護理之家老年住民心理社會適應歷程

林亭利; 毛慧芬; 王素琴; 胡名霞

doi:10.6317/LTC.21.233

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P233 - 250

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6317/LTC

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护理之家老年住民心理社会适应历程

Psychosocial Adaptation of the Elderly in the Nursing Home

林亭利(Ting-Li Lin) ；毛慧芬(Hui-Fen Mao) ；王素琴(Suh-Chin Wang) ；胡名霞(Ming-Hsia Hu)

长期照护杂志； 21 卷 3 期 (2017 / 12 / 01) ， P233 - 250

繁体中文 DOI： 10.6317/LTC.21.233

护理之家；老年人；心理社会适应；文化环境；健康本源模型； nursing home ； elderly ； psychosocial adaptation ； cultural environment ； salutogenic model

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摘要 │ 参考文献 (30) │ 被引用文献 (3) │ 国际计量

摘要〈TOP〉

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Elderly residents in nursing homes are confronted with aging, disease, and institution adaptation issues. These three domains of adaptation issues are. The experiential literature rarely distinguished these three domains and ignored the dynamic processes of adaptations. In addition, the theories often applied in aging studies fossilize the aging imagination. This study observed the adaptation process of elder residents interconnected regarding how they coped with and adapted to the changing living environment of when they moved from their personal homes to a nursing home. A salutogenic model was utilized as the main analyzing model. The research methods included semi-structured interviews and participant observation with retrospective design. Four elderly nursing home residents were included by convenience sampling. Based on the current attitude to life, the elderly residents were grouped into three categories: ＂spurring themselves＂, ＂feeling comfortable＂, and ＂trusting to luck＂. Residents with the ＂spurring themselves＂ attitude conceptualize the elderly as often sick, adopted strict healthy behaviors to avoid illness, and were self-alienation and unable to emotionally fully accept their own lives in a nursing home. Residents who were feeling comfortable were aware of and accepted changing of aging and diseases, positively realized the personal situation, and were seeking for the coping resources from the restrictive environment. Residents who were trusting to luck thought that aging life is better, and only concerned with the parts of diseases which they were able to understand, and took things as they came about living in a nursing home. This study also discussed the similarities and differences between the residents' narrative topics in the gender, education level and the meaning of home perceptive. Women either with a relationship or not were becoming caregivers rather than men so families with illnesses would affect their life course. Resident whose education level is lower tier than the others had the different type of work before retirement, of the living arrangements, and of the leisure styles. Only the one, whose goal was back to her personal home, felt a homelike atmosphere; the others were not. However, they must live in the institution during the rest of their lives but only one of the residents positively perceived living in the nursing home. It is suggested that observing the types of adaptation of elderly residents and building a friendly institutional environment may facilitate elders to adapt well to a new environment and help the residents to succeed in the process of growing old.

参考文献 ( 30 ) 〈TOP〉

王增勇(2011)。家庭照顾者做为一种改革长期照顾的社会运动。台湾社会研究季刊，85，397-414。
连结：
田欣珊,梁记委,洪福建(2014)。癌症患者的疼痛因应:内外控倾向在因应策略与生活品质关系中的调节效果。中华心理卫生学刊，27(4)，533-560。
连结：
翁嘉英,吴振能,吴英璋(2003)。「病人角色」的抗拒与接受:接受血液透析治疗患者的心理调适历程。中华心理卫生学刊，16(4)，49-82。
连结：
Adelman, R. D.,Tmanova, L. L.,Delgado, D.,Dion, S.,Lachs, M. S.(2014).Caregiver burden: A clinical review.The Journal of the American Medical Association,311(10),1052-1060.
Antonovsky, A.(1996).The salutogenic model as a theory to guide health promotion.Health Promotion International,11(1),11-18.

被引用文献 ( 3 ) 〈TOP〉

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