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研究生:劉人宏
研究生(外文):Liu, Jen-Hung
論文名稱:使用 DANP 評估人性照護因素之重要性-以老人照護機構為例
論文名稱(外文):Using DANP To The Importance of Humanistic Care Elements –ACase Study of Nursing Homes
指導教授:張蓓蒂張蓓蒂引用關係
指導教授(外文):Chang, Betty
口試委員:薛方杰許立群
口試委員(外文):Shiue, Fang-JyeHSU, LI-CHUN
口試日期:2018-07-24
學位類別:碩士
校院名稱:國立宜蘭大學
系所名稱:建築與永續規劃研究所碩士班
學門:建築及都市規劃學門
學類:建築學類
論文種類:學術論文
論文出版年:2018
畢業學年度:106
語文別:中文
論文頁數:107
中文關鍵詞:醫療護理長期照護人性照護指標DEMATELANPVIKOR虐待行為單元照護尊嚴疏忽行為
外文關鍵詞:Medical careLong-term careHuman care indicatorsDEMATELANPVIKORAbuseUnit careDignityNegligence
相關次數:
  • 被引用被引用:5
  • 點閱點閱:262
  • 評分評分:
  • 下載下載:17
  • 收藏至我的研究室書目清單書目收藏:0
摘要
  隨著社會年齡層的增長與生育率的降低,高齡及少子化的現象成為世代的社會
問題。老人照護機構的設立將是必要趨勢,我國1980 年設立老人照護機構之現行法
規,為改善老人照護問題。而老人居住於照護機構,往往會有遇到生活問題,產生
許多不穩定因素,如:陌生環境、與人相處、尊嚴喪失,都可能會形成老人心理的
潛在壓力,導致情緒容易產生焦慮、憂鬱,而延伸出孤僻或反社會人格的行為出現。
在現今社會上,每間老人照護機構都有不同的運作模式及服務方式,且空間配置也
有差異,這些因素可能對老人居住者生活狀況造成影響。
  因此本研究以人性照護為觀點,透過文獻探討與專家訪談及問卷調查等方式,
擬定出人性照護觀點之準則指標。運用ANP 方法分析出其準則因子之權重排序,藉
由DEMATEL 方法分析出各準則因子間相互影響關係。以此兩種方法分析出各不同
領域之專家學者們的觀點。藉由準則分析得出之結果後,以三種類型之老人照護機
構為評分,經由VIKOR 方法運算出其三家老人照護機構之利益比率,以提供於決
策者在機構規劃時,可參考其內容資訊,而減少決策錯誤的狀況。
  本研究結果得知,各不同領域之專家學者們,大多數認為「同理心」為主要準
則因子,其亦所屬各準則間主要核心影響因子,具有與其他準則間相互關連性存在,
且可透過改善其準則「同理心」,來以此影響其他準則的當前狀態。本研究以三家不
同類型之老人照護機構,如護理之家、安養中心、銀髮社區為評分項目。其結果顯
示若以整體為選擇考量時,以銀髮社區為主要人性照護之選擇;若以個別準則為考
量時,則以安養中心為選擇重點。
  With the growth of the social age and the decline of the fertility rate, thephenomenon of old age and minority child has become a social problem of generations.The establishment of an elderly care institution will be a necessary trend. In 1980, China established the current regulations for elderly care institutions to improve the care of the elderly. In today's society, each elderly care institution has different modes of operation and service, and the space allocation is also different.
  Therefore, this study takes the human care as the point of view, analyzes the weighting of the criterion factors by ANP method, and then analyzes the influence of the criterion factors by the DEMATEL method. Finally, the three types of elderly care institutions were used to compare the interest ratios of the three elderly care institutions with the VIKOR method. Enable decision makers to refer to their content and reduce decision errors when planning. The results of this study show that most of the experts and scholars in different fields consider "empathy" as the main criterion factor and the main core influence factor. This study compared three different types of elderly care institutions, such as nursing homes, security centers, and silver-haired communities.
  The results show that if the overall choice is considered, the silver-haired community is the preferred choice; if it is based on individual criteria, the security center is chosen.
目錄
摘要 I
ABSTRACT II
目錄 III
圖目錄 IV
表目錄 V
一、 緒論 1
1.1 研究背景與動機 1
1.2 研究目的 4
1.3 研究內容與流程 5
二、 文獻回顧 6
2.1 老人照護機構之類型 6
2.2 老人(ELDERS) 9
2.3 老人突發性狀況之探討 18
2.4 護理人員之照護影響因素 22
2.5 老人照護之問題探討 24
2.6 人性照護指標建構與相關研究 28
2.7 人性照護指標的八項因子 29
三、 研究方法 48
3.1 問卷調查 48
3.2 多準則決策方法 51
四、 研究結果與分析 63
4.1問卷結果分析 63
4.2 DEMATEL分析結果 63
4.3 ANP分析結果 78
4.4 VIKOR(最佳化妥協解)分析結果 88
五、 結論與建議 93
5.1結論 93
5.2建議 95
5.3研究限制 97
參考文獻 98


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網頁資料
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台 北政府衛生局( 2015 ), 機構式長期照護服務模式, 網址:
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書籍參考
游伯龍,1985,「行為與決策:知己知彼的基礎與應用」,中央研究院經濟研究所
鄧振源、黃文吉,2005,「計畫評估-方法應用」第二版,運籌規劃與管理研究中心,系
列叢林T001
Erikson, E.H. (1982). The Life Cycle Completed: A Review. New York: W.W. Norton & Company.
Maslow, A. (1954). Motivation and personality. New York, NY: Harper.
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