思覺失調症病患家庭功能及相關因素之探討

Family functioning and its related factors among Taiwanese individuals with schizophrenia

張淑苑(Shu-Yuan Chang)

指導教授 ： 蕭秋月

中山醫學大學/護理學院/護理研究所/碩士(2015年)

https://doi.org/10.6834/CSMU.2015.00202

摘要

背景/目的：思覺失調症是一種慢性精神疾病。大部份的人都致力於研究思覺失調症患者的適應因素，比較少的研究探討思覺失調症病患家庭功能，特別是在台灣。本研究的目的為探討台灣人的思覺失調症病患家庭功能之相關因素。
方法：共招募161人患有思覺失調症。結構式問卷包括：（1）病患及其主要照顧者基本資料；（2）家庭壓力指數及家庭緊張指數；（3）家庭評估功能量表（FAD）之整體功能評估，共有12題。資料分析採描述性統計、皮爾森積差相關分析、T 檢定和單因子變異數分析。
結果：思覺失調症病患為女性、年齡越大、生病年數越長、家庭生活事件與變化壓力越少及接受社區治療者，其家庭功能愈好。當思覺失調症主要照顧者為女性及家中月收入愈高，其病患之整體家庭功能愈好。
結論：了解思覺失調症病患家庭功能的影響因素，對協助醫療保健機構提供有效的精神衛生保健，實現健康家庭功能是非常重要的。

關鍵字

思覺失調症 ； 家庭生活事件與變化 ； 家庭功能

並列摘要

Background/Objective: Schizophrenia is one of chronic mental disorders. Extensive efforts have been dedicated to examining determinants of adaptation of patients with schizophrenia. Little research on family functioning among patients with schizophrenia has been explored, especially in Taiwan. The purposes of this study aimed to examine the correlates of family functioning among Taiwanese individuals with schizophrenia.
Method: A total of 161 individuals with schizophrenia were recruited. Structured questionnaires included (a) patient and family caregiver information sheet, (b) Family Stressors Index and Family Strains Index, and (c) 12-item General Family Functioning Scale of Family Assessment Device. Data were analyzed with descriptive statistics, Pearson product-moment correlation, t-test and one-way analysis of variance.
Result: Individuals with schizophrenia who were female, older, had longer duration of mental illness, experienced less family life events and pressure, and received community mental healthcare service were more likely to have better family functioning. Female family caregiver and higher family income significantly contributed to better family functioning of patients with schizophrenia.
Conclusion: Understanding influencing factors of family functioning among individuals with schizophrenia is vital to help healthcare providers deliver effective mental healthcare that help the affected individuals achieve healthy family functioning.

並列關鍵字

Schizophrenia ； family events and changing ； family functioning

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