長照的前瞻觀點：預防照護計畫

The Proactive Perspective of Long-term Care: Preventive Care Program

10.6317/LTC.21.183

蔡淑鳳(Shwu-Feng Tsay)；陳時中(Shih-Chung Chen)；范家瑀(Chia-Yu Fan)

長照政策 ； 衰弱老人 ； 預防照護 ； long-term care ； frailty ； preventive care

長期照護雜誌

21卷3期（2017 / 12 / 01）

183 - 189

繁體中文

面臨全球高齡化的趨勢，臺灣的老化速度又比其他國家更加快速，預估在未來的10年內將邁入超高齡社會，因此高齡健康與照護政策更顯迫切。本文將介紹長照的前瞻觀點：預防照護計畫，此計畫乃是以「社區基礎、實證導向及人本服務」等原則建立社區預防照護網絡；同時發展本土、創新，且具實證基礎的照護方案與人才培育。內容針對失能或失智的危險因子設計，包含六項預防照護主題：肌力強化運動、生活功能重建訓練、社會參與、口腔保健、膳食營養及認知促進等，透過徵求活潑、有趣、體驗式且融入社區長輩生活的實證方案，提供每期12週的預防照護活動，於活動過程進行介入前後評值，以作為預防照護計畫之成效評估。因應老年人口快速成長，長照政策除了照顧失能老人外，更重要的是「預防成為被照顧者」，建構活躍老化的友善社區。

In the growing trend of aging population around the world, the speed of aging in Taiwan is growing much faster than other countries. It is estimated that in the next 10 years, Taiwan would enter the super-aged society that would pressure senior health and long-term care policies. The paper introduces the program with proactive perspective: preventive care program with the philosophy of community-based as the foundation, evidence-based practice as the direction, with human-oriented procedures. A continuous, integrated community prevention care network that enables the development of localized, innovative, and evidence-based care packages. The content of the program is designed for the risk factors of disability or dementia that include six major prevention modules, namely muscle strengthening exercises, reablement, social participation, oral health, dietary nutrition, and cognitive improvement. Health education is carried out in lively, interesting, and experiential manner that blend in the lives of seniors in the community through 12-week service packages, greatly increasing the willingness and continuation of elderly participation and program effectiveness. Furthermore, through the evaluation before and after intervention, the government can reference prevention care database in promoting health policies. In response to the rapid growth of the senior population, beside the long-term care of disabled elderlies, it is more important for the policy impact to focus on the prevention of seniors in becoming recipients of care, and increase positive understanding of the word ＂old＂ to bring about active aging.

1. 蔡淑鳳,徐永年,陳淑芬,沈舒華,林湘宜(2015)。社區老人心理社會健康促進之經驗模式探討－以臺中市為例。護理雜誌，62(4)，19-25。
   連結：
2. 錢桂玉,劉黃麗娟,許淑芬,沈舒華,蔡淑鳳(2016)。以社區為基礎之健康促進課程對中老年人功能性體適能、憂鬱以及生活品質的效益。大專體育學刊，18(1)，66-77。
   連結：
3. 內政部統計處(2017)。最新統計指標。取自 http://www.moi.gov.tw/stat/chart.aspx
4. 行政院經濟建設委員會(2010).2010 年至2060 年臺灣人口推計.
5. 行政院經濟建設委員會(2013)。臺灣經濟論衡，11(10)，37-34。
6. 呂郁芳(2017)。呂郁芳(2017)。衛生福利部106年度「預防及延緩失能照護方案研發與人才培訓計畫」 。計畫書。
7. 劉黃麗娟(2017)。劉黃麗娟(2017)。衛生福利部106 年度「預防及延緩失能照護方案研發與人人才培訓計畫」計畫書。
8. 穆佩芬(2017)。穆佩芬(2017)。衛生福利部106 年度「預防及延緩失能照護方案研發與人才培訓計畫」 計畫書。

1. 簡乃卉,衛沛文,游靜宜,張淑紅,江勁政(2020)。社區中高齡者身體表現與衰弱前期危險因子之特徵。華人運動生物力學期刊，17(2)，11-19。
2. 張靜軒(2020)。家有一老如有一寶？－漫談成功老化之幸福感生活。諮商與輔導，419，55-59+54。
3. (2024).Leisure-time activities and health benefits among older adults in Taiwan: A systematic review.中華體育季刊,38(2),89-116.