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| 題名: | 高齡者對預立醫療自主計畫之態度研究 —以雲林某社區照顧關懷據點之老人為例 |
| 其他題名: | The Study on the Attitudes of Advance Care Planning for the Elderly: A Case Study on the Elderly of Community Care Center in Yulin County |
| 作者: | 李美芳
LI, MEI-FANG |
| 貢獻者: | 生死學系碩博士班
張國偉;蔡長穎
CHANG, KUO-WEI;TSAI, CHANG-YING |
| 關鍵詞: | 生命末期;預立醫療自主計畫;高齡者
Aldvance Care Planning;Elderly;End of Life |
| 日期: | 2021 |
| 上傳時間: | 2022-08-10 10:50:07 (UTC+8) |
| 摘要: | 隨著醫療科技的蓬勃發展，台灣逐漸步入高齡化社會，在《病人自主權利法》中，老年人於其中被視為重要照顧對象，對於預立醫療照護諮商（Advance Care Planning, ACP）之態度及看法也將影響其日後的推動，本研究之探討重點在老年人對於預立醫療照護諮商（ACP）之相關態度，因此，本研究試圖以老年人之經驗為主體，以立意取樣採訪六位高齡者，運用深度訪談法，並將訪談內容整理與分析，以茲探討下述三層面向議題：首先，探討高齡者對生命末期的生死觀。其次，瞭解影響高齡者對預立醫療照護諮商的相關因素，以協助老人事先思考生命末期的醫療決定。最後，藉由研究結果與討論，提出高齡者因應預立醫療諮商的行為，指引實務工作者協助老人預立醫療照護諮商的思考。 最後經由研究訪談結果分析本研究發現：1.生命末期期待之照顧模式層面：長輩面對照顧對象疾病狀態不同所反映之狀態亦不同，並且長輩能經由照顧親人經驗及感受反思當未來自己面對臨終議題之思考。2.生命末期之價值觀與其影響因素層面：長輩認為與他人討論生死是忌諱，但長輩能夠藉著自己所信仰之信念而嚮往解脫之想法，另外長輩擔憂自己成為家人的拖纍。3.ACP認知與相關之因素層面：多數高齡長輩對ACP認知不足，影響之因素有不識字、拒絕無意義人工醫療與生命自主之認知，使得影響著長輩無法獲得資訊來源，造成長輩對於ACP相關資訊之不足。4.社區照顧關懷據點推動ACP不足層面：社區照顧關懷據點活動內容以活動形式居多， 缺乏相關ACP之課程。
With the rapid development of medical technology, Taiwan has gradually entered in an aging society. Among all, in the Patient Autonomy Act, the elderly are considered to be an important target of care. The attitude and views on the bill will also affect the future promotion. The purpose of this study is on the attitudes of the elderly of Advance Care Planing (ACP). Therefore, this study attempts to use the experience of the elderly as the main body, to sample and interview six elderly person, through the in-depth interview method, and organize and analyze the interview, to explore the following three issues: First of all, understand the view of life and death of the elderly at the end of life. Secondly, understand the relevant factors that affect the consultation of advanced medical care for the elderly to help elderly think about the medical decisions at the end of life.At last, based on the result of the research and discussion, it is proposed that senior citizens respond to advance medical consultation , and guide practical workers to assist the elderly in thinking about advance medical consultation. Finally, the findings of this research were learned:1.At the end of life expectation of the care model: The elders will reflect different states when they confront the diseases of the care recipients, and the elders can reflect on their own thinking about dying issues in the future through the experience and feelings of caring for their loved ones.2.Values at the end of life and their influencing factors: The elders think that it is taboo to discuss life and death with others, but the elders can yearn for the idea of liberation through the beliefs they believe in, and the elders worry that they will become a drag on their family members.3. ACP knowledge and related factors: Most elderly elders have insufficient knowledge of ACP. The influencing factors include illiteracy, rejection of meaningless artificial medical care, and the recognition of life autonomy, which makes it impossible for the elders to obtain information sources, resulting in insufficient ACP-related information for the elders.4.Community care and care bases promote ACP inadequate aspects:The activities of community care facilitie are mostly in the form of activities, and there is a lack of relevant ACP courses. |
| 顯示於類別: | [生死學系(生死學系碩士班,哲學與生命教育碩士班)] 博碩士論文-生死學系碩士班
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