老人家庭照顧者照顧評價與生活品質之相關性研究

A Study of Relationships between Caregiving Appraisal and Quality of Life of Elderly Family Caregivers

陳靜茹(Ching-Ju Chen)

指導教授 ： 黃志忠

國立暨南國際大學/人文學院/社會政策與社會工作學系/碩士(2014年)

摘要

本研究旨在探討家庭照顧者及老人的個人特質、照顧評價與生活品質之間的關係。本研究以量化方法中的面訪方式為主，選取南投市100位正在使用居家服務之老人與家庭照顧者，所蒐集之資料以描述性統計、t檢定、單因子變異數分析、皮爾森積差相關、階層迴歸等統計方法進行資料分析。此外，輔以質性訪談，針對南投市4位家庭照顧者進行面訪。本研究之研究結果如下：（1）在人口學特性中，失能老人之記憶與問題行為與照顧者的照顧評價有顯著相關；而主要照顧者之教育程度、擔任照顧者的時間、與老人失能前的關係、自覺目前與老人的關係、主要擔任照顧者的原因及社會支持足夠程度與其整體照顧評價有顯著差異。再者，失能老人之記憶與問題行為與照顧者整體生活品質呈現顯著相關；照顧者之教育程度、自覺經濟狀況、擔任照顧者的時間、與老人失能前的關係、自覺目前與老人的關係、主要擔任照顧者的原因、社會支持足夠程度及照顧評價均與其整體生活品質呈現顯著差異。（2）照顧者之照顧評價、社會支持足夠程度與生活品質呈現正相關。（3）自覺經濟狀況、主要擔任照顧者的原因、社會支持足夠程度與照顧評價為生活品質之重要預測因子，整體模式解釋力為53.5％。最後，依研究結果與發現，在政策上、實務上及未來學術方向提出建議，以供參考。

關鍵字

失能老人 ； 家庭照顧者 ； 照顧評價 ； 生活品質

並列摘要

This study aims to explore the relationship among demographic characteristics of caregivers and the elderly, caregiving appraisal, and quality of life. The main research method is quantitative method by using face-to-face surveys to collect data. A total of 100 samples are using home services completed this survey in Nantou County. The data was analyzed by descriptive statistics, t-test, one-way ANOVA, Pearson correlation analysis, and hierarchical regression analysis. The researcher also combined qualitative research by using in-depth interview, including 4 caregivers in this study. The main findings of this study were as following: (1) In demographic characteristics, disabled elderly’ memory and behavior problems were significantly correlated with caregivers’ appraisal of care. The significant differences existed education level, years of care, relationship with the elderly before elderly disabled, self-perceived affective relationship with patients, reasons for becoming caregivers and the adequacy of social support. Moreover, the significant correlations existed between disabled elderly memory and behavior problems and caregivers’ quality of life. The significant differences existed between caregivers’ education level, self-perceived economic status, years of care, relationship with the elderly before disable, self-perceived affective relationship with patients, reasons for becoming caregivers, the adequacy of social support and caregiving appraisal and quality of life; (2) Caregivers’caregiving appraisal and the adequacy of social support had significantly positive correlations with the quality of life of caregivers; (3) The most important predictive variables for the quality of life of caregivers were caregivers' self-perceived economic status, reasons for becoming caregivers, the adequacy of social support and caregiving appraisal, which explained 53.5% of the variance of caregivers' quality of life. Finally, this research had some advices for policy, practice and scholar based on research findings.

並列關鍵字

disabled elderly ； family caregiver ； caregiving appraisal ； quality of life

參考文獻

蕭佳莉、邱啟潤（2011）。居家照護病患之主要照顧者正負向照顧經驗及其相關因素之探討。護理暨健康照護研究，7（2），127-139。

邱啟潤、許淑敏、吳淑如（2003）。居家照護病患之主要照顧者綜合性需求調查。醫護科技學刊，5（1），12-25。

邱啟潤、許淑敏、吳瓊滿（2002）。主要照顧者負荷、壓力與因應之國內研究文獻回顧。醫護科技學刊，4（4），273-290。

一、中文文獻

內政部統計處（2009）。中華民國老人狀況調查結果摘要分析。台北：內政部。