[ 英文摘要 ]

The purpose of this study to explore the Taiwan society of disabled elderly home health-care situation, to learn to take care of a home caregiver’s subjective experience and feelings, using qualitative research methods for in-depth interviews and observation.

As the family structure and changes in economic conditions, women entering the labor market, "family" and its implicit support behind the energy is to become very fragile, and even may be unexpected events, disease patient, long-term conservation, etc. such as the risk of accidents and the impact the normal operation of family function.Home health-care doctors often bring a very high personal cost. Home health-care with love as the starting point of the labor work is also accompanied by a lot of load and the burden. However, care is the emotional reaction included in love and feels, is also a kind of labor and work activities, caregiver take care of picking up of the heavy work under physical and psychological torment only after the exploitation of the physical, emotional exhaustion, the burden of economic and social participation predicament. The study found that caregivers to try to identify the elderly do not feel angry or hate the reasons and methods, which include the elderly, appease emotions, put up, camouflage, empathy and sympathy for the elderly. Home health-care makes the time of caregiver split the very clips, social participation of caregiver have a huge impact, caregiverworried about the elderly because of unexpected may occur at any time, so the physical and psychological restricted to journey; home health-care also affects the marriage of caregiver huge. In this study, particularly in view of the caregiver to examine the tracheotomy, the elderly without support, linger, nursing homes such issues, analysis when caregivers want to shake off the yoke of a link with the elderly when the psychological struggle, and how to treat the poor, sick, old, residual of torture. In response to subjective caregiver burden, respectively, to take care of those in the physical pain of adjustment, to relieve emotional stress, financial difficulties, as well as take care of work in response to a positive experience. The use of social welfare relief and subsidies as well as exploring the domestic share of home health care workers and other sections of the case to present. Subjective is burden in caring for those who with the economic burden for most. This shows that family caregivers because of financial resource constraints, most of them can only choose from family care, especially when elderly patients are admitted institutions demand. Some families consider economic factors; foreign workers cannot be shared or sent to nursing home, is still reluctant to disabled elderly stay home to look after. Therefore, how to empower families and to give more care capacity, the Government will be needed as soon as possible the development of long-term care service delivery model to meet the needs of dysfunction and demand of their caregiver’s home health-care.