本文探討COVID-19疫情期間中高齡身心障礙女性所面臨的困境與因應策略，透過焦點團體與深度訪談，發現中高齡身心障礙女性因年齡、性別與障礙等多重弱勢身分，在疫情期間遭受嚴重的社會排除，面臨經濟困難、家庭照顧負擔增加、醫療與支持服務中斷等困境。防疫政策忽視中高齡障礙女性的困境與需求，這些女性運用自身的障礙經驗與知識，發展出多元因應策略，面對疫情帶來的挑戰。政府制定防疫政策與身心障礙者服務時，應考量中高齡身心障礙女性多重弱勢位置及其衍生的複雜需求，發展具交織性觀點的政策與服務，以確保其基本人權與社會參與。

This study explored the challenges faced by middle-aged and older women with disabilities during the COVID-19 pandemic and the strategies they adopted in response. Drawing on focus groups and in-depth interviews, the findings reveal that these women, due to intersecting identities of age, gender, and disability, experienced social exclusion, economic difficulties, increased caregiving responsibilities, and disrupted access to medical and social services. The government’s pandemic prevention policies have largely neglected the specific challenges and needs of middle-aged and older women with disabilities. Drawing on their embodied experiences and disability-related knowledge, these women developed adaptive strategies to cope with crises. Pandemic policies and disability services should consider the intersecting disadvantages and complex needs of middle-aged and older women with disabilities to protect their rights and social participation.