影響居家癌病患者家庭照顧者需要因素之研究

Needs among Family Caregivers of Cancer Patients Who Lived at Home

陳惠津(Heuy-Jin Chen) ； 李怡娟(I-Chuan Li) ； 吳肖琪(Shao-Chi Wu)

《中華公共衛生雜誌》 17卷5期 (1998/10) Pp. 412-422

https://doi.org/10.6288/CJPH1998-17-05-07

摘要

為能瞭解癌病患者家庭照顧者之需要及其影響因素，本研究以台北二所區域以上之醫院癌症（腫瘤）治療中心，在民國85年4月29日至5月28日接受門診治療之癌病患者其家庭照顧者為對象，採結構式問卷面訪，共訪樣本115人。結果發現六項家屬照顧需要中，其重要性依次為資訊、協助照顧病人、靈性、心理、個人及家務處理。由複廻歸分析的結果姿現息者教育程度愈高、照顧者本身年齡愈輕、照顧者有宗教信仰者，照顧者之總需要愈高。息者為放射線治療者、照顧者年齡愈輕、照顧者教育程度愈高、且有信仰者其對資訊的需要較高。家務處理需要與治療狀況、照顧者年齡及與患者之關係有關。協助照顧病人需要方面與患者教育程度、癌病轉移情形、照顧者性別、年齡、與信仰有關。個人需要及心理需要，皆受照顧者年齡及信仰影響。在靈性需要方面則僅受照顧者是否有宗教信仰影響。建議未來醫療供給者能針對息者與家屬不同的特性，提供不同需要上的協助。

關鍵字

居家照護 ； 癌病 ； 照顧者 ； 需要

並列摘要

The purpose of this study was to describe the needs of caregivers of cancer patients who lived at home. Subjects were from two out-patients cancer departments at two regional hospitals in metropolitan Taipei. We selected 115 caregivers of cancer patients. A structured questionnaire was used to collect data from Apr 29 to May 281996. The research results revealed the following six dimensions of needs for cancer patients: information needs, patient care needs, spiritual needs, psychological needs, personal needs and household needs. The results of multiple regression analysis indicated that overall caregiver needs were higher in cancer patients with higher educational level, younger caregivers and caregivers with religious beliefs. In the information needs dimension, higher caregivers' needs were associated with patients receiving radiotherapy, younger caregivers, caregivers with a higher educational level, and caregivers with religious beliefs, Household needs had significant correlation with the cancer patients' radiotherapy and chemical therapy, the caregivers' age and the relationship between patients and caregivers. Patient care needs had significant correlation with the patients' educational level, cancer metastasis, and caregivers' gender, age and religious beliefs. Personal needs and psychological needs were influenced by caregivers' age and religious beliefs. Spiritual needs were influenced by caregivers' religious beliefs. Recommendations are that health care providers consider the different needs based on the characteristics of patients and caregivers addressed by this study. Results indicate that caregivers with lower educational levels demands a special level of concern and assistance by the health care delivery system.

並列關鍵字

home care ； cancer ； caregivers ； needs