透過您的圖書館登入
IP:18.208.172.3
  • 學位論文

失能老人之高齡照顧者照顧負荷、健康狀態與習得智謀之探討

The relationships among caregiver burden, health status, and learned resourcefulness for the senior caregivers of the disabled older adults

指導教授 : 陳桂敏

摘要


高齡照顧者之照顧負荷狀況,可能影響提供失能老人照護之品 質。瞭解高齡照顧者照顧負荷、健康狀態與習得智謀因應技巧,將有 助於提昇整體居家照護品質。故本研究目的為探討失能老人之高齡照顧者照顧負荷、健康狀態與習得智謀之相關性。研究方法採橫斷式、相關性研究設計,以方便取樣,選取南部某一醫學中心與某一區域教學醫接受居家護理失能老人之高齡照顧者,共108位,以結構式問卷訪談收集資料,問卷內容包含簡短操作心智狀態問卷、巴氏量表、照顧負荷量表、中文簡短版健康狀態評估量表SF-36與習得智謀量表。 研究結果發現:照顧負荷與生、心理健康狀態及習得智謀呈顯著 負相關(r = -.52,p < .001;r = -.32,p = .001;r = -.68,p < .001);生、心理健康狀態與習得智謀呈顯著正相關(r = .40,p < .001;r = .23,p= .016)。習得智謀、健康狀態與家庭經濟狀況、日常生活活動功能為照顧負荷之重要預測因子,共可解釋58.60%之總變異量。 此研究結果可提供健康照護專業人員瞭解高齡照顧者照顧負荷、健康狀態與習得智謀之相關性。期許作為臨床實務、教學、研究及未來提升高齡照顧者健康政策制定之參考,建議未來研究中能發展相關因應策略,以提昇高齡照顧者之習得智謀與健康狀態,減輕照顧負荷。

並列摘要


Heavy caregiver burdens can reduce disabled older adults care quality of the senior caregivers. Understanding the relationships among caregiver burden, health status, and learned resourcefulness skills can help to improve holistic family healthcare quality. The purpose of this study wasto explore caregiver burden, health status, and learned resourcefulness for the senior caregivers of the disabled older adults. A cross-sectional, correlation research design was applied in this study. Using convenience sampling, 108 senior caregivers of the disabled older adults were recruited from a medical center and a regional teaching hospital, southern Taiwan. Data was collected using a structured questionnaire interview, which included: Short Portable Mental Status Questionnaire (SPMSQ), Barthel Index (BI), Caregiver Burden Scale (CBS), SF-36 Health Survey (SF-36), and the Rosenbaum’s Self Control Scale (SCS). Results indicated that caregiver’s burden was negatively correlated with the physical health, mental health, and the learned resourcefulness (r = -.52,p < .001;r = -.32,p = .001;r = -.68,p < .001). Physical and mental health were positively correlated with the learned resourcefulness (r = .40 p < .001;r = .23,p = .016). Multiple regression analysis further showed that the predictors of caregiver burden included learned resourcefulness, health status, economic status, and activties of daily living, that accounted for 58.60% of the total caregiver burden variance. Results of this study suggested that the health professionals need to be aware of the relationships among the senior caregiver’s burden, health status, and the learned resourcefulness. Healthcare professionals could further develop and apply interventions to improve caregiver’s burdern.

參考文獻


一、中文部份
王士華、戎瑾如、陳喬琪、魏秀靜、林寬佳(2007)•青少年精神分裂症病患主要照顧者相關壓力、習得智謀與照顧負荷之研究.護理雜誌,54(5),37-47。
王月伶(2005)•健康概念分析.護理雜誌,52(1),40-43。
王俐潔、陳威宇、張書展、黃安年、洪榮駿、王瑞霞(2011)•消化道末期癌症病患居家主要照顧者之照顧負荷與相關性因素探討.護理雜誌,58(6),54-64。
內政部統計處(2012)•內政統計通報•取自http://sowf.moi.gov.tw

被引用紀錄


林惠珍(2017)。思覺失調症病人暴力行為對其主要照顧者之習得智謀、照顧負荷及照顧需求相關之探討〔碩士論文,義守大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0074-0708201711302400

延伸閱讀