跳到主要內容

臺灣博碩士論文加值系統

(18.97.9.172) 您好!臺灣時間:2025/02/16 19:29
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

: 
twitterline
研究生:陳美花
研究生(外文):Mei-Hua Chen
論文名稱:身心障礙福利機構管理者對智障老人照顧需求認知之研究
論文名稱(外文):Perception of Directors of the Disability Institutions toward the Care Needs for the Elderly People with Intellectual Disabilities
指導教授:李宗派李宗派引用關係
學位類別:碩士
校院名稱:實踐大學
系所名稱:家庭研究與兒童發展研究所
學門:社會服務學門
學類:兒童保育學類
論文種類:學術論文
論文出版年:2006
畢業學年度:94
語文別:中文
中文關鍵詞:身心障礙福利機構智能障礙者智能障礙老人照護需求
外文關鍵詞:care needsdisability welfare institutelderly people with IDpersons with intellectual disabilities
相關次數:
  • 被引用被引用:35
  • 點閱點閱:3358
  • 評分評分:
  • 下載下載:798
  • 收藏至我的研究室書目清單書目收藏:13
台灣地區目前75%的身心障礙福利機構主要服務對象為智能障礙及多重障礙者,多數機構皆面臨智障者瀕臨年老,而其家庭之主要照顧者無力照料或不在人世之窘境,此時身心障礙福利機構擔負起扮演照顧智能障礙老人關鍵的角色,但對於機構未來如何規劃以滿足智能障礙老人之需求,國內少有學者專家加以討論與研究。本研究以質化探索性的研究方式,於民國九十五年二月至三月之間,立意取樣台灣地區北、中、南三區共28家身心障礙福利機構之管理者,分別以三場焦點團體訪談方式收集身心障礙福利機構管理者對於智障老人照顧需求之認知態度、信念與期許等資料;並於訪談前一週郵寄自填式結構性問卷至研究對象所服務之機構,收集機構之基本資料及機構現況。本研究結果顯示有效問卷回收率為96.4%(27家),焦點團體參與率為89.3%(25家),但計有33位機構代表參加焦點團體,參與者職稱為院長、主任及組長管理階層者佔97%;在機構院生老化現況方面發現,45歲以上院生佔全院的1-10%有11家,佔11-20%有5家,21-30%有2家,31-40%有2家,41-50%有1家,51-60%有1家。以身心障礙福利機構管理者角度探討智障老人照顧需求方面,受訪者表示智障老人的醫療照護需求較一般老人及年輕智障者高,除了醫療專業人力的必要性之外,符合智障老人所需的住宅設計、醫療輔具及休閒終老課程等也相當重要;另外受訪者一致認為智障老人的界定並不適宜以現行65歲老人法定年齡,應加以界定;在身心障礙機構照顧能力無法符合老化院生,政府必須強化轉介系統或給予原機構實際支持援助來妥善照顧其終老,最後建議政府與民間專業機構社團組織合作,未來「智障者/身心障礙者」與「老人」兩者之間,規劃全面完整的安養、醫療照顧及住宅政策,避免社會資源的浪費。
Backgrounds: Currently the main service target groups of the disability welfare institutions are persons with intellectual disabilities(ID)and multiple disabilities in Taiwan. Most disability institutions are expected to play a key role of caring people with ID due to the ageing and financial difficulties of their family. However, there were limited studies to discuss the needs and policies of the elderly people with ID. The aims of this study were to explore the beliefs, perceptions and expectations of the care needs of elderly people with ID based upon the perspective of the managing directors of disability institutions. Methods: The study data was collected based on two ways during February 1 to March 31, 2006. Firstly, a quantitative structured questionnaire survey was conducted to learn the disability institutional profile. Secondly, three qualitative focus group interviews (28 interviewees totally) were separately held in the North, Central and South Taiwan to analyze the perception of the interviewees toward the care issues of the elderly people with ID. Results: A total of 25 (89.3%) directors of institutions participated in focus group interviews and 27 (96.4%) completed the posted questionnaires. There were 11 institutions (50%) expressed that the prevalence of the people with ID over 45 years old was 1-10% in their disability institutions. In the directors’ opinions, the main needs of caring elderly people with ID were medical care which include the sufficient qualified medical professionals and medical devices, the residence design and the leisure management for the elderly people with ID. In addition, the legal aging definition (65 years or over) for people with ID should be examined to meet the practical need of this group of people in Taiwan. Finally, the study suggests the caring capacity should be developed in the disability institutions and the governments with cooperation of professional groups should play an integrative role in residence care (institutional or familial care) and medical care to plan comprehensive services for the elderly people with ID in Taiwan.
書名頁 i
論文口試委員審定書 ii
授權書 iii
中文提要 iv
英文提要 v
誌謝 vi
目錄 vii
表目錄 iix

第一章 緒論 1
第一節 研究背景與研究動機 1
第二節 研究問題 3
第三節 研究目的 4
第四節 研究之重要性 5
第五節 名詞釋義 7

第二章 文獻探討 10
第一節 智能障礙者之特質 10
第二節 智能障礙者老化現況及相關問題 10
第三節 老人需求概念 14
第四節 智障老人照顧需求 16

第三章 研究架構及方法 21
第一節 研究架構 22
第二節 研究方法 22
第二節 研究方法 23

第四章 研究結果 27
第一節 研究對象之特性 27
第二節 機構之老化院生及服務現況 28
第三節 質性資料之分析結果 35

第五章 討論 56

第六章 結論與建議 64

第七章 研究限制 66

參考文獻 67
附錄一 智能障礙的盛行率分析 74
附錄二 質性研究方法 76
附錄三 研究問卷及質性訪談大綱 77
內政部統計處(2005)身心障礙者案年齡及障礙等級分。 http://www.moi.gov.tw/stat/ (2005/05/12)。
內政部(2006a)1999國際老人年文宣。http://sowf.moi.gov.tw/04/15/15_1.htm(2006/05/02)。
內政部(2006b)老人福利與政策。 http://sowf.moi.gov.tw/04/01.htm。
內政部(2005)身心障礙者人數。http://www.moi.gov.tw/stat/ (2005/05/10)。
王國羽(2003)居住在機構之成年智障者健康與疾病型態分析:性別與年齡之考量。台大社工學刊 8,91-128。
王秉哲(2004)安置照顧高齡心智障礙者之建言。中華啟智工作人員協會會刊 11,1-4。
老人福利法(2006)中華民國六十九年一月二十六日總統 (69) 台統 (一) 義字第 0561 號令制定公布全文 21 條。http://www.scu.edu.tw/sw/data/welfarelaw/welfare_4.htm
李宗派(2003)心智遲緩與唐氏症候群。身心障礙研究 1,43-56。
李宗派(2004)老化理論與老人保健(二)。身心障礙研究 2,77-94。
周月清 (2001) 障礙福利與社會工作,第三版。台北:五南圖書出版公司。
身心障礙者保護法(2004)民國 93 年 06 月 23 日 修正。http://sowf.moi.gov.tw/05/new05.htm (2005/05/10)。
林昭吟(2004)身心障礙者提前老化現象與健康照顧需求之研究期中報告。民國93年7月31日,國立台北大學。
林金定,吳佳玲,李志偉,嚴嘉楓,張茂榕,賴朝英 (2001) 台灣地區智能障礙者醫療照護政策發展。行政院衛生署委託研究計劃報告,1-132頁 (DOH90-TD-1153)。
林金定,嚴嘉楓,李志偉,吳佳玲,羅慶徽 (2002) 智能障礙者醫療需求與就醫障礙:以專家面向分析。台灣家庭醫學雜誌12, 111-120。
林金定,嚴嘉楓,陳美花(2005)質性研究方法:訪談模式與執行步驟分析。身心障礙研究 3,122-136。
郭銀雪,林嘉駿(2002)落實「在地老化」(aging in place)政策─建構澎湖老人照顧服務網絡之探討成果報告。澎湖縣政府社會局社會福利課。http://www.penghu.gov.tw/REPORT/download/r19.doc(2006/05/12)
陳美花(2003)社會福利是工-智能障礙者與老人合併安養探討。身心障礙研究 2,30-43。
馮燕 (1994)兒童福利服務需求探討與政策建議。社區發展季刊67,110-127。
鄒輝堂(2005)心智障礙者高齡化服務問題初探。中華啟智工作人員協會會刊 12,4-7。
蔡美華(1994)台灣地區老年人社會福利需求之綜合研究。東海大學社會工作碩士論文。
歐家能,林金定,蔡艷清,嚴嘉楓,李志偉,吳佳玲(2004)台灣社區之主要照顧者對智能障礙者醫療福利之認知與利用初探。身心障礙研究 2, 176-184。
American Psychiatric Association (1994)Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) 4th ed. Washington, DC: APA; p.37-46.
American Association on Mental Retardation(2002)The Arc and AAMR 2002 Legislative Goals. Washington, DC: AAMR; p.5-30.
Australian Institute of Health and Welfare(1995)The Health of Australian. In: Australia’s Health 1996. Canberra: Australia Government Publishing Services; p.8-20.
Beange H.(1996)Caring for vulnerable population. Medical Journal of Australia 164, 159-60.
Beange H. & Baumen A. (1991)Health Care for Developmentally Disabled: Is It Necessary? In: W.I. Fraser (ed.). Key Issues in Mental Retardation Research. London: Routlege; p.154-162.
Beange H., McElduff A. & Baker W.(1995)Medical disorders of adults with mental retardation: A population study. American Journal of Mental Retardation 99, 595-604.
Davidson P.W., Heller T., Janicki P. & Hyer K. (2004) Defining a national health research and practice agenda for adults with intellectual disabilities. Journal of Policy and Practice in Intellectual Disabilities 1, 2-9.
Ericsson K. & Simon H.A. (1993) Protocol Analysis: Verbal Reports as Data. Revised Edition, Cambridge: MIT Press.
Evenhuis H., Henderson C.M., Beange H., Lennox N., Chicoine B. & Working Group (2000) Health Aging-Adults with Intellectual Disabilities: Physical Health Issues. Geneva, Switzerland: World Health Organization.
Freedman R.I., Krauss M.W. & Seltzer M.M. (1997) Aging parents’ residential plans for adult children with mental retardation. Mental Retardation 35, 114-123.
Grbich C. (1999) Qualitative Research in Health: An Introduction. Sydney: Allen & Unwin.
Haley W.E. & Perkins E.A. (2004) Current status and future directions in family caregiving and aging people with intellectual disabilities. Journal of Policy and Practice in Intellectual Disabilities 1, 24-30.
Haug F. (1987) Female Sexualization: A Collective Work of Memory. London: Verso.
Hodapp R.M. & Zigler E. (1993) Comparison of families of children with mental retardation and families of children without mental retardation. Mental Retardation 31, 75-77.
Hogg J., Lucchino R., Wang K., Janicki M.P. & Working Group (2000) Health Aging-Adults with Intellectual Disabilities: Aging & Social Policy. Geneva: Switzerland: World Health Organization.
Janicki M.P. & Dalton A.J.(2000)Prevalence of dementia and impact on Intellectual disability services. Mental Retardation 38, 277-289.
Jones R.G. & Kerr M.P. (1997) A randomized control trial of an opportunistic health screening tool in primary care for people with intellectual disability. Journal of Intellectual Disability Research 41, 405-415.
Kathleen F. & Paul K.(2005)Increasing population of older adults with MR require health interventions and prevention strategies. Geriatrics 60, 26-29.
Knoll J.A. (1996) Charting unknown territory with families of children with complex medical needs. In: G.H. Singer, L.E. Powers & A.L. Olson (eds.) Redefining Family Support: Innovations in Public-Private Partnerships (p.189-223). Baltimore: Paul H. Brookes Publishing Co.
Krueger R. (1994) Focus Groups: A Practical Guide for Applied Research. California: Sage.
Lennox N.G. & Kerr M.P. (1997) Primary health care and people with an intellectual disability: the evidence base. Journal of Intellectual Disability Research 41, 365-72.
Lennox N.G., Diggens J.N. & Ugoni A.M. (1997) The general practice care of people with intellectual disability: barriers and solutions. Journal of Intellectual Disability Research 41, 380-390.
Lin J.D. (2003) Intellectual disability: Definition, diagnosis and classification. Journal of Medical Sciences 23, 83-89.
Lin J.D., Wu J.L. & Lee P.N. (2003) Health care needs of persons with intellectual disabilities in institutions in Taiwan: Outpatient utilization and implications. Journal of Intellectual Disability Research 47, 169-180.
Lin J.D., Wu J.L. & Yen C.F. (2004) An exploratory study into health care policy for persons with intellectual disabilities in Taiwan. Journal of Intellectual Disability Research 48, 252-261.
Maccoby E. & Maccoby N. (1954) The Interview: A Tool of Social Science. In: G. Lindzey (ed.). Handbook of Social Psychology, Massachusetts: Addison-Wesley.
Merton R. (1968) Social Theory and Social Structure: Part One on Theoretical Sociology: Five Essays Old and New. New York: Free Press.
Miller W.L. & Crabtree B.F. (1992) Primary Care Research: A Multimethod Typology and Qualitative Road Map. In: W.L. Crabtree & B.F. Miller (eds.) Doing Qualitative Research. Newbury Park CA: Sage, pp.3-28.
Minichiello V., Aroni R., Timewell E. & Alexander L. (1995) In-depth Interviewing, Second Edition. South Melbourne: Longman.
Morgan D. (1995) Why things (sometimes) go wrong in focus groups. Qualitative Health Research 5, 516-523.
Sonnander K. & Claesson M. (1997) Classification, prevalence, prevention and rehabilitation of intellectual disability: An overview of research in the People’s Republic of China. Journal of Intellectual Disability Research 41, 181-92.
Singer G.H.S. (1996) Introduction: Trends Affecting Home and Community Care for People with Chronic Conditions in the United States. In: G.H.S. Singer, L.E. Powers & A.L. Olson (Eds.) Redefining Family Support: Innovations in Public-Private Partnerships (p.3-38). Baltimore: Paul H. Brookes Publishing Co.
Silverman D. (1997) Interpreting Qualitative Data: Methods for Analyzing Talk, Text and Interaction. London: Sage.
Stewart D. & Shamdasani P. (1991) Focus Groups: Theory and Practice. Newbury Park: Sage.
Strauss A. & Corbin J. (1990) 質性研究概論。徐宗國譯,台北:巨流圖書公司。
Tayor S.J. & Bogdan R. (1984) Introduction to Qualitative Research Methods, second edition. London: Wilsy.
Thomas D.R. (2000) Qualitative Data Analysis: Using A General Inductive Approach. Health Research Methods Advisory Service, Department of Community Health, University of Auckland, New Zealand.
Thorpe L., Davidson P., Janicki M.P. & Work Group(2000) Health Aging-Adults with Intellectual Disabilities: Biobehavioral Issues. Geneva, Switzerland: World Health Organization.
Van Buggenhout G.J.C.M., Trommelen J.C.M., Schoenmaker A., De Bal C., Verbeek J.J.M.C., Smeets D.F.C.M., Ropers H.H., Devriendt K., Hamel B.C.J., & Fryns J.P. (1999) Down syndrome in a population of elderly mentally retarded patients: Genetic-diagnostic survey and implications for medical care. American Journal of Medicine Genetics 85, 376-384.
Walsh P.N., Heller T., Schupf N. & van Schrojenstein Lantman-de Valk H. (2001) Healthy ageing – adults with intellectual disabilities: Women’s health and related issues. Journal of Applied Research in Intellectual Disabilities 14, 195-217.
Webb O.J. & Rogers L.(1996)Health screening for people with intellectual disability: the New Zealand experience. Journal of Intellectual Disability Research 43, 497-503.
Wilkson H.A. & Janicki M.P.(2002)The Edinburgh Principle with accompanying guidelines and recommendations. Journal of Intellectual Disability Research 46, 279-284.
Williams M. (1997) Social Surveys: Design to Analysis. In: May T.(ed.) Social Research Issues, Methods and Process. Buckingham: Open University Press.
Yang Q., Rasmussen S.A. & Friedman J.M.(2002)Mortality associated with Down’s syndrome in the USA from 1983 to 1997: A population-base study. Lancet 359, 1019-1025.
連結至畢業學校之論文網頁點我開啟連結
註: 此連結為研究生畢業學校所提供,不一定有電子全文可供下載,若連結有誤,請點選上方之〝勘誤回報〞功能,我們會盡快修正,謝謝!
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top