慢性阻塞肺疾病病人女性配偶的照顧負荷與生活品質之相關性探討

Caregiver Burden and Quality of Life in Female Spouses Caring for Chronic Obstructive Pulmonary Disease Patients

雷琇惠(Hsiu-Hui Lei) ； 林俐伶(Li-Ling Lin)

《馬偕護理雜誌》 9卷2期 (2015/07) Pp. 15-27

https://doi.org/10.29415/JMKN.201507_9(2).0002

摘要

本研究目的想探討COPD女性配偶的照顧負荷與生活品質之關係，採相關性研究設計，以南部某醫學中心之胸腔科門診、及居家COPD患者之女性配偶共143位為研究對象。問卷內容包括：女性配偶負荷量表、生活品質量表、女性配偶基本屬性及COPD病人的疾病特性。結果發現：（1）女性配偶負荷以心理負荷程度最高，生理負荷程度最低；生活品質以社會層面得分最高，以生理健康層面最低。（2）女性配偶負荷與研究者本身年齡、照顧病人年數無顯著相關，但照顧負荷會因病人FEV1值（F=3.99, p＜.05）、病人住院次數（F=5.03, p＜.05）而有顯著差異。（3）女性配偶的生活品質會因本身經濟狀況（F=5.27, p＜.05）、教育程度（F=3.01, p＜.05）而有顯著不同。另外，病人住院次數（F=2.04,p＜.05）越多次，女性配偶的生活品質越會受到影響。（4）女性配偶負荷與生活品質呈顯著負相關（r=-.24, p＜.01）。本研究有助於護理人員清楚COPD患者女性配偶負荷及生活品質狀況，尤其是當病人肺功能差及住院次數高時，應評估女性配偶的需求，以便能適時提供必要時的支持與協助。

關鍵字

慢性阻塞肺疾病 ； 女性配偶負荷 ； 生活品質

並列摘要

The purpose of this correlational study was to explore the relationship between caregiver burden and quality of life in female spouses of chronic obstructive pulmonary disease (COPD) patients. A total of 143 participants were recruited from the Cardio-thoracic outpatient department and the COPD home care unit of a medical center in southern Taiwan. The study used a structured questionnaire which included four parts: the Primary Caregiver Burden Scale, the WHOQOL-BREF, caregiver demographic characteristics, and COPD disease characteristics. The results of this study revealed as follows: 1. The highest average scores for caregiver burden were observed in the psychological domain, while the lowest average scores were in the physical domain. The highest average scores for quality of life was observed in the social domain, while the lowest average scores was in the physical health domain. 2. The caregiver burden was significantly different in terms of the FEV1 level (F= 3.99, p ＜ .05) and frequency of hospital admission (F= 5.03, p ＜ .05). However, there were no significant associations between caregiver burden and their own age and length of years in the caregiving. 3. The quality of life was significantly different in terms of their own economic status (F= 5.27, p ＜ .05) and education (F= 3.01, p ＜ .05). In addition, the quality of life was more adversely affected by a higher frequency of hospital admission (F= 2.04, p ＜ .05) in COPD patients. 4. The caregiver burden was significantly negatively correlated with quality of life (r= -.24, p ＜ .01). The results of this study could help nurses understand in reducing the caregiver burden in order to enhance the quality of life of female spouses of COPD patients. Nurses should assess caregivers' burden, especially when the patients they care for have poor lung function and high frequency of hospital admission, so that necessary support and assistance can be provided.

並列關鍵字

chronic obstructive pulmonary disease (COPD) ； caregiver burden ； quality of life