Disabled elderly’s self-empowerment experience of receiving All-in-One

• Main Authors: Pei-Hua Lee, 李佩華
• Other Authors: Pei-Fan Mu
• Format: Others
• Language: zh-TW
• Published: 2017
• Online Access: http://ndltd.ncl.edu.tw/handle/70974132622510043057

碩士 === 國立陽明大學 === 臨床護理研究所 === 105 === Home care service has an important role for facilitating aging in place for helping disabled elders to live more freely at home. The challenge of home service concerns with service content and what services can be provided to closely meet the client's needs. The Ten-Year Plan for Long-term Care was developed in Taiwan for providing suitable care service for the elders living at home. However, very few studies have utilized qualitative research to understand the nature of the appropriate services from the perspective of the elders. The purpose of this study was to understand the living experience of disabled elders when receiving All-In-One service. A qualitative survey approach was used in this study with purposively sampling. A total of 10 participants were interviewed and there was no new theme was found from the theme analysis. The enrollment criteria were 65 years of age, clearly spoken, requires assistant in one or two items listed in the Activity of Daily Living Scale (ADL); requires assistance in more than three items in the Instrumental Activity Daily Living Scale (IADL), lived alone, and received All-in-One service for more than three months. The data was collected by the PI by using an open-ended semi-structured interview questions. The in-depth interviews was about 60 to 120 minutes. The entire interview process was audibly recorded and transcribed into texts. The transcribed data was categorized and analyzed. Prior to the formal study, a preliminary study of was performed to determine the appropriateness of the interview guidelines. The trustworthiness of the study was established according to the Lincoln and Cuba’s (1985) principles of credibility, transferability, dependability, and confirmability. The research results indicated that elder people who received All-in-One services have experienced a self-empowering in life. They exhibit a renewed positive attitude and responsibility towards life, and also hoped to maintain the abilities of independent living. This self-empowerment experience consist the following five themes: (1) proactive attitude towards life; (2) lifestyle adjustments; (3) the care services to aid in physical and mental well-being; (4) love and gratitude toward their children; and (5) obtain new energy from social interactions. The results of this study can provide nurses with more knowledge regarding the experiences of elders with disabilities. The use of All-in-One services was decremented with positive effects for the elders in restoring their healthy independent living abilities. These results can be applied to nursing care planning to effectively helping the elders in having comfortable physical and family living conditions in their later years.