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  • 學位論文

主要照顧者的照顧信念與照顧負荷相關研究-以台中市居家服務使用者為例

The Study of Caregiver’s Care Belief and Care Burden: Using Home Care Service Users in Taichung City as an example

指導教授 : 黃志忠

摘要


本研究旨在研究照顧者的照顧信念、家庭關係、社會支持以及與照顧負荷的之間關係情形,豐富我國文化下照顧者的面貌,進而思考照顧者照顧福利政策,以面對未來老化人口的照顧問題。本研究以量化研究為主,採用面訪問卷調查等方式進行,研究對象為台中市使用居家服務之主要照顧者。本研究正式施測共發出235份問卷,總共回收有效問卷165份,回收率70%;且以質性研究為輔,深度訪談3位主要照顧者,經過資料分析後,得到以下結論: 1.失能老人的平均年齡為76.88歲,以男性居多。 2.主要照顧者的平均年齡為55.87歲,以女性居多且平均照顧年數達8.92年,每日照顧時間平均13.55小時。 3.照顧負荷與失能老人的性別、認知情形、年齡、日常生活功能;主要照顧者的性別、年齡、婚姻狀況、自覺健康狀況、就業狀況、與被照顧者的關係、照顅年數、每日照顧的時間、家庭關係、照顧信念中的責任觀、社會支持有關。 4.將主要照顧者個人背景以及各量表之間與照顧負荷有顯著的變項,進行多元迴歸,發現照顧者年齡、家庭關係、責任觀、社會支持、照顧者性別達顯著,其解釋力達35.5%。 總體來說,主要照顧者的家庭關係、照顧信念是照顧的動力,也是甜蜜的負擔,儘管照顧過程,照顧角色的選定是家庭情境中抉擇,但仍面臨的經濟壓力、擔心照顧能力是否足以應付、以及缺乏照顧自己時間等等負荷。最後根據本研究之研究結論與發現,分別從實務方面、學術方面及政策方面提出相關研究建議。

並列摘要


This study aims to examine the related factors of burden and understand the caregiver’s care belief. The study populations are the members of using home care service of caregivers in Taichung City. A cross-sectional correlational research design was employed. Subjects were interviewed face-to-face. The valid samples are 165 through purposive sampling, and 3 caregivers were deep interviewed in this study. “Family relationship scale”, “Care belief scale”, “Social supports scale”, “Care burdens scale”, and interviews were employed in this study. Data analysis was conducted by “Description Statistical Analysis”, “One-way ANOVA”, “Person’s Correlation Analysis”,” Factor Analysis”,” Regression” as well as qualitative research. The results were as follows: (1) The average age of the disabled elders was 76.88 and most of them were males. (2) The average age of the caregivers was 55.87 and most of them were females. The average time of care was 8.92 years and average time for taking care disabled elders was13.55 hours per day. (3) Caregivers’ burdens were related to disabled elders of cognitive impairment level, ages, ADL; caregiver’s gender, age, marital status, employment states, perceived health status of caregivers, caring hours per day, and relationships with the care receivers; family relationships; care belief s and social supports. (4) Caregivers age, family relationship , care belief s of responsibility,social supports and caregivers gender could explain 35.5﹪variance of care burdens. The finding of the study revealed that caregivers indeed suffered from care burdens. Social workers in the older person’s area should provide services to decrease caregivers’ burdens and establish and improve long-term care system. Furthermore, social workers in the older person’s area should assess caregivers’ needs, so specific services could be provided to satisfy caregivers.

參考文獻


參考文獻
一、中文部份
內政部統計處(2000)。台閩地區老人狀況調查報告。臺北:內政部。
內政部統計處(2002)。臺閩地區老人狀況調查摘要分析報告。臺北:內政部。
內政部統計處(2005)。中華民國老人生活狀況調查報告。臺北:內政部。

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