以壓力歷程模式探討女性失智症家庭照顧者其正向照顧經驗、因應模式及睡眠之相關研究

Test a Theoretical Model of the Stress Process in Female Dementia Family Caregivers with Positive Aspects of Caregiving, Coping Style and Sleep

陳志豪(Chih-Hao Chen) ； 杜怡君(Yi-Chun Tu) ； 王鵬智(Peng-Chih Wang)

《輔仁醫學期刊》 13卷1期 (2015/03) Pp. 27-40

https://doi.org/10.3966/181020932015031301003

摘要

背景：由內政部2012年第一季身心障礙者人數統計報表，目前台灣通報患失智症者有36,204人，依失智症社區盛行率，推估社區中約近12萬失智症老人，失智症者照顧者相關議題已成為台灣重要課題。目的：本研究以Hilgeman等人於2009年之壓力歷程模式為基礎，探討女性失智症家庭照顧者其因應模式在正向照顧經驗與睡眠品質間的關係。方法：採用因應方法量表（RWCC）、中文化匹茲堡睡眠品質量表（CPSQI）和正向照顧經驗量表（PAC）、背景資料和睡眠日誌調查84位失智症的女性家庭照顧者。此外照顧者需配戴3天2夜睡眠活動量手錶（Actiwatch）收集客觀睡眠資料。結果：本研究發現有92.4%女性家庭照顧者主觀覺得有睡眠困擾; 客觀睡眠指標上75.6%的受試者的睡眠效率則未達85%切結點。然而正向照顧經驗與因應模式會產生交互作用影響女性失智症家庭照顧者主觀或客觀的睡眠品質。結論：以心理介入的角度，建議未來可增強個案的正向照顧經驗、教導合適的因應技巧，可減緩不合適之因應與正向照顧經驗不足所產生的不佳睡眠品質。

關鍵字

失智症照顧 ； 正向照顧經驗 ； 因應 ； 睡眠

並列摘要

Background: According to The Ministry of the Interior year 2012 first season National survey, there are 36,204 dementia patients in Taiwan. However, base on dementia community prevalence survey, there are approximate 120 thousands patients in Taiwan. Dementia family caregivers issues become important issue. Purpose: This study will focus on the relationship between sleeping quality and the experience of positive aspects of caregiving by the stress process model which Hilgeman and other researchers purpose in 2009. Methods: The questionnaires composed of the Revised Ways of Coping Checklist(RWCC), Chinese Pittsburgh Sleep Quality Index(CPSQI), Positive Aspects of Caregiveing(PAC), demographic information and Sleep Diary was used to investigate 84 caregivers. In addition, caregivers have to wear the actiwatch for three days and two nights for collecting objective sleep informaiton. Results: The results revealed that 92.4% female caregivers report have poor sleep quality and 75.6% caregivers' objective sleep efficiency are lower than 85% cut off point. The interaction between positive aspects of caregiving and coping style predicted both subjective and objective sleeping quality in female dementia family caregivers. Conclusions: One the intervention in the future, focusing on enhancing the caregiver's positive aspects of caregiving and coping appropriately will buffer poor sleeping quality.

並列關鍵字

dementia caregiver ； positive aspects of caregiving ； coping ； sleep