台灣地區老人日間照護方案功能之初探：從老人使用者及其家屬的觀點出發

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(1)_. A. "'/. ..... 7""-_" .... '. _ ...... -·~,··"~ .. vA.,,, ...,.....7-11;1 .... "-1"4+"1""'.. 'Y"o.""'l;o"' .... ,~lj~-1:J?""'"7"'\'""~ .. "'J~l.J...i"2;(. ~. ..:::.4. ~ " ij~. The Effects of Day Care Services In Taiwan: Exploring Users' View Pau-Ching Lu. r *l~~~;fO !3 .:t1¥J~ 1f J. ~i!.9:JjB~ ~ I!IJ *.M!i~ AiiiiflJjl~jfil¥J El. • ; ffij.4j@~Afig:fr&:P~1liUI¥Jf.'iltflCP , .:t;Lj:tSJJJ~g rh~-lttiIifTl¥Jm~;L- (gW~ , 1995a : 11) , ~Jlt ' :g.[giJ~/f*s~fl1j il~lfinrHfi1J~t:A.~ rgtjfu~1tJ (aging in place)I¥J:@'~ , Elrs'~~:Jj~{* W!n~f£M1*;L-$ , ~7n~f£J)j~gmf;§~)1}' -til*ff~m:lf::-t~n1*~~ tt U n~ f£ (respite care) 1 , -til ~ flO nJllURathbone McCuan ' 1990 : 546). .:if. 0. ABSTRACT The purpose of this paper is to examine the impacts of day care services on users and their family caregivers. The focus of this paper is to explore whether day care services do function as respite care program.. The in-depth interview technique was used to understand the personal experiences of 13 users and 8 caregivers. The findings indicated that both users and their family caregivers do perceive day care services can reduce caregivers' burden, and provide respite opportunity for caregivers. In addition, day care services do provide the frail elderly an opportunity to socialize, to restore or maintain the functional ability, and to improve mental health. Finally, policy implication is discussed. Key words: Day Care Services ' Respite Care ' Program Evaluation ' Users'View. ~A EI Fs'~~H~f£~Jl~Ai]1li\flJ:Jj~ftl*~~M'tt1J~;LtE~ i~l1UO':IJ)jffg"iD"f;Ef:t~A~m~fD;!t*~~U~m1Jl~IL*~~;L. 0. 0. !;51Jlt '. f:t~Affi]. , B f'Ia'~~H~f£"iD"mf;t!;Ii3lKIIIMI~M';f01i1t1 ' ~"iD"~*ft;!tJ)jffg~g1J ~"l&U~mf § , "iD"1W~ 24 /NI~~UI¥J~. ' tm3lS*IIJPff~zI¥JW~~:@. , .~AIUI{1::fr*fI ' ~!!r~,/f~\~l¥Jm.Ht (Huttman ' 1985 ; -®Iif , lmf3tllJl! ' 1988) 11H!f+1f* ' B rs,~~:Jj~;L.M!i~g~~tf~tt~U 0. 0. ;lI'lJ.-'htf~ • ~~p.xmi]1±1lf~li\flJ~~6Jf~l¥Jm!!1li. 0. :. ~ffi~tt~U. .:tBI¥J~:W&~jfu~{ll£ ; {EFf:lf~6Jf~~*BP~~ : ~tt~unli. ~m. n®I¥J~*.m. ·~.~"iD"~.tt ' f;EB ra'~~:Jj~. E.p.xmWr±1lfI{'FH~f£~~r:pmJi!l¥Jil*m. accountability). , .~&,~. _+k*f...1'E. 0. -Ei'.!fu1!l~IHl~ABFs'~UHlilf£;LM:@"I~%. , pgi1~Jlr~. '. ~!3 ~~t:+ }\1f1t] , fl~MWJ:g.'f.$i&f&M~ B:tEHlilf£ ' ,.....,...1..... ....,,1=1. R. , r'i'il1LtE$ , -Ei'l¥1$ , ~ttr~* '. '. l:.~lm' r'i'il1LtE!j!*.&m*l\1Ri~fL@I\1Ri$M:@'B:tEH~f£. ' • ~:frlOTj:M1*:Jj®~rj~91l1G~fI1~;L~ABrs'~~cp{;, , 1H;eril!:~r:;:fi~. .m~~~DIl1G. '. , :ffijlr,~gll1G ' -=<rn~n"r:. 200 :g~A (. 1i, r t' JX. r "it ,t '#dli t' s;Hi , m •• ~ ••• *~A*,~~.~* •• ~~IlI]A..' • • *.*.~A1i, •••*. Respite care i)}:tf A..~. ,. ... ~.tHiBIJJlII.~. ~~Ii~ J. ,11UUIi~ J. -;ft. Ill] ~Ii~. J.'..t. ,. .~MaM~~JlII.~~ ••• ~A...·~A...~ • • (~t~~) '&~A..~ • • ~(JX.. ~*.~.~. ~·»MW •• ~).~~ ••. *•• '.

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(15) Services. New York: The Haworth Press.. ~~"F:1. Kane, A. R. & Kane, L.R. (1987) 1987. Long-Term Care : Principles, Programs, and policies. New York: Springer Publishing Company, Inc.. - , tf :t.... ~. Kaufman R. S. 1994. "In-Depth Interview," in Gubrium F. J. &Andrea. 8Wff, 1995a. <:fJt:. ti"~IHOi3::tB9~1f:JJ ,*~Jj > ' (;fd:.~JiflD 'm 120 M . Jl8-13. §~~jB(€fimllJB'~ 0. • 1995b. <~ltir±1Itr:p~ABra'~lt1:f~8"JJ"Ij{gW:roti~> ' J\ +lZY1f:l!t~~ B ra'M;~m~.~l1ff~• •~ , pgil31:$. .m~~1J~zftmm~D ,fjil31:II*~~41It$ml1ffJZHiiF&:*¥&'5 ~~lI:. '. Mr~r:p , 1997. (~Air±\I~ifi~l:rtzl1ff~). $ji±1Iti§iJ~M;l1ff~ ~II~. , ~~_ '. _lIlI: ' IG\. 0. 'P'gil31:. Model Respite Programs," in The Journal ofApplied Gerontology 12(1) :. 4-17. _,1995. "The Impact of Respite Use on Nursing Home Placement," The Gerontologist 35(1) : 67-74.. 0. 1988. (~ABt£r:p{J\B'~!fim!fO:roti~) ,r:p¥.B;!;~jfd:. b!H~mil1ff~W".r:p{j\. Oaks:Sage .. Kosloski, K. & Montgomery, J. V. R. 1993.·"The Effects of Respite on. Caregivers of Alzheimer's Patients: One-Year Evaluation of the Michigan. 0. _ _ ' 1996.(~ti~~A;;JFlE~fOlE:rt~ififil~Ml{*zj~JZ--J;JBra'~. 8Wff '. Sanker (eds.) Qualitative Methods in Aging Research. Thousand. Montgomery, J. V. R. & Borgatta, F. E. 1989. "The Effects of Alternative Support Strategies on Family Caregiving," The Gerontological Society of. 0. 1989. HtEmi~Att~ijli~) ,r:p¥~~ir±m:Jf~l1ff~W".r:p. 0. America 29(4) : 457-464 . Michael Quinn Patton :Jj ,. ~z1fi ' ~*iI!S"~. 1. 1995.. (1!lI¥JW5JiiHitf. ~) 'il~t: f!Jj$ National Institute on Adult Day Care 1984. Standards for Adult Day Care. 0. ..::. , *:t. ~ 1$) Berry et at. 1991. "Caregiver Activity on Respite and Nonrespite Days: A Comparison of Two Service Approaches," The Gerontologist. 31(6) : 830-835. Cantor, M. & Little, V. 1985. "Aging and Social Care." in Handbook of Aging and Social Sciences (2nd ed.). New York: Van Nostrand Reinhold.. Washington, D.C. : National Council on Aging. Nise, H., Tester, S. & Nuijens, J.M. 1991. "Day Care in the United Kingdom and the Netherlands: A Comparative Study," Ageing and Society II: 245-273.. ,. Rathbone-McCuan, E. 1990. "Respite and Adult Day Services." in Monk, Abraham (ed.) , Handbook of Gerontological Services. New York. Dilworth-Anderson, P.1987. "Supporting Family Caregiving through Adult Day-Care Services." in Brubaker, T.H.( ed.), Aging, Health, and Family: Long Term Care. Newbury Park: Sage. Huttman, E. D. 1985. Social Services for the Elderly. NY : The Free Press, A Division of Macmillan, hic. Kaye, L.W. & Kirwin, P.M. 1990. "Adult Day Care Services for the Elderly and Their Families: Lessons from the Pennsylvania Experience." in Monk, Abraham( ed.), Health Care ofthe Aged: Needs, Policies, and. Columbia University Press. Scharlach, A. & Frenzel, C.1986. "An Evaluation of Institution-Based Respite Care," The Gerontologist 26(1) : 70-76..

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