居家照顧需求初探－外籍看護工與家屬主照顧者比較

The Exploratory Study for Home Care Needs: Comparison between Foreign Care Workers and Family Primary Caregivers

胡玉瑗(Yu-Yuan Hu) ； 葉莉莉(Lily Yeh) ； 王琪珍(Chi-Jen Wang)

《長期照護雜誌》 13卷3期 (2009/12) Pp. 339-350

https://doi.org/10.6317/LTC.200912_13(3).0006

摘要

近十多年來，外籍看護工逐漸成為台灣居家照顧重要人力資源，其照顧相關議題亟待深入探究。本研究目的在比較外籍看護工與家屬主照顧者在居家照顧長期臥床病患過程，自覺所需之協助。研究對象來自南部某醫學中心2006年居家護理收案四個月以上病患之主照顧者50位，含26位外籍看護工及24位家屬。以結構式問卷收集主照顧者在「疾病相關資訊」、「病患照顧技能」與「心理社會支持」等向度之自覺照顧需求。研究發現無論是外籍看護工或家屬其在「心理社會支持」之需求比率最高，超過50%皆有經濟需要、家庭支持、壓力調適及情感支持等需求。「病患照顧技能」方面，則低於25%主照顧者有此需求。而「疾病相關資訊」方面，家屬主照顧者之需求比率明顯高於外籍看護工。結論：居家護理師提供居家照護服務時，需考慮家屬主照顧者或外籍看護工之身分，依需要予以適當教導及支持。

關鍵字

家屬主照顧者 ； 外籍看護工 ； 居家照顧需求 ； 長期臥床

並列摘要

Recently decade, foreign care workers are becoming the majority manpower of primary caregivers at home in Taiwan. This agenda needs to explore and study urgently. This study were to explore care needs, with a comparison between family primary-caregivers and foreign care workers according to their perspectives garnered during the time that they cared for long-term bed-ridden patients at home. Fifty study subjects, consisting of 24 family primary caregivers and 26 foreign care workers were sampled from a home-care unit of a medical center in southern Taiwan in 2006. The structured questionnaire was applied to collect information regarding care needs, including: obtaining information on patient-care, skills related to patient-care, and psycho-social support based on caregivers' perceptions. The results showed that more than 50% of the study subjects declared ”psycho-social support”, including factors such as: financial support, family support, stress adjusting, and emotional support, was a significant care-need for both of them. Less than 25% of study subjects perceived ”skills related with patient-care” as a significant care-need for them. In addition, there were significant differences between foreign care workers and family primary caregivers' in relation to ”obtaining information in patient-care” being perceived as a significant care-need for them. Conclusion: These results could provide reference for home health care nurses giving relevant service and assistance, in regard to assessing and identifying different needs between family primary caregivers and foreign care workers.

並列關鍵字

family primary caregiver ； foreign care worker ； home care need ； bed-ridden