介入措施對居家照護病患主要照顧者生活品質的影響

The Effectiveness of Interventions in Ameliorating the Quality of Life of Home Care Patient Caregivers

賈淑麗(S. L. Chia) ； 李怡娟(I. C. Li)

《護理雜誌》 46卷5期 (1999/10) Pp. 31-43

https://doi.org/10.6224/JN.46.5.31

摘要

本研究主要目的在於：針對主要照顧者對改善生活品質的需求，給予設計一系列介入措施，並比較介入措施實施前後，主要照顧者生活品質改變情形。研究共分爲四個階段進行研究：第一階段：收集研究樣本，並確定主要照顧者對活動內容。第三階段：確定介入措施內容，根據改善生活品質之需求問卷所得結果，設計介入措施活動內容。第三階段：執行介入措施，本研究之介入措施包括支持團體及個案管理二部份，支持團體共有七次聚會，經歷近三個月的時間，共有26名成員參與研究案管理則因個案需要給予協助，共有個案4人。第四階段：介入措施實施後，比較前後得之生活品質總分。重要結論：在介入措施實施前後，參加活動之照顧者，在個人心理/心靈部份及照顧工作、社會經濟部分得分皆有顯著的增加；在個人健康及家庭生活、生活品質總分則無統計上顯著差異。建議在設計有關慢性病患及其家屬之支持性活動時，應根據個案家庭特性及需求、配合個案管理模式，以期提高其生活品質。

關鍵字

介入措施 ； 主要照顧者 ； 生活品質

並列摘要

The purpose of this quasi-experimental study was to provide the major caregivers of home care patients with a series of designated interventions to ameliorate their quality of life. There were four stages included in the intervention process: Stage 1: To enlist a sample of major caregivers to ascertain their needs from intervention activities. Stage 2: To ensure the content of designed intervention according to their needs. Stage 3: To execute the intervention. The design of this intervention study comprised two parts: supporting group and case management. The supporting group met seven times over a total period of about three months. A total of 26 members participated. Regarding the case management, there were 4 cases. Stage 4: After the intervention, the total scores of quality of life before and after the intervention were compared. The important conclusions were: After the intervention, participating caregivers had significantly increased scores in the areas of personal mental/spiritual status and coping with work-related and socioeconomic demands. There was no significant difference in subjects’ total scores for personal health, family life and quality of life. Whole-family-specific characteristics and needs should be considered when a supporting group is proposed, and principles of case management can be utilized in order to improve quality of life for caregivers of home care patients.

並列關鍵字

Intervention ； caregiver ； quality of life