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一位先生面對失智妻子照護經驗與壓力調適之敘事研究

紀錄類型:	書目-語言資料,印刷品 : 單行本
作者:	張秀玲,
其他作者:	林清壽,
出版地:	[南投縣]
出版者:	南開科技大學福祉科技與服務管理研究所;
出版年:	民106[2017]
面頁冊數:	96葉 : 圖,表 ; 31公分+1張光碟
標題:	男性照顧者
標題:	Male caregiver
電子資源:	https://hdl.handle.net/11296/4b2cs7
附註:	指導教授: 林清壽
附註:	參考書目: 葉40-42
摘要註:	失智症的照護，是一個漫長又沈重的照顧工作，照顧者所承受的壓力與負荷是不容忽視的，本研究對象是一位照顧失智症的配偶長達二十七年的高齡男性長者，探究照顧者是如何不離不棄，度過漫長的歲月。本研究目的旨在探究男性照顧者照顧失智症配偶之照護壓力、心理調適及照護經驗之研究。採用敘事研究方法，以回憶述說及半結構深度訪談等方式做分析研究。研究結果發現：男性配偶照顧失智妻子的壓力方面，經歷心力交瘁、自責與愧疚及束手無策的等待，但在家人的陪伴與支持下，從最初不願意接受事實，到永不放棄陪伴終老。在面對壓力調適方面，照顧者透過寫文章、吹口琴並配合每天的運動，有時候也會安排全家旅遊來紓解鬱悶的心情。在照護經驗方面，為了24小時照顧配偶，在家中須身兼多重的角色，照顧其生活起居，而為減緩失智症妻子病情惡化，在客廳、書房擺放書報、雜誌，讓她可隨心翻閱，啟發腦力和思考能力。妻子有時脾氣較為不穩或暴躁，照顧者會用不帶情緒的口吻，以禮讓或轉移話題來穩定她的情緒。在照護過程中，以少責備多鼓勵多協助的方式，這樣做法也會降低彼此爭吵的機會。當她沒有耐性與躁動時，會播放一些她熟悉的音樂，轉移注意力並安撫情緒；在一個機緣下，從鄰居的口中得知衛生福利部草屯療養院設有老人日間照護中心，白天送失智妻子到日間照護中心，而有喘息的空間，並透過失智症家屬支持團體的定期聚會與陪伴，照顧者與被照顧者均獲得較佳的生活品質。

一位先生面對失智妻子照護經驗與壓力調適之敘事研究
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200 1 $a 一位先生面對失智妻子照護經驗與壓力調適之敘事研究 $f 張秀玲
210 $a [南投縣] $c 南開科技大學福祉科技與服務管理研究所 $d 民106[2017]
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300 $a 指導教授: 林清壽
300 $a 參考書目: 葉40-42
328 $a 碩士論文--南開科技大學福祉科技與服務管理所
330 $a 失智症的照護，是一個漫長又沈重的照顧工作，照顧者所承受的壓力與負荷是不容忽視的，本研究對象是一位照顧失智症的配偶長達二十七年的高齡男性長者，探究照顧者是如何不離不棄，度過漫長的歲月。本研究目的旨在探究男性照顧者照顧失智症配偶之照護壓力、心理調適及照護經驗之研究。採用敘事研究方法，以回憶述說及半結構深度訪談等方式做分析研究。研究結果發現：男性配偶照顧失智妻子的壓力方面，經歷心力交瘁、自責與愧疚及束手無策的等待，但在家人的陪伴與支持下，從最初不願意接受事實，到永不放棄陪伴終老。在面對壓力調適方面，照顧者透過寫文章、吹口琴並配合每天的運動，有時候也會安排全家旅遊來紓解鬱悶的心情。在照護經驗方面，為了24小時照顧配偶，在家中須身兼多重的角色，照顧其生活起居，而為減緩失智症妻子病情惡化，在客廳、書房擺放書報、雜誌，讓她可隨心翻閱，啟發腦力和思考能力。妻子有時脾氣較為不穩或暴躁，照顧者會用不帶情緒的口吻，以禮讓或轉移話題來穩定她的情緒。在照護過程中，以少責備多鼓勵多協助的方式，這樣做法也會降低彼此爭吵的機會。當她沒有耐性與躁動時，會播放一些她熟悉的音樂，轉移注意力並安撫情緒；在一個機緣下，從鄰居的口中得知衛生福利部草屯療養院設有老人日間照護中心，白天送失智妻子到日間照護中心，而有喘息的空間，並透過失智症家屬支持團體的定期聚會與陪伴，照顧者與被照顧者均獲得較佳的生活品質。 $u Dementia care is a long term and cumbersome caring work, the pressure and load on the caregivers must not be underestimated and ignored. The object in this study is an old male elder attending to his dementia spouse for twenty-seven years. We explore further about how the caregiver is to attend to and never give up his dementia spouse through the long years. The purpose of this study is to explore and to study the pressure and psychological adjustment experience of a male caregivers taking care of his dementia spouses. We apply the narrative research methods of recalling narrative, the interviews of the semi-structured depth and other ways to proceed the study. The results of this study revealed that: In the aspect of pressure from taking care of the dementia wife, the male spouse caregiver experienced the feelings of physically and mentally exhausted, self-blame, guilty and helpless waiting. But, with the company and support of the family, the situation changed from the initial reluctance to accept the facts to never giving up and to accompany to the end. In the aspect of facing pressure and adjustment, the caregiver relieves the depressed mood by means of writing articles, playing harmonica, daily exercises, or occasionally family travel arrangement. In the aspect of caring experience, for taking care of his spouses 24 hours a day, he have to play multiple roles at home in order to take care of her daily life activities. For alleviating and preventing the worsening of his wife’s dementia condition, he leaves books and magazines in the living room and study room for her to read at her wish in order to inspire her mental and thinking ability. Sometimes, his wife becomes unstable in mood or irritable in temper, the caregivers will stabilize her emotions by speaking with peaceful tone and patient, or transfer the topic. In the process of caring, by way of encouraging more, assisting more, and less blaming to reduce the chance of mutual quarrel. Whenever she is out of patience or becoming restless, he will play some music that she is familiar of in order to transfer attention and appease her mood. In a chance, he learned from his neighbors about that there’s an elderly day care center at the Tsao Tun nursing home of the Ministry of Health and Welfare. Thus, he sent his wife to the day care center during the day time and therefore he obtains the respite time. Furthermore, through the regular meetings and company of the dementia family supporting groups, both the caregivers and the patients can obtain better living quality.
510 1 $a A narrative study on the pressure adjustment and nursing experience of a husband taking care of his wife with dementia. $z eng
610 # 0 $a 男性照顧者 $a 敘事研究 $a 照護經驗 $a 壓力的調適 $a 社會支持
610 # 1 $a Male caregiver $a Narrative study $a Care experience $a Pressure adjustment $a Social support
681 $a 000 $b 1121:2
700 1 $a 張 $b 秀玲 $3 20524
702 1 $a 林 $b 清壽 $3 129976
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801 1 $a tw $b 國圖 $c 20130805 $g CCR
856 # # $u https://hdl.handle.net/11296/4b2cs7