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| 題名: | 社區亞健康日間托老經驗初探：在地老化、情感支持與社會政策反思 |
| 其他題名: | Aging Happily Together: Aging in Place, Community Day Care Center, and Caring Ethics of the Sub-Healthy Elderly People |
| 作者: | 吳季臻
WU, JI-ZHEN |
| 貢獻者: | 應用社會學系社會學碩士班
陳伯偉
CHEN, BO-WEI |
| 關鍵詞: | 亞健康老人;日間托老;老老相持的照顧倫理;在地老化;情感支持
sub-healthy elderly;elderly day care;inter-dependence among the elderly;aging in place;emotional support |
| 日期: | 2018 |
| 上傳時間: | 2018-12-21 09:39:55 (UTC+8) |
| 摘要: | 本研究探討亞健康老人的照顧需求為何，進而反思現有政策如何再製老化污名，忽略亞健康族群。現有相關研究大多聚焦於失能老人的照護及其主要照顧者的探討，較少分析亞健康老人的照顧需求，及其能動性與自主性。因此，本研究將藉由南部市區某日托的亞健康老人成員生活經驗，說明老人群體並非鐵板一塊，政策對老人病理化的想像，使得亞健康老人被排除在長照政策之外，也造成長輩聯繫情感的社會場域面臨關閉。透過參與觀察及深度訪談（13位健康及亞健康日托成員），研究發現，首先日托成員喜歡來日托的原因為「老人愛伴」，在日托內成員與姊妹伴透過每日話家常、彼此作伴，進行情感諮商以排解心裡的鬱悶並提供彼此友善醫療資訊延緩老化，也說明社區日托作為場域如何提供長輩聯繫「姊妹情誼」的社會空間。再來，成員樂於「活到老學到老」，透過學習新知、與時俱進，和污名協商也挑戰我們對老人「無能、虛弱與依賴」的刻板印象，在日托內成員彼此互相學習，挑戰自我設限，並享有尊嚴老化的人生途徑。最後透過對長照政策的反思，我也將說明長照2.0雖然強調在地老化，且擴大服務對象，將衰弱老人納入照顧政策，但仍忽視提供亞健康長輩的文化經驗與照顧需求。因此建議政策的前端預防應以老人知識經驗為主體，不應以病理化及單一想像排除亞健康老人，以確實達到在地老化及預防勝於治療的理想。
This research investigates the caring needs of the ageing population with sub-healthy condition, and thereby reflects upon the likely reproduction of the stigimatization of ageing by ignoring their sub-healthy in the existing policy. Most of the current studies focus mainly on the care and the care-takers of disabled ageing people, lack of the analysis of the caring needs, mobility and independency of sub-healthy people. Thus, this research is going to apply the lived experience of sub-healthy ageing people of the day-care center in southern Taiwan, in order to elaborate that ageing people are not homogeneous. However, the rigid policy always tries to pathologize ageing people and thereby excludes sub-healthy people out of the coverage of the long-term care policy, and disrupts their emotional and social connections. Through participatory observation and in-depth interviewing of thirteen healthy and sub-healthy ageing people, we found out that the reason why ageing people are so much fond of showing up in the day care center is because they like companionship. While in the center, they can talk, be company, emotionally consoling and sharing medical information to each other, which is beneficial to their health. This also reveals that the day care center can be functioned as a social space for maintaining ＂sisterhood＂. Furthermore, participants can also mutually learn new knowledge, challenging limits and to enjoying ageing with dignity. Finally, through the reflection of long-term care policy, the author is also going, to formulate the suggestion regarding policy 2.0, which despite its emphasis on ageing locally, extending service items and caring the weak, it still insufficient of the cultural experience and caring needs of the sub-healthy elders. Therefore, the author concludes that the policy should be more preventive in advance based on the subjective experience of the elders and not to exclude the sub-healthy elders, so that ageing locally and preventing sickness beforehand can be fulfilled. |
| 顯示於類別: | [應用社會學系(社會工作與社會設計碩士班,教育社會學碩士班)] 博碩士論文-社會學碩士班(停招)
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