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研究生: 江展溢
論文名稱: 手工藝工作坊對養護機構住民生活品質之影響
The Impact of Handcraft Workshop on QOL for the Elderly Nursing Home Residents
指導教授: 張千惠
學位類別: 碩士
Master
系所名稱: 復健諮商研究所
Graduate Institute of Rehabilitation Counseling
論文出版年: 2012
畢業學年度: 100
語文別: 中文
論文頁數: 155
中文關鍵詞: 手工藝工作坊養護機構生活品質
英文關鍵詞: handcraft workshop, nursing home, quality of life
論文種類: 學術論文
相關次數: 點閱:142下載:19
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  • 本研究主要在探究老人養護機構住民自覺生活品質為何,及參與手工藝工作坊對這些住民生活品質之影響。本研究主要採取質性研究之深度訪談法,針對台北市某家私立老人養護所之住民,進行實地訪談,了解研究對象對居住在養護機構生活品質的看法,及參與手工藝工作坊後對其生活品質的影響為何。訪談對象亦包括研究場域之其他工作人員,包括機構主任、護理人員及社工人員。於研究對象參與手工藝工作坊之前、後,研究者輔以台灣版生活品質量表SF-36之問卷調查,作為佐證資料。研究對象:本研究對象為安置於台北市某家私立老人養護所之5位住民,4位女性,1位男性,平均年齡為81.2歲,平均安置時間為30.4月。簡易智能狀態測驗(MMSE)得分超過切截點10分。研究對象參與每周二次為期二個月之手工藝工作坊活動,研究者並將前述手工藝成品之出售所得平均分配給研究參與者,由其自由支配。本研究之結果顯示,研究對象參加為期二個月之手工藝工作坊活動能提昇他們自覺的生活品質,研究場域內之其他工作人員亦支持手工藝工作坊持續執行與推展,但他們提到需要有專人統籌管理手工藝工作坊之執行與成品之行銷。本研究之結論為研究對象於參與二個月之手工藝工作坊活動後,他們的生理健康、心理健康、社會互動、經濟來源、孤獨感與活動能力皆有明顯的改善,並且有效提昇其自覺生活品質。

    The purpose of the research was to investigate the quality of life for residents living in nursing home, and what is the impact on their QOL after participating the handcraft workshop activities. It’s a qualitative study with in-depth interview to the residents who arranged in a private nursing home institution in Taipei city. The study was to find out theirs points of view on QOL about living in nursing home and the impact on QOL after participating the handcraft workshop activities. Researcher also interviewed other workers, including institution owner, nurse and social worker. Before and after participating the handcraft workshop activities, objects also filled the questionnaire of SF-36. 5 residents are living in a private nursing home in Taipei city, four female and one man, with average age is 81.2 and average arranged time 30.4 months. They also examined Mini-Mental Status Examination (MMSE) over 10 points. The study objects had participated handcraft workshop activities twice a week over two months. Researcher gave them earnings equally came from selling the products which they made in the handcraft workshop, and they used it by their own will. According to the result of the study, objects participating two months handcraft workshop activities can improve their quality of life. The workers of the research institution also supported the workshop hoping it consistently implemented and be popularized. But it claimed someone to manage the execution and selling. In the study, research objects participated 2 months handcraft workshop activities can improve their quality of life obviously in many aspects, including physical health, mental health, social interaction, economic resource, activity performance and reduce loneliness.

    目次 ........................................................................................................ VI 表次 ...................................................................................................... VIII 圖次 ...................................................................................................... VIII 第一章 緒論............................................................................................. 1 第一節 研究動機 ............................................................................ 1 第二節 研究目的與問題 ................................................................ 8 第三節 名詞釋義 ............................................................................ 9 第二章 文獻探討 .................................................................................. 10 第一節 養護機構模式安置老人的優點與影響 .......................... 10 第二節 養護機構住民生理與心理狀態 ...................................... 18 第三節 養護機構住民生活品質 .................................................. 20 第四節 養護機構提昇住民生活品質的具體建置及成效....... 22 第五節 養護機構提供復健治療服務的情況 .............................. 25 第六節 手工藝工作坊對老人的好處 .......................................... 30 第三章 研究方法與設計 ...................................................................... 33 第一節 研究方法 .......................................................................... 33 第二節 研究對象 .......................................................................... 34 第三節 研究場域 .......................................................................... 37 第四節 研究流程 .......................................................................... 40 第五節 研究工具與評估工具 ...................................................... 45 第六節 研究之信實度 .................................................................. 49 第七節 資料分析與處理 .............................................................. 50 第八節 研究者之角色、背景與經驗 .......................................... 51 第四章 研究結果 .................................................................................. 54 第一節 研究對象參與手工藝工作坊前測驗評估之結果 .......... 54 第二節 研究對象參與手工藝工作坊前日常生活觀察與生活品質 VII 訪談 .................................................................................. 66 第三節 研究對象參與手工藝工作坊活動中觀察與訪談 .......... 75 第四節 研究場域主要工作人員訪談 .......................................... 95 第五節 參與手工藝工作坊活動後訪談與生活品質量表SF-36 測驗結果 ........................................................................ 102 第五章 結論......................................................................................... 128 第一節 研究問題結論說明 ........................................................ 128 第二節 研究限制 ........................................................................ 132 參考文獻 ............................................................................................... 134 中文部分 ................................................................................... 134 英文部份 ................................................................................... 135 附錄 ....................................................................................................... 139 附錄一 訪談大綱 ..................................................................... 139 附錄二 簡易智能狀態測驗(MMSE) ...................................... 144 附錄三 功能性「活動分析」表 ............................................ 147 附錄四 台灣版生活品質量表(SF-36) .................................. 149 附錄五 台灣版生活品質量表(SF-36)授權同意書 ................ 155

    中文部分
    姚開屏(2002a)。健康相關生活品質概念與測量原理之簡介。台灣醫學會,6(2),183-192。
    姚開屏(2002b)。台灣版世界衛生組織生活品質問卷之發展與應用。台灣醫學會,6(3),193-200。
    侯青雲(2005)。活動治療在長期照護機構中的功能。台灣老人保健學刊,1(2),43-51。
    潘淑滿(2003)。質性研究理論與應用-第五章質性研究的信度與效度(79-104頁)。臺北市:心理。
    盧瑞芬、曾旭民、蔡益堅(2003a)。國人生活品質評量(I):SF-36台灣版的發展及心理計量特質分析。台灣衛誌,22(6),501-511。
    盧瑞芬、曾旭民、蔡益堅(2003b)。國人生活品質評量(II):SF-36台灣版的常模與效度檢測。台灣衛誌,22(6),512-518。
    簡秀美(2006)。長期照護機構服務品質與住民滿意度之研究。亞洲大學長期照護研究所碩士論文,未出版,台北。
    顧艷秋、劉文健(2005)。安養機構老人生活品質及其影響因素。榮總護理,22(4),389-396。
    羅鈞令、毛慧芬、蔡宜蓉、黃小玲、林惠冠、李世代、張志仲(2002)。長期照護機構職能治療服務模式之發展。職能治療學會雜誌,20,117-128。
    吳明宜、花敬凱、許華慧、許靖蘭、陳美利(2008)。第八章研究
    135
    (171-184頁)。復健諮商手冊。臺北:心理。
    英文部分
    Barodawala, S., Kesavan, S,.& Young, J. (2001). A survey of physiotherapy and occupational therapy provision in UK. Clinic Rehabilitation, 15, 607-610.
    Berblund, A. L. (2007). Satisfaction with caring and living conditions in nursing home. Views of elderly persons, next of kin and staff members. International Journal of Nursing Practice, 13, 46-51.
    Borg, C., Hallberg, I. R., & Blomqvist, K. (2006). Life satisfaction among older people (65+) with reduced self-care capacity: The relationship to social, health and financial aspect. Journal of Clinical Nursing, 15, 607-618.
    Buchanan, R. J., Wang, S., Martin, R. A., & Ju, H. (2006). Utilization of rehabilitation therapies by nursing home residents with MS at admission. Neurorehabilitation, 21, 223-232.
    Chao, S. Y., Liu, H. Y., Wu, C. Y., Jin, S. F., Chu, T. L., Huang, T. S. (2006). The effects of group reminiscence therapy on depression, self esteem and life satisfaction of elderly nursing home residents. Journal of Nursing Research,14(1), 36-44.
    Chiang, K. J., Lu, R. B., Chu, H., Chang, Y. C., & Chou, K. U. (2008). Evaluation of the effect of a life review group program on self-esteem and life satisfaction in the elderly. International Journal of Geriatric
    136
    Psychiatry, 23,7-10.
    Dahlin, A. F., Larson, J., Murray, V., Wredling, R., & Billing, E. (2007). Predictors of psychological health in spouses of persons affected by stroke. Journal of Clinical Nursing, 885-891.
    Drageset, J., Natvig, G. K., Eide, G. E., Clipp, E. C., Bondevik, M., Nortvedt, M. W. (2008). Differences in health-related quality of life between older nursing home residents without cognitive impairment and the general population of Norway. Journal of Clinical Nursing, 17, 1227-1236.
    Elliott, T. E., Renter, C. M., & Palcher, J. A. (2007). The prognostic value of measuring health-related quality of life in hospice patients. Journal of Palliative Medicine, 10(3), 696-704.
    Gillespie, N. K., & Farley, O. W. (2007). The effect of housing on perceptions of quality of life of older adults participating in a medicaid long-term care demonstration project. Journal of Geronotological Social Work, 49(3), 205-228.
    Hobson, J. P., & Meara, R. J. (1997). Is the SF-36 health survey questionnaires suitable as a self-report measure of the health status of older adults with Parkinson’s disease? Quality of Life Reasearch, 6, 213-216.
    Kerse, N., Peri, K., Robinson, E., Wilkinson, T., Randow, M. V., Parsons, J. (2008). Does a functional activity programme improve function, quality of life, and falls for residents in long term cares? Cluster
    137
    randomized controlled trial. British Medicine Journal, 337, 1445-1451.
    Lin, P. C., Yen, M., & Fetzer, S. J. (2008). Quality of life in olders living alone in Taiwan. Journal of Clinical Nursing ,17, 1610-1617.
    Pizzi, M. A., & Briggs, R. (2004). Occupational and physical therapy in hospice. Topics in Geriatric Rehabilitation, 20(2), 120-130.
    Politis, A. M., Vozzella, S., Mayer, L. S., Onyike, C. U., Baker, A. S., & Lyketsos, C. G. (2004). A randomized, controlled, clinical trial of activity therapy for apathy in patients with dementia residing in long-term care. International Journal of Geriatric Psychiatry, 19, 1087-1094.
    Sefton, N., Craig, K., & Meadows, S. (2008). Quality of life in older persons with dementia living in nursing homes. American Family Physician, 77(7), 1011-1012.
    Siton, Y. Y., Lau, T. C., Zochling, J., Schwarz, J., Chen, J.S., March, L. M.et al. (2005). Determinants of health-related quality of life in institutionalised older persons in northern Sydney. Internal Medicine Journal, 35, 131-134.
    William, S. L., Edith, A. L., & Leopold, S.L. (1981). Purpose in life and occupational interest in a gerontological sheltered workshop. Journal of Clinical psychology, 37(4), 765-770.
    Winningham, R. G., & Pike, N. L . (2007). A cognitive intervention to enhance institutionalized older adults’ social support networks and decrease loneliness. Aging & Mental Health, 11(6), 716-721.
    138
    Worden, A., Challis, D. J., & Pedersen, I. (2006). The assessment of older people’s needs in care homes. Aging & Health, 10(5), 549-557.

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