老人家庭照顧者照顧關係品質與機構安置傾向之研究

A Study on Quality of Care Relationship and Intentions of Nursing Home Placement of Elderly Family Caregivers

陳捷宇(Chieh-Yu Chen)

指導教授 ： 黃志忠

國立暨南國際大學/人文學院/社會政策與社會工作學系/碩士(2016年)

摘要

本研究旨在探討老人家庭照顧者照顧關係品質與機構安置傾向的關聯性，以量化研究方式，針對中部地區使用居家服務之老人家庭照顧者進行問卷調查，共完成93份問卷，並輔以質性訪談，訪談6位照顧者，補充量化研究結果。本研究之研究結果如下：
一、 照顧女性老人的照顧者，且為老人的兒女身分，在自覺健康且照顧準備程度高的狀況下，照顧者感受到其與老人的照顧關係品質越好，由質性訪談資料得知，適當且充足的社會支持對於照顧關係品質亦有正向的影響。
二、 照顧失智老人、親屬關係為媳婦、年齡越高、經濟狀況困難以及社會支持程度不足的照顧者，其照顧負荷越重。
三、 照顧者為媳婦身分、自覺經濟狀況困難、照顧負荷越重且照顧失智老人，其機構安置傾向越高；照顧者社會支持程度越高、年齡越高、照顧關係品質越好，其機構安置傾向越低。藉由階層迴歸分析，整體解釋變異量為32.4%，其中老人失智、照顧關係品質與照顧負荷為有效預測機構安置傾向的因子。
最後，根據本研究之研究發現與結論，分別從政策方面、實務方面及學術方面提出相關研究建議。

關鍵字

家庭照顧者 ； 照顧關係品質 ； 機構安置傾向

並列摘要

The aim of this study is to explore the relationships between quality of care relationship and intention-to-institutionalize of the elderly family caregivers. The research is quantitative by using questionnaire investigation, with 93 family caregivers using home care services in the central region of Taiwan. This study also combined qualitative research by using in-depth interview, including 6 caregivers in this study. The main findings of this study are as following:
1. When the family caregivers are children of the elderly, and have better self-perceived health, and better care preparedness, with caring female elders, the family caregivers’ quality of care relationship is better. In addition, appropriate and adequate social support has positive impact on the quality of care relationship based on qualitative interviews.
2. When the family caregivers are older, and daughters-in-law of the elderly, having difficult self-perceived economics, and inadequate social support, caring for elders with dementia, the family caregivers’ care burden is heavy.
3. When the family caregivers are daughters-in-law of the elderly, and have difficult self-perceived economics, and heavy care burden, caring for elders with dementia, the family caregivers’ intention-to-institutionalize is higher. On the contrary, when the family caregivers are older, and have better social support and better quality of care relationship, the family caregivers’ intention-to-institutionalize is lower. Through the hierarchical regression analysis, all of the variables account for 32.4% variances. Among these variables, the most important predictive variables for family caregivers’ intention-to-institutionalize are the elderly with dementia, the family caregivers’ quality of care relationship and care burden.
Finally, according to the findings and conclusions, there are some suggestions for policy, practice and further research.

並列關鍵字

family caregivers ； quality of care relationship ； intention-to-institutionalize

參考文獻

邱啟潤、許淑敏、吳瓊滿(2002)。主要照顧者負荷、壓力與因應之國內研究文獻回顧。醫護科技學刊，4(4)，273-290。

黃敏鳳、徐亞瑛、楊培珊、葉炳強 (2004)。失智症患者及家庭照顧者接受日間照護之服務需求情形探討。長期照護雜誌，7(4)，355-370。

壹、 中文部分

王秀紅(1994)。照顧者角色對婦女衝擊：護理的涵義。護理雜誌，14(3)，18-23。

王思堯(2007)。家庭成員安置年邁家屬入住長期照護機構的適應。護理雜誌，54(3)，82-86。