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    题名: 社會工作者對老年人性表達之態度初探－以老人福利機構社工員為例
    A Preliminary Study on Social Workers' Attitudes Toward Sexual Expression in Older Adults: A Case Study of Social Workers in Senior Citizen Welfare Institutions
    作者: 吳東運
    Wu, Dong-Yun
    贡献者: 呂寶靜
    Lu, Pau-Ching
    吳東運
    Wu, Dong-Yun
    关键词: 老人福利機構
    社會工作者
    老年人
    對性表達的態度
    Senior Citizen Welfare Institutions
    Social worker
    Older adults
    Attitudes Toward Sexual Expression
    日期: 2025
    上传时间: 2025-03-03 14:34:25 (UTC+8)
    摘要: 性權利已被界定為基本人權之一，然而在長期照顧機構內住民的性表達仍面臨多重阻礙，其中包括機構工作人員的態度。社工員作為機構專業團隊的一員，然有關社工員對住民性表達的態度為何，目前研究尚付之闕如。是以，本研究以我國老人福利機構社工員為研究對象，探討其對機構住民性表達的態度，同時調查接受老年人性表達的專業訓練，以及經歷機構住民性表達之情形。本研究目的包括：（一）調查老人福利機構社工員在實務中所經歷之機構住民性表達之情形；（二）調查老人福利機構社工員對機構住民不同類型性表達之態度；（三）分析與老人福利機構社工員對機構住民性表達態度之影響因素；（四）根據研究結果，提出對社工教育及在職訓練的相關建議。
    本研究透過線上問卷的填寫，共蒐集108份有效問卷。研究結果發現，研究對象對住民性表達的態度為中性偏寬容，且對「不涉及性器官的性表達類型」相較「涉及性器官的性表達類型」態度更為寬容。此外，研究對象普遍認為住民性表達的關係必須基於穩固的關係之下。雙變項分析結果顯示，「機構性質」、「是否設有單人房」及「人際關係與社會參與分量表」等變項對社工員的態度有顯著影響，而社會人口屬性變項均無顯著影響。有關社工員經歷機構住民性表達之實務經驗，曾看見「不涉及性器官的性表達類型」者多於曾看見「涉及性器官的性表達類型」者。此外，有關研究對象接受老年人性表達之訓練情形，研究對象於「在職訓練」中接受老年人性表達的比例較「學校課程」高，且絕大多數的研究對象認為大學課程與在職訓練均應納入老年人性表達相關教育訓練。
    基於本研究結果，提出以下建議：（一）將老年人性表達的相關知識納入正式課程與在職訓練；（二）將老年人性表達相關知識納入正式教科書；（三）培養學生自我覺察並擁有寬容的態度；（四）提供多元化的在職訓練方式；（五）關注社工員對老年人性表達的態度；（六）去除社工員與社工學生對老年人之刻板印象。
    Sexual rights are recognized as fundamental human rights. However, residents in long-term care institutions continue to encounter numerous barriers to sexual expression, including the attitudes of institutional staff. As integral members of the professional team within these institutions, social workers play a crucial role. Nevertheless, there is limited research exploring social workers' attitudes toward residents' sexual expression. Therefore, this study focuses on social workers in Taiwan’s Senior Citizen Welfare Institutions, examining their attitudes toward residents' sexual expression, their exposure to professional training on this topic, and their practical experiences related to residents' sexual expression. The objectives of this study are as follows: (1) to examine social workers' experiences with residents' sexual expression in Senior Citizen Welfare Institutions; (2) to investigate social workers' attitudes toward various forms of sexual expression among residents; (3) to analyze the factors that influence social workers' attitudes toward residents' sexual expression; and (4) to provide recommendations for social work education and in-service training based on the findings of the study.
    Through an online questionnaire, a total of 108 valid responses were collected. The results indicate that participants generally held neutral to tolerant attitudes toward residents' sexual expression, demonstrating greater tolerance for "non-genital sexual expressions" compared to "genital sexual expressions." Additionally, most respondents believed that residents' sexual expression should occur within the context of a stable relationship. Bivariate analysis revealed that factors such as "institution type," "availability of single rooms," and scores on the "Interpersonal Relationships and Social Participation" subscale significantly influenced social workers' attitudes, while demographic variables had no significant effect. Regarding social workers' practical experiences with residents' sexual expression, a greater number of participants reported observing "non-genital sexual expressions" compared to "genital sexual expressions." Additionally, concerning training on elderly sexual expression, respondents indicated that they received more training through "in-service training" than through "formal academic courses." The overwhelming majority of respondents also advocated for the integration of education on elderly sexual expression into both university curricula and in-service training programs.
    Based on the findings of the study, the following recommendations are proposed: (1) incorporate knowledge about elderly sexual expression into formal curricula and in-service training programs; (2) include information on elderly sexual expression in official textbooks; (3) foster students' self-awareness and tolerance; (4) provide diverse methods for in-service training; (5) pay attention to social workers’ attitudes toward elderly sexual expression; and (6) address and challenge stereotypes among social workers and social work students regarding the elderly.
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    描述: 碩士
    國立政治大學
    社會工作研究所
    109264014
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    显示于类别:[社會工作研究所] 學位論文

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