參考文獻) | Langan, M. (1990). ‘Community care in the 1990s: the community care White Paper: Caring for People’, Critical Social Policy, issue 29, pp.58-70. | zh_TW |
| dc.relation.reference (參考文獻) | Lempert, L. B. (1994). ‘A Narrative Analysis of Abuse’, Journal of Contemporary Ethnography, 22, 4, 411-441. | zh_TW |
| dc.relation.reference (參考文獻) | Levinson, D. J., Darrow, C. M., Klein, E. B., Levinson, M. H., and McKee, B. (1978). ‘The season of a man’s life’, New York: Knopf. | zh_TW |
| dc.relation.reference (參考文獻) | Litwak, Eugene (1985). ‘Helping the Elderly: The Complementary Roles of Informal Networks and Formal Systems’, New York: The Guilford Press. | zh_TW |
| dc.relation.reference (參考文獻) | Marshall, V. W.(1994). ‘Sociology and psychology in the theoretical legacy of the Kansas City Studies’, The Gerontologist, 1994, 34, 768-774. | zh_TW |
| dc.relation.reference (參考文獻) | Marshall, V. W.(1996). ‘The state of theory in aging and the social sciences’ In R. H. Binstock and L. K. George,(Eds), Handbook of aging and the social sciences, San Diego: Academic Press | zh_TW |
| dc.relation.reference (參考文獻) | Means, Robin and Smith ,Randall (1998). ‘Housing and Community Care’, Community Care－Policy and Practice, Houndmills: Macmillan Press. | zh_TW |
| dc.relation.reference (參考文獻) | Monk, A (1990). ‘Handbook of Gerontological services.’ New York: Columbia University Press. | zh_TW |
| dc.relation.reference (參考文獻) | Mutchler, J. E. and J. A. Burr (1991). ‘A Longitudinal Analysis of Household and Nonhousehold Living Arrangements in Later Life’, Demography, 28(3):375-390. | zh_TW |
| dc.relation.reference (參考文獻) | Naleppa, M. J. (1996). ‘Families and the Institutionalized Elderly: A Review’, Journal of Gerontological Social Work, 27(1/2),87-111. | zh_TW |
| dc.relation.reference (參考文獻) | Pearlman, R. A. and R.F. Uhlmann (1988). ‘Quality of Life in the Elderly: Comparisons between Nursing Home and Community Residents’, Journal of Applied Gerontology,7:316-330 | zh_TW |
| dc.relation.reference (參考文獻) | Ramon, S. (1991). ‘Beyond Community Care – Normalization and Integration Work’, London: Macmillan. | zh_TW |
| dc.relation.reference (參考文獻) | Saunders, P. (1990). ‘A Nation of Home Owners’, London: Unwin Hyman. | zh_TW |
| dc.relation.reference (參考文獻) | Sherman, S. L. and E. R. Combs (1997). ‘Characteristics Related to Elderly Persons’ Perceived Difficulty of Remaining in Their Current Homes’, Family and Consumer Sciences Research Journal, 26(1): 59-76. | zh_TW |
| dc.relation.reference (參考文獻) | Steinfeld, E. (1981). ‘The place of old age: the meaning of housing for old people’, Housing and Identity: Cross Cultural Perspectives. London: Croom Helm. | zh_TW |
| dc.relation.reference (參考文獻) | Stephens, M. A. P., J. M. Kinney and P. K. Ogrocki (1991). ‘Sources of Stress for Family Caregivers of Institutionalized Dementia Patients’, Journal of Applied Gerontology, 10(3): 328-342. | zh_TW |
| dc.relation.reference (參考文獻) | Stoller, Eleanor P.(1989). ‘Formal Services and Informal Helping: The Myth of Service Substitution’, Journal of Applied Gerontology 8:37-52. | zh_TW |
| dc.relation.reference (參考文獻) | Vallerand, R. J., B.P. O’connor and M. R. Blais, (1989). ‘Life Satisfaction of Elderly Individuals in Regular Community Housing, Low-cost Community Housing, and High and Low Self-determination Nursing Homes’, International Journal of Aging and Human Development, 28(4): 277-283. | zh_TW |
| dc.relation.reference (參考文獻) | West, M., E. Bondy and S. Hutchinson (1991). ‘Interviewing-institutionalizes Elders: Threats to Validity, Image’, The Journal of Nursing Scholarship, 23(3): 171-176. | zh_TW |
| dc.relation.reference (參考文獻) | Wolf, D. A. (1984). ‘Kin Availability and the Living Arrangements of Older Women’, Social Science Research, 13(1): 72-89 | zh_TW |
| dc.relation.reference (參考文獻) | Wolf, D. A. and B. J. Soldo (1988). ‘Household Composition Choices of Older Unmarried Women’, Demography, 25(3): 387-403 | zh_TW |
