6863 - 長期照顧管理與實務

教育目標 Course Target

本課程旨在使學生能對我國長期照顧的背景、受照顧者的需求、服務體系、服務內容,照顧資源的整合與服務品質之管理機制等長期照顧的需求面、服務面與管理面有一完整的認識,進而探討長期照顧中常見的照顧議題;透過討論,激發學生思考問題的內涵,提出應對與解決的創新策略。過程中,將安排實務參訪,提供實務接觸的經驗,了解長期照顧的實質內涵;課程的進行,亦將鼓勵學生參與討論,並透過文獻的閱讀,小組的討論,深入探討長期照顧的議題並發展出創新的照顧措施或問題解決方案。

This course aims to enable students to have a complete understanding of the demand side, service side and management side of long-term care in my country, including the background of long-term care in China, the needs of care recipients, the service system, service content, the integration of care resources and the management mechanism of service quality, and then explore common care issues in long-term care; through discussions, students will be stimulated to think about the connotation of the problem and propose innovative strategies to deal with and solve it. During the process, practical visits will be arranged to provide practical contact experience and understand the essential connotation of long-term care; during the course, students will also be encouraged to participate in discussions, and through literature reading and group discussions, they will delve into long-term care issues and develop innovative care measures or problem solutions.

參考書目 Reference Books

陳桂敏等編著(2024)。長期照顧實務(六版)。永大書局,台北。
黃惠璣等編著(2024)。長期照顧(八版)。新文京開發出版社,台北。
劉淑娟等編著(2025)。長期照顧-政策、服務與當代實務(一版)。華杏出版社,台北。
照顧模式與政策法規
衛生福利部(2023)長期照顧十年計畫2.0(106-105年)核定本。衛生福利部。https://www.mohw.gov.tw/cp-16-42872-1.html
衛生服利部(2021),善用急性後期整合照護,出院返家更安心—急性後期整合照護模式。衛福,(30),26-29。
衛生福利部(2025,7月9日)。出院銜接長照服務。


照顧議題
李閏華(2014) 長期照護機構住民安寧療護的社會心理照護。長期照護雜誌18(2)193-202。
吳珮瑀、李美蓉(2024) 具自理能力老人入住機構的身心調適歷程。老年學研究,52-93。
林克能、王培寧、劉秀枝、陳榮基(2012) 失智症倫理議題: 患者、家屬與醫療人員的共同問題。
應用心理研究, 55, 101-113。
周宇翔、王舒芸、吳明儒、林怡婷(2018) 照顧機器人倫理議題探討:以長照服務為例。長期照護雜誌22 (2),195-210。
施麗紅(2019)。是保護還是傷害?老人長期照顧機構 住民約束的倫理抉擇探究。台灣社區工作與社區研究學刊,9(2),53-112。

另類療法
梁瑞琪、姚卿騰(2017)。輕度失智榮民參與懷舊團體方案 對其賦能成效之探討。逢甲人文社會學報,35,185-216。
楊秋燕、陳明琡 、沈金蘭、郭俊巖(2017)。以遊會友桌遊處遇團體研究─南區老人之家為例。社會發展研究學刊,19,78-111。
蔡孟璇、蔡祺珝 、黃久禎、黃詩華、劉家勇(2018) 運用藝術團體活動促進機構式照顧長輩社會參與之方案設計,台灣老人保健學刊,14(1&2),38-52.


延緩失能失智(健康促進、預防衰弱)
國民健康署(2025,5月14日)預防及延緩失能失智方案。
國民健康署(2021,4月26日)世界衛生組織新版-長者健康整合式評估。
王宏義、葉怡成、何浩然(2020) 運動行為對社區老人身體活動與認知活動之影響。休閒保健期刊,22,28-41。
王宥茵、張曉雲、林宸妤(2014)。瑜珈於老年人憂鬱及睡眠品質之系統性文獻回顧。護理雜誌,61(1),85-92。
林幼昉、何新慧、張佳琪、劉芳、林彥光(2016)。 團體虛擬實境活動對日間照顧 中心輕度認知障礙老人的影響。新臺北護理期刊,18(2),25-38。
陳俊民、王秀華、李淑芳(2016) 阿茲海默症患者之運動處方。大專體育,137, 37-44。
楊雅媛 、張元玫、 陳培豪、 鄭方瑜(2022)。桌上遊戲合併有氧運動對衰弱高齡者 認知和身體功能之成效。馬偕護理雜誌,16(1),1-12。

主要照顧者
林蕙君 鄭淑子* 曾秀雲(2017)。正念減壓方案對失智症家庭照顧者身心健康之研究長期照護雜誌21 (2),133-148。
陳志豪、杜怡君、王鵬智(2015) 以壓力歷程模式探討女性失智症家庭照顧者其正向照 顧經驗、因應模式及睡眠之相關研究,輔仁醫學期刊,13(1),27-40。
曾煥裕、石泱(2018) 。失智老人及其照顧者使用社區式服務影響因素之研究。社會發展研究學刊,21,34-70。
陳偲宓 劉立凡(2021) 從失智症家庭照顧者的需求探討線上支持平台的開發。福祉科技與服務管理學刊,9(1),37-55。
張江青、劉千嘉、林東龍(2025)。失智症家屬照顧者的 照顧壓力之探討: 照顧情境、壓力感知 與長期照顧資源使用的影響。臺大社會工作學刊,51,89-136。
黃美蓉、賴倩瑜、陳正生、陳孝範、林佑蓉(2015) 居家護理諮商對失智症照顧者照顧負荷之成效
精神衛生護理雜誌, 10(2),19-25。
曾秀雲、呂以榮、蔡佩樺(2023) 失智症家庭照顧者之照顧負荷與自我照顧策略社會發展研究學刊,32,40-66。
劉美桂、徐亞瑛、林志榮、蔡秀欣(2023),長期照顧資源對失智症與非失智症家庭照顧者的照顧負荷影響之探討。長期照護雜誌,26(2),213-237。
Dellafiore,F. ,Diamanti,O.,Guardamagna,L., Modena,G., Servi,P.,Rotondo,D.A.,Nania,T.,Saba,A.,& Artioli,G.(2025). The Transition to Caregiver in Advanced Alzheimer's Disease: From Emotional Connection to Care R

Edited by Chen Guimin et al. (2024). Long-term care practice (6th edition). Yongda Bookstore, Taipei.
Edited by Huang Huiji and others (2024). Long-term care (8th edition). New Wenjing Development Publishing House, Taipei.
Compiled by Liu Shujuan et al. (2025). Long-term care - policies, services and contemporary practice (1st edition). Huaxing Publishing House, Taipei.
Care Models, Policies and Regulations
Ministry of Health and Welfare (2023) Approved version of Long-term Care Ten-Year Plan 2.0 (106-105 years). Ministry of Health and Welfare. https://www.mohw.gov.tw/cp-16-42872-1.html
Ministry of Health and Welfare (2021), make good use of integrated post-acute care and feel more at ease when returning home from hospital - the integrated post-acute care model. Wei Fu, (30), 26-29.
Ministry of Health and Welfare (2025, July 9). Linkage to long-term care services after discharge from hospital.


Taking care of issues
Li Runhua (2014) Psychosocial care in hospice care for residents of long-term care institutions. Journal of Long-Term Care 18(2)193-202.
Wu Peiyu and Li Meirong (2024) The physical and mental adjustment process of elderly people with self-care ability staying in institutions. Gerontology Research, 52-93.
Lin Keneng, Wang Peining, Liu Xiuzhi, Chen Rongji (2012) Ethical issues in dementia: common issues for patients, family members and medical personnel.
Applied Psychological Research, 55, 101-113.
Zhou Yuxiang, Wang Shuyun, Wu Mingru, Lin Yiting (2018) Discussion on ethical issues of care robots: taking long-term care services as an example. Journal of Long-Term Care 22(2), 195-210.
Shi, Lihong (2019). To protect or to harm? An exploration of the ethical choices of residents in long-term care institutions for the elderly. Taiwan Journal of Community Work and Community Research, 9(2), 53-112.

Alternative Therapies
Liang, R. Q., and Yao, Q. T. (2017). An exploration of the empowering effects of veterans with mild dementia participating in a nostalgia group program. Journal of Fengjia Humanities and Society, 35, 185-216.
Yang Qiuyan, Chen Mingxuan, Shen Jinlan, and Guo Junyan (2017). Take the group study of board game treatment at Youhuiyou - Southern District Home for the Elderly as an example. Journal of Social Development Research, 19, 78-111.
Cai Mengxuan, Cai Qijui, Huang Jiuzhen, Huang Shihua, Liu Jiayong (2018) Program design for using art group activities to promote social participation in institutional care for the elderly, Taiwan Journal of Elderly Health Care, 14(1&2), 38-52.


Delaying disability and dementia (health promotion, prevention of frailty)
National Health Service (2025, May 14) Plan to prevent and delay disabling dementia.
National Health Service (2021, April 26) New version of World Health Organization-Integrated Assessment of Elderly Health.
Wang Hongyi, Ye Yicheng, He Haoran (2020) The impact of exercise behavior on the physical activity and cognitive activities of the elderly in the community. Journal of Recreational Health Care, 22, 28-41.
Wang Youyin, Zhang Xiaoyun, Lin Chenyu (2014). A systematic literature review on the effects of yoga on depression and sleep quality in the elderly. Journal of Nursing, 61(1), 85-92.
Lin Youfang, He Xinhui, Zhang Jiaqi, Liu Fang, and Lin Yanguang (2016). Effects of group virtual reality activities on elderly people with mild cognitive impairment in day care centers. New Taipei Nursing Journal, 18(2), 25-38.
Chen Junmin, Wang Xiuhua, Li Shufang (2016) Exercise prescription for patients with Alzheimer's disease. College Sports, 137, 37-44.
Yang Yayuan, Zhang Yuanmei, Chen Peihao, Zheng Fangyu (2022). Effects of table games combined with aerobic exercise on cognitive and physical functions in frail elderly individuals. Mackay Nursing Journal, 16(1), 1-12.

Primary caregiver
Lin Huijun, Zheng Shuzi*, Zeng Xiuyun (2017). Study on the effects of mindfulness-based stress reduction program on the physical and mental health of family caregivers of dementia Journal of Long-term Care 21 (2), 133-148.
Chen Zhihao, Du Yijun, Wang Pengzhi (2015) Research on the positive caregiving experience, coping mode and sleep of female dementia family caregivers using stress process model, Fu Jen Medical Journal, 13(1), 27-40.
Zeng Huanyu and Shi Yang (2018). A study on factors influencing the use of community-based services by the elderly with dementia and their caregivers. Journal of Social Development Research, 21, 34-70.
Chen Simi and Liu Lifan (2021) Discuss the development of online support platforms from the needs of dementia family caregivers. Journal of Welfare Technology and Service Management, 9(1), 37-55.
Zhang, Jiangqing, Liu Qianjia, Lin, Donglong (2025). An exploration of the caregiving stress of family caregivers with dementia: the impact of caregiving situations, perceived stress and use of long-term care resources. National Taiwan University Journal of Social Work, 51, 89-136.
Huang Meirong, Lai Qianyu, Chen Zhengsheng, Chen Xiaofan, Lin Yourong (2015) The effectiveness of home care consultation on the care load of dementia caregivers
Journal of Mental Health Nursing, 10(2),19-25.
Zeng Xiuyun, Lu Yirong, Cai Peihua (2023) Caregiving load and self-care strategies of family caregivers with dementia Social Development Research Journal, 32, 40-66.
Liu Meigui, Xu Yaying, Lin Zhirong, and Cai Xiuxin (2023), Discussion on the impact of long-term care resources on the care load of family caregivers with and without dementia. Journal of Long-Term Care, 26(2), 213-237.
Dellafiore, F., Diamanti, O., Guardamagna, L., Modena, G., Servi, P., Rotondo, D. A., Nania, T., Saba, A., & Artioli, G. (2025). The Transition to Caregiver in Advanced Alzheimer's Disease: From Emotional Connection to Care R

評分方式 Grading

評分項目
Grading Method
配分比例
Percentage
說明
Description
參訪報告
Visit report
30
課程參
Course reference
20
期末報告(口頭)
Final report (oral)
20
期末報告(書面)
Final report (written)
30

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課程資訊 Course Information

基本資料 Basic Information

  • 課程代碼 Course Code: 6863
  • 學分 Credit: 0-2
  • 上課時間 Course Time:
    Friday/7,8
  • 授課教師 Teacher:
    健運教師
  • 修課班級 Class:
    健運學程3,4健運所1,2
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目前選課人數 Current Enrollment: 26 人

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