题名

獨居老人社會支持之初探-以屏東縣屏東市為例

并列篇名

Social support for older adults living alone in Pingtung City

DOI

10.6687/JSDS.202203_(29).0001

作者

陳柯玫(Ke-Mei Chen);許俊才(Kasirisir Kui)

关键词

社會支持 ; 獨居老人 ; 互助圈 ; social support ; older adults living alone ; circle

期刊名称

社會發展研究學刊

卷期/出版年月

29期(2022 / 03 / 01)

页次

1 - 33

内容语文

繁體中文

中文摘要

社會支持會對獨居長者的身心健康造成影響,故建立一個以社區為基礎之在地社會支持網絡有其重要性。本研究旨在瞭解獨居長者社會支持現況,並檢視政府部門、社區組織或社福團體在社會支持中之角色,以作為政府或非營利組織在規劃、推廣獨居長者在地生活支持系統之參考。本研究採量化與質性混合之研究方法,量化資料蒐集是以屏東市列冊獨居長者作為研究對象,共計15位。質化資料蒐集則是透過3次個別訪談與2次焦點團體訪談來進行,前者訪談對象是列冊獨居長者,共訪談4位;後者包含屏東市里長和里幹事以及社區關懷據點幹部,共11位。主要研究發現為:1.情感性和工具性支持傾向由非正式支持系統提供,而訊息性支持仰賴正式支持系統。2.對家人與親友之情感性支持有高度需求。3.工具性支持來自家人或朋友,以無法解決的事情及突發事故的協助為主。4.在訊息性支持部分,獨居長者對於福利服務、休閒、醫療保健、經濟補助及住宅修繕等訊息需要的比例較高,對求職與活動訊息之需求性相對較低。5.社區組織或社福團體所扮演的社會支持角色主要為關懷者、危機通報者及諮詢與資源連結者。

英文摘要

Social support may have an effect on physical and psychological health of the older adults living alone. Thus, it is important to build a local social support system. The purpose of the study is to understand the social support of the older adults living alone and examine the roles of government and non-profit organizations in social support system in Pingtung city. The mixed-methods research is applied in the study. About the quantitative data collection, a total of 15 research participants who are the older adults living alone are assisted by Pingtung County Government. The qualitative data collection includes 3 individual interviews and 2 focus groups. The individual interviews include 4 older adults living alone. The focus groups include 11 government employees. The findings of the research are as follows: (a) the emotional and instrumental support is provided by the informal support system, while the information support relies on formal support system. (b) Regarding the emotional support, more than half of research participants have strong need for care from family members and trusted relatives and friends. (c) The instrumental support provision which focuses on unsolvable matters and emergencies mainly is from family members or friends. (d) About the information support, a high proportion of research participants have a need for welfare services, leisure, medical care, financial assistance, and housing repair, but have a low need for information about job seeking and activities. (e) The community and social welfare organizations provide social care, crisis reporting, consultation and resource linkage. Finally, policy suggestions are given for developing a local support system.

主题分类 社會科學 > 社會學
参考文献
  1. Kim, J.,Lee, J.-E.(2018).Social support and health-related quality of life among elderly individuals living alone in South Korea: A cross-sectional study.Journal of Nursing Research,26(5),316-323.
    連結:
  2. Nam, E. J.,Lee, J. E.(2018).Mediating effects of social support on depression and suicidal ideation in older Korean adults with hypertension who live alone.Journal of Nursing Research, Latest Articles
    連結:
  3. 石泱(2009)。不同居住型態老人社會支持與生活適應影響因素之研究。東吳社會工作學報,21,27-53。
    連結:
  4. 葉淑娟,施智婷,莊智薰,蔡淑鳳(2004)。社會支持系統與老人生活滿意度之關係-以高雄市老人為例。中山管理評論,2(12),399-427。
    連結:
  5. Barrera, M.(1986).Distinctions between social support concepts, measures, and models.American Journal of Community Psychology,14,413-445.
  6. Choi, N. G.,Wodarski, J. S.(1996).The relationship between social support and health status of elderly people: Does social support slow down physical and functional deterioration?.Social Work Research,20(1),52-63.
  7. Cottam, H.(2011).Relational welfare.Soundings,48,134-144.
  8. Cottam, H. & Dillon, C. (2014). Learning from London Circle. Retrieved from http://www.participle.net/ageing.
  9. Gottlieb, B. H.,Bergen, A. E.(2010).Social support concepts and measures.Journal of psychosomatic research,69(5),511-520.
  10. Hellström, Y.,Hallberg, I. R.(2001).Perspectives of elderly people receiving home help on health, care and quality of life.Health & Social Care in the Community,9(2),61-71.
  11. Kooshiar, H.,Yahaya, N.,Hamid, T. A.,Abu Samah, A.,Sedaghat Jou, V.(2012).Living arrangement and life satisfaction in older Malaysians: the mediating role of social support function.Plos One,7(8),e43125-e43125.
  12. LAM, B.-H.(2019).Social support, well-being, and teacher development.Singapore:Springer.
  13. Litwin, H.(2004).Social networks, ethnicity and public home-care utilisation.Ageing and Society,24(6),921-939.
  14. McCamish-Svensson, C.,Samuelsson, G.,Hagberg, B.,Svensson, T.,Dehlin, O.(1999).Informal and formal support from a multi-disciplinary perspective: A Swedish follow-up between 80 and 82 years of age.Health & Social Care in the Community,7(3),163-176.
  15. McNamee, S.,Gergen, M. M.,Camargo-Borges, C.,Rasera, E. F.(2020).The Sage handbook of social constructionist practice.London:SAGE Publications.
  16. Melchiorre, M. G.,Chiatti, C.,Lamura, G.,Torres-Gonzales, F.,Stankunas, M.,Lindert, J.,Soares, J. F. J.(2013).Social support, socio-economic status, health and abuse among older people in seven European countries.Plos One,8(1),e54856-e54856.
  17. Relational Welfare Blog Archive. (2020). What does relational welfare mean? . Retrieved from https://relationalwelfare.wordpress.com/about/.
  18. Schaefer, C.,Coyne, J. C.,Lazarus, R. S.(1981).The health-related functions of social support.Journal of Behavioral Medicine,4,381-406.
  19. Tomaka, J.,Thompson, S.,Palacios, R.(2006).The relation of social isolation, loneliness, and social support to disease outcomes among the elderly.Journal of Aging and Health,18(3),359-384.
  20. 中華民國統計資訊網(2020)。縣市重要統計指標。中華民國統計資訊網網頁(https://statdb.dgbas.gov.tw/pxweb/Dialog/CityItemlist_n.asp)。
  21. 王仕圖,許俊才,林宏陽,陳柯玫(2018)。屏東縣政府委託計畫屏東縣政府委託計畫,屏東縣:屏東縣政府。
  22. 王仕圖,羅希哲,林宏陽,許俊才(2017)。屏東縣政府委託計畫屏東縣政府委託計畫,屏東縣:屏東縣政府。
  23. 李新民(2015)。空巢老人與非空巢老人的社會支持與心理健康之比較研究。人文社會電子學報,1(11),23-47。
  24. 屏東縣政府社會處(2020b)。獨居老人服務。屏東縣政府網頁(https://www.pthg.gov.tw/planjdp/cp.aspx?n=6002B120E13BE406&s=E6FF28A7DA6B2ED8)。
  25. 屏東縣政府社會處(2020a)。屏東縣列冊需關懷獨居老人人數及服務概況。行政院主計總處網頁(https://pthg.dgbas.gov.tw/STATWeb/Page/stat01_1.aspx?Mid=3006&p=1&y=108&m=1)。
  26. 凌千惠,傅光翊,黃荷瑄,姚慧萍,林宜慧,葉志嶸(2007)。老年族群之憂鬱程度、社會支持程度與醫療服務使用之相關性。中山醫學雜誌,2(18),201-215。
  27. 紐文英(2015).質性研究方法與論文寫作.臺北:雙葉.
  28. 陳玉敏(2001)。獨居老年人之自我照顧需求。榮總護理,3(18),223-233。
  29. 劉家勇(2015)。社區獨居老人社會照顧模式之研究:以台灣及日本在宅服務方案為例。台灣社區工作與社區研究學刊,2(5),49-100。
  30. 衛生福利部統計處(2020)。列冊需關懷獨居老人人數及服務概況。衛生福利部網頁(https://dep.mohw.gov.tw/dos/cp-1721-9411-113.html)。