中年期之健康照護：多重衝擊的人生過渡期

Multidimensional Impacts of Transitional Mid-Life Healthcare

中年過渡期可視為一個由青年期到老年期之通路。以“過渡”此概念來看中年期，則可視為：中年期係為持續數年的一段人生「過程」，在此期之初必先「察覺」自我身心的變化，才進入中年期之調適，此期也是逐漸「脫離」其原本的青年期之生活事件，面對多方的改變會帶來一些心中複雜的「感受」，進而會有一些因應「反應」。中年期會面臨多重之過渡衝擊：中年發展期、家庭結構變遷、重大偶發事件及更年期身心改變，當我們照護中年期之個案時，宜加入這些中年期過渡之身心衝擊之評估。

Mid-life transition is a passage from young adulthood to old age, which can be expressed from transition concept --five attributes and four types of transitions. Mid-life changes that occur over several years, usually between the ages of 40 and 60. Common “disconnectedness” issues during this period such as menopause will occur during mid-life. Individuals become increasingly aware of the special nature of physiological and psychological changes that take place, and express a complex combination of feelings and response patterns in light of these changes. Middle-aged adults often face multidimensional issues related to developmental transition, changes in family structure related to organization transitions, life events related to situational transitions, and perimenopausal changes related to health transitions. Nurses who provide care to middle-aged clients need to consider transitional issues from a multidimensional and holistic perspective.