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

Application of the Resiliency Model: Caring for a Family with Unplanned Hospital Readmission Disabled Elderly

10.6202/THJ-2013-09-02

王靜琳(Ching-Lin Wang)；徐亞瑛(Lotus Yea-Ing Shyu)

家庭復原力模式 ； 非預期重覆住院 ； 失能老人 ； family resiliency model ； unplanned hospital readmission ； disabled elderly

慈惠學報

9期（2013 / 12 / 01）

13 - 26

繁體中文

本文描述運用家庭復原力模式探討於一位非預期重覆住院失能老人家庭的成功經驗。筆者照護期間透過居家訪視及多次電話追蹤，直接參與照護案家，採質性訪談及觀察方式進行，歸納案家有缺乏疾病照護相關知識與技巧以及照顧者身心疲憊之家庭健康問題。利用該模式評估於案家，剖析家庭特質、價值文化、對事件之認知與詮釋，以及瞭解家庭調整與適應能力，再利用家庭既有的資源、特質、能力介入為相關護理措施，協助家庭發展良好因應行為，重建新生活型態之案例。期盼藉此提供家庭照護措施與資源運用之參考，促進家庭能平穩度過危機時期，達到最佳照護品質。

The family case describes the application of the resiliency model to a family with the successful experience of caring disabled elderly with unplanned hospital readmission. The research was conducted from October 2 to December 17, 2008. The family study methods adopted to gather data include home visits, telephone consultations, qualitative interviews and participant observation. The identified home health problems include: deficiency in disease-related knowledge and skill, and the straining situation the caregiver faces. This study applies and assesses the model by analyzing the family's unique traits, their cultural values, their cognition and interpretation of the event, their ability to adjust and adapt. The study then makes use of the family's current resources, characteristics, and ability and intervenes in the nursing care to help the family develop positive behavior and a new lifestyle. The nursing experience can provide family nursing care with an example of how to use resources in order to help families to go through the period of crisis and to reach the best quality care.

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