- 期刊
癌症病人主要照顧者之壓力、靈性健康與生活品質之相關性研究
Study of the Rrelationships between Stress, Spiritual Health and Quality of Life among Cancer Patients' Primary Caregivers
摘要
背景：癌症為台灣地區十大死因之首，癌症病人主要照顧者生活品質是重要的議題。目的：探討癌症病人主要照顧者壓力、靈性健康與生活品質的相關性。方法：採橫斷式相關性研究設計，以方便取樣招募北部醫學中心130位癌症病人主要照顧者以自填式問卷收集資料。研究工具包括人口學資料、壓力知覺量表、短版靈性健康量表、生活品質量表。以描述性統計、獨立樣本t檢定、單因子變異數分析、皮爾森積差相關及階層迴歸分析分析生活品質影響因素。結果：研究對象整體生活品質平均得分為56.37分（SD = 5.0）、壓力平均27.75分（SD = 6.19）、靈性健康平均得分85.82分（SD = 12.46）。癌症病人主要照顧者每日照顧病人的時間、照顧者與病人關係、實際照顧病人期間、壓力及靈性健康與生活品質有關，階層回歸分析結果發現控制人口學變項後，壓力與靈性健康都是預測生活品質的重要因素；顯示主要照顧者壓力越低、靈性健康越高，生活品質則越佳。結論與建議：主要照顧者每日照顧病人的時間、壓力、靈性健康是生活品質重要的影響因素，提供癌症病人主要照顧者壓力處理與對病人的照顧賦予意義等靈性因應資源，以提升整體生活品質。
並列摘要
Background: Cancer is the top one cause of death in Taiwan. The life quality of the primary caregivers of cancer patients is an important issue. Objective: To investigate the relationship between stress, spiritual health and quality of life in primary caregivers of cancer patients. Methods: A cross-sectional correlational design was used. A convenient sampling was used to recruit 130 primary caregivers of cancer patients from a Medical Center in northern Taiwan. Self-administered questionnaire was used to collect data. Research tools included demographic information, perceived stress scale, spiritual health scale-short form, and the World Health Organization Quality of Life scale. Descriptive statistics, independent samples t test, one-way ANOVA, Pearson product-moment correlation coefficient, and hierarchical regression analysis were used to analyze the influencing factors of quality of life. Results: The participants' average score of the overall quality of life was 56.37 (SD = 5.0), the mean score of stress was 27.75 (SD = 6.19), and the mean score of spiritual health was 85.82 (SD = 12.46). The daily care time, the relationship with the patient, the length of care for patients, stress, and spiritual health were related to the quality of life. The results of hierarchical regression analysis revealed that after controlling for demographic variables, stress and spiritual health were significantly predictors of quality of life. It showed that primary caregivers' lower primary caregiver stress and higher spiritul health were associated with better quality of life. Conclusions and suggestions: The daily care time, stress and spiritual health of primary caregivers were the important factors related to their quality of life. Providing stress management and spiritual coping resources such as meaning making in patient care to the primary caregivers of cancer patients were suggested to improve their quality of life.