家庭復原力之概念分析

Family Resilience: A Concept Analysis

10.6530/YYN.202107_15(2).0004

郭宇晴(Yu-Ching Guo)；王桂芸(Kwua-Yun Wang)

家庭 ； 復原力 ； 家庭復原力 ； 概念分析 ； family ； resilience ； family resilience ； concept analysis

源遠護理

15卷2期（2021 / 07 / 01）

28 - 34

繁體中文

「家庭復原力」是指家庭能在面對困難或壓力情境時，隨著時空演進，藉由運用家庭擁有的內在、外在資源，並在眾多保護因子與危險因子交互作用下，達到適應困境、維持生活的目標。此概念有助於醫護人員了解家庭克服逆境的過程，可運用於臨床，以助正向促進個體及家庭的健康照護結果。本文旨在運用Walker及Avant（2011）提出的概念分析步驟，包括1.闡述家庭復原力的定義性特徵；2.列舉典型案例、邊緣案例、及相反案例；3.確認家庭復原力的前置因子與後果；4.評析現行的實證性測量工具等。期望透過「家庭復原力」概念，有助於臨床實務及研究等領域之應用，促使醫護人員更好的發展健康照護理念及措施，協助家庭在困難或壓力情境下達到內、外在動態平衡的正向適應，進而促進整體健康照護結果。

＂Family resilience＂ means that a family can adapt to a dilemma and maintain the goals of life during difficult or stressful situations by using family's own internal and external resources, and ongoing interactions with many protective risk factors. This concept helps health care providers understand the family's process of overcoming adversity and may be applied clinically to positively promote the health care outcomes of individuals and families. The purpose of this paper is to use the conceptual analysis steps proposed by Walker and Avant (2011) including 1. Describe the defining characteristics of family resilience; 2. List typical cases, marginal cases, and vice versa; 3. Confirm the front of family resilience factors and consequences; and 4. Analysis of current empirical measurement tools. It is hoped that through this paper, clinical health care providers will be able to apply this concept in clinical practices and researches, promoting the development of health care concepts and measures to help families achieve internal and external dynamic equilibrium under difficult or stressful situations, thereby improving health care outcomes.

1. 王靜琳, C. C.,徐亞瑛, Y. I.(2013)。運用家庭復原力模式於一位照顧非預期重覆住院失能老人家庭之護理經驗。慈惠學報，9，13-26。
   連結：
2. 謝美娥, M. O.(2008)。離婚女性單親家長復原力的初探。東吳社會工作學報，18，1-33。
   連結：
3. Ahlert, I. A.,Greeff, A. P.(2012).Resilience factors associated with adaptation in families with deaf and hard of hearing children.American Annals of the Deaf,157,391-404.
4. American Psychological Association (2014). The road to resilience. Washington, DC: American Psychological Association. Retrieved from http://www.apa.org/helpcenter/road-resilience.aspx
5. Black, K.,Lobo, M.(2008).A conceptual review of family resilience factors.Journal of Family Nursing,14(1),33-55.
6. Deist, M.,Greeff, A. P.(2015).Living with a parent with Dementia: A family resilience study.Dementia,16(1),126-141.
7. Golics, C. J.,Basra, M. K.,Finlay, A. Y.,Salek, S.(2013).The impact of disease on family members: A critical aspect of medical care.Journal of the Royal Society of Medicine,106(10),399-407.
8. Herdiana, I.,Suryanto, S.,Handoyo, S.(2018).Family resilience: A conceptual review.Advances in Social Science, Education and Humanities Research,133,42-48.
9. Kim, G. M.,Lim, J. Y.,Kim, E. J.,Kim, S. S.(2017).A model of adaptation for families of elderly patients with dementia: Focusing on family resilience.Aging & Mental Health,1-9.
10. Li, Y.,Zhao, Y.,Zhang, J.,Lou, F.,Cao, F.(2016).Psychometric properties of the shortened chinese version of the family resilience assessment scale.Journal of Child and Family Studies,25(9),2710-2717.
11. Masten, A. S.(2018).Resilience theory and research on children and families: Past, present, and promise.Journal of Family Theory & Review,10(1),12-31.
12. McCubbin, H. I.,McCubbin, M. A.(1988).Typologies of resilient families: Emerging roles of social class and ethnicity.Family Relations,37,247-254.
13. Merriam Webster Online. (2018b). Family. Retrieved from https://www.merriam-webster.com/dictionary/family
14. Merriam Webster Online. (2018a). Resilience. Retrieved from https://www.merriam-webster.com/dictionary/resilience
15. Oxford. (2019). Resilience. Retrieved from https://www.lexico.com/en/definition/resilience
16. Patterson, J. M.(2002).Integrating family resilience and family stress theory.Journal of Marriage and Family,64(2),349-360.
17. Saltzman, W. R.(2016).The FOCUS family resilience program: An innovative family intervention for trauma and loss.Family Process,55(4),647-659.
18. Sharma R.(2013).The family and family structure classification redefined for the current times.Journal of family medicine and primary care,2(4),306-310.
19. Sixbey, M. T.(2005).University of Florida.
20. Van Schoors, M.,Caes, L.,Verhofstadt, L. L.,Goubert, L.,Alderfer, M. A.(2015).Systematic review: Family resilience after pediatric cancer diagnosis.Journal of Pediatric Psychology,40(9),856-868.
21. Walker, L. O.,Avant, K. C.(2011).Strategies for theory construction in nursing.Upper Saddle River, NJ:Pearson/Prentice Hall.
22. Walsh, F.(1996).The concept of family resilience: Crisis and challenge.Family Process,35(3),261-281.
23. Walsh, F.(2016).Family resilience: A developmental systems framework.European Journal of Developmental Psychology,13(3),313-324.
24. 中華民國教育部（2015）．教育部重編國語辭典修訂本：家庭．取自http://dict.revised.moe.edu.tw/cgibin/cbdic/gsweb.cgi?ccd=BaOhwb&o=e0&sec=sec1&op=v&view=0-1 [Ministry of education, R. O. C. (2013). The revised edition of Modern Chinese dictionary: Family. Retrieved from http://dict.revised.moe.edu.tw/cgibin/cbdic/gsweb.cgi?ccd=BaOhwb&o=e0&sec=sec1&op=v&view=0-1]
25. 任全鈞, C. C.(2006)。嘉義市=Chiayi，國立中正大學犯罪防治所=National Chung Cheng University department institute of criminology。
26. 侯斐菱, F. L.(2011)。嘉義市=Chiayi，國立嘉義大學輔導與諮商學系研究所=National Chiayi University department of counseling and guidance。
27. 孫毓英, Y. Y.(1986)。台北市=Taipei，中國文化大學兒童福利研究所=Chinese Culture University department of child welfare。
28. 黃智榆, C. Y.(2011)。台北市=Taipei，國立陽明大學臨床暨社區護理研究所=National Yang-Ming University department institute of community health care。
29. 穆佩芬, P. F.,楊寶圜, B. H.(2009)。由家庭韌力觀點促進罕見疾病病童家庭健康。源遠護理，3(2)，15-22。

1. 吳宗祐(Tsung-Yu Wu);吳莉喻(Li-Yu Wu)(2024)。協助一位鬱症患者調適喪失同性伴侶哀傷之護理經驗。高雄護理雜誌。41(1)。158-169。