生命故事繪本方案在老人日間照護機構的行動研究與反思

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Title:	生命故事繪本方案在老人日間照護機構的行動研究與反思 An Action Research and Reflection of Life Story Book Program in Elder Day Care Center
Authors:	王月玲 WANG, YUEH-LING
Contributors:	社會工作學系
Keywords:	行動研究;生命統整;生命故事書 action research;self-integration;life story book
Date:	2021-02-03
Issue Date:	2022-11-28 07:59:05 (UTC+0)
Publisher:	亞洲大學
Abstract:	本研究旨在透過生命故事繪本方案介入老人日間照顧機構生活情境，體現真誠關懷和同理，藉由行動研究法計畫、行動、反思與修正的循環過程，了解各階段性行動的優缺點，反思與調整執行歷程中階段性的困境，釐清生命故事繪本方案與老人生命自我統整的關聯，從中紀錄與反思方案活動行動軌跡和自我成長，研究對象為台中市東勢區A機構日間照顧中心之高齡長輩，共計12位，研究發現:1.使用長輩熟悉的母語溝通是喚醒老人記憶的橋樑；2.長輩需要關懷、肯定、鼓勵、信心、也要有自己發揮的舞台；3.發現老人之口語表達、人際互動及各種活動參與意願顯著增加；4.生命故事繪本有助於統整過去，現在與未來的階段任務；5.敘述生命故事繪本建立生命意義感、增加幸福感受、提昇老人增進自信、自我價值感。藉由敘述之間統合生命的經驗，正向看待過去，接納當下真實的自我，坦然無懼面對未來，希冀研究成果能作為長照機構與社會工作規劃活動之參考 The goal of this research was to intervene and observe the seniors’lives in the elder day care institution by sharing life story picture books with the them. In this way, we could show sincere care and empathy. By means of Action Research program, we implement, reflect and revise iteratively in order to understand the pros and cons of each Action Research phase, and then we reflect and adjust at each phase in different difficult situations. By integrating the picture book stories and the elderly life, and finding connection and relations between books and seniors’lives, we record, reflect the course of action throughout program activity, and the elders’personal growth.?　　　The subjects of this study were twelve seniors at a day care institution in Dongshi, Taichung. The findings are summarized as follows: ?　　　1. To communicate with the elderly in their mother tongue language is the bridge to arouse the elders’memory. ?　　　2. Elders need care, affirmation, encouragement, and confidence. Additionally, they also need their own stage to fulfill themselves. ?　　　3. We found that through story sharing, elders have made great improvements in oral expression, social interaction and willingness to participate in varies activities. ?　　　4. Life story books help the elderly unify their past, present, and future. ?　　　5. Narrative stories could establish the meaning of life, increase sense of happiness, sense of self-esteem and enhance elders’ confidence. ?　　　By narrations or telling stories, elders integrate their life experiences. Therefore, they could reflect their past positively, learn to live with advancing age, know that it is inevitable to become old, accept who they really are at present, and face future fearlessly. We hope the results of this research could be helpful and informative for long-term care institutions and social work.
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