特殊需求學生主要照顧者壓力與健康相關生活品質相關性之研究

The Relationship between Stress and Health-Related Quality of Life on Primary Caregivers of Special Needs Students

胡蓉(Jung Hu) ； 林金定(Jin-Ding Lin)

《身心障礙研究季刊》 7卷2期 (2009/06) Pp. 132-143

https://doi.org/10.30072/JDR.200906.0004

摘要

特殊需求孩子因其心智發育遲緩與合併多重的疾病，在成長過程中必須倚靠主要照護者持續地照顧、訓練及教育，因此主要照顧者背負著極大的壓力，這些壓力影響他們的生活品質。過去針對身心障礙者之照顧者研究，較著重成年障礙者或失能老人，以特殊需求孩子之主要照顧者為研究對象的研究相對較少，但這群主要照顧者面臨特殊需求孩子的成長發育階段，其遭受壓力情形與生活品質狀況是值得重視的議題，因此，本研究主要目的乃在了解特殊需求學生主要照顧者壓力與健康相關生活品質現況並探討兩者之相關。本研究採取橫斷性研究，利用PSTR壓力量表與台灣版世界衛生組織生活品質量表為研究工具，研究對象為三所特殊教育學校學生之主要照顧者共597人。研究結果發現有23.8%主要照顧者壓力過大，達到應該尋求專業諮詢的程度，而健康相關生活品質顯著低於台灣一般健康民眾，且發現壓力與健康相關生活品質息息相關。因此，規劃主要照顧者壓力管理與提升生活品質是值得深入探討的重要議題。

關鍵字

生活品質 ； 主要照顧者 ； 特殊需求學生

並列摘要

Children with special needs arc depending on caregivers who provide care continually. The pressure of care work does not allow belittling, and will possibly to influence theft quality of life. In the past, studies about caregivers of children with special needs were not being paid much attention to them, and most of the studies had concerned caregivers of adults or elderly with disabilities in Taiwan. The main purposes of the study were to understand the stress, health related quality of life on caregivers of students with special needs. The study design conducted a cross-sectional survey by using a self-report questionnaire that includes Psycho Somatic Tension Relaxation Inventory (PSTRI) scale and World Health Organization Quality of Life (WHOQOL-BREF). There were 597 caregivers were recruited in the survey. The results showed 23.8% of caregivers were in high risk of depressive stress and needed further medical consultation. The results also found that healthy population's health-related quality of life were better than primary caregivers of special needs students and the relationship between stress and health-related quality of life was significant. Finally, the study suggests the healthcare authority should continually enforce the mental health promotion for the caregivers of children with special needs in the future.

並列關鍵字

Caregiver ； quality of life ； student with special needs ； stress

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