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  • 學位論文

台灣主要照顧者身心健康及其影響因素之研究

The Health Status and Associated Factors amongst Family Primary Caregivers in Taiwan

指導教授 : 葉玲玲
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摘要


中 文 摘 要 台灣絕大多數的失能者仍然由家人提供照護,家庭需負起照顧失能者的全部責任,家中若出現需要長期照護的失能者,將會造成家人極大的負擔,進而影響到身心健康。本研究目的在瞭解國內主要照顧者之疾病狀況、醫療利用與費用,以及自覺健康,並分析其健康之影響因素。 本研究採病例對照研究法,使用國家衛生研究院「2001年國民健康訪查」之次級資料,研究對象為家中有失能者之主要照顧者,透過比較分析主要照顧者(n=207)與一般民眾(控制組;n=828)兩組之健康狀況,來瞭解主要照顧者的健康情形,並進一步探討影響主要照顧者健康之因素。 比較分析兩組之健康狀況,本研究結果發現主要照顧者疾病狀況、醫療利用與費用,以及自覺健康明顯較差。逐步迴歸分析發現,主要照顧者健康狀況影響因素包含主要照顧者年齡、宗教信仰、有無工作、2001年家庭平均月收入,以及被照顧者年齡、長期照護類型、精神疾病診斷、與被照顧者關係。 本研究主要照顧者的健康狀況普遍較差,其中主要照顧者年紀越大,疾病狀況越多;家庭平均月收入越低,生活品質越差,被照顧者為「智能不足、腦性麻痺、唐氏症」者,主要照顧者心理健康領域越差;為「生病、衰老、受傷」者,生理健康領域越差;身為配偶者,其疾病狀況越多;身為父母者,心理健康領域越差。不同特質的主要照顧者健康狀況亦不同,建議相關衛生主管機關可針對不同特質的主要照顧者提供保健資訊,並適時給予協助與支持。 關鍵字:主要照顧者、生理健康、心理健康、SF-36、WHOQOL、病例對照研究法、2001年國民健康訪查資料庫。

並列摘要


Abstract The majority of disabled persons in Taiwan are cared by their family members; these family members need to take complete responsibility towards them. People with disabilities that require long term care bring high level of burden to the family, which worsens caregivers’ mental and physical health. Thus, the aims of this study are to determine the primary caregivers’ disease conditions, medical utilization and expenditure, and self-perceived health and quality of life, as well as to investigate the associated factors with the health of caregivers. A case-control study was conducted by using the dataset of the 2001 Health Interview Household Survey from the National Health Research Institutes. The differences between the health status of the primary caregivers (n=207) and the general public (control group; n=828) are compared and analyzed. This study also analyzes the related factors to caregivers’ health. After comparing primary caregivers and control groups’ health, the results showed primary caregivers’ disease conditions, medical utilization and expenditure, and self-perceived health and quality of life were worse than that of control groups. The results showed that associated factors with health conditions of the primary caregivers included caregivers’ age, religion, job status, household income and care recipient’s age, disability type, being psychosis and relationship to recipients. This study found the primary caregivers’ health status worse than the general public. Primary caregivers are getting older and the disease conditions are severely. The household income is less, the quality of life are poorer. Primary caregivers took care of persons with congenital disability have poorer mental component summary(MCS), while caregivers took care of persons with senile disability have poorer physical component summary(PCS). The spouse caregivers are more disease conditions and the mental health of the parent caregivers are poor. The different characteristics of primary caregivers might have different level of health status, which suggests that health authorities could provide health education and support service according to the characteristic of caregivers. Key words: primary caregiver, physical health, mental health, SF-36, WHOQOL, case-control study, 2001 National Health Research Institutes.

參考文獻


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被引用紀錄


李汶軒(2013)。家庭照顧者親職化經驗、照顧負荷與健康狀態之關係〔碩士論文,淡江大學〕。華藝線上圖書館。https://doi.org/10.6846%2fTKU.2013.01067
許津維(2017)。發展遲緩兒家長健康及相關因素的探討〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0003-1707201711465200

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