失智症個案主要家庭照顧者之社會支持與壓力因應相關研究-以臺北市某行政區為例

Study on the Relationship between Social Support and Stress Coping of the Main Family Caregivers of Dementia Cases at A District in Taipei City

魏炆莉(Wei Wen-LI)

指導教授 ： 胡益進 ； 李子奇

國立臺灣師範大學/教育學院/健康促進與衛生教育學系/碩士(2020年)

https://doi.org/10.6345/NTNU202000343

摘要

本研究旨在探討失智症個案主要家庭照顧者的社會人口學變項、家庭背景變項、社會支持與壓力因應之關係。以臺北市某行政區領有身心障礙手冊之列管失智症個案主要家庭照顧者為研究母群體，以普查方法，採用結構式問卷作為工具，總共發出104份問卷，回收率為100％，問卷包括：社會人口學變項、家庭背景變項、社會支持量表與壓力因應量表，其結果如下：
一、 性別與壓力因應呈現顯著正相關，會因為性別的不同而壓力因應有所差異，女性的壓力因應顯著優於男性；壓力因應與年齡呈現顯著負相關，年齡越大壓力因應越低；高中畢（肄）業者壓力因應顯著低於與其他教育程度者；壓力因應與家中子女數呈現顯著正相關。
二、 社會支持為家人層面高於醫護專業人員層面；家人親友的社會支持多屬於「情緒性支持」及「評價性支持」；較少獲得的為「實質性的支持」。醫護專業人員的社會支持多屬於「訊息性支持」；較少獲得的為「實質性的支持」。
三、 從家人親友及醫療專業人員中獲得的社會支持與壓力因應呈現顯著正相關，會因獲得社會支持的不同程度而壓力因應有所差異。

關鍵字

失智症個案主要家庭照顧者 ； 社會支持 ； 壓力因應

並列摘要

The purpose of this study was to explore the relationship between sociodemographic variables, family background variables, social support, and stress coping for main family caregivers of dementia cases. The main family caregivers of dementia cases with disability cards were collected from an administrative district in Taipei City into the study. The main family caregivers are the population of this study. A census method was performed and a structured questionnaire was used as a tool. A total of 104 questionnaires were sent out, and the recovery rate was 100%. The questionnaire included: sociodemographic variables, family background variables, social support scale, and stress coping scale.
The results are as follows:
1. There is a significant positive correlation between gender and stress coping. There will be differences in stress coping due to different genders. Stress coping with women is significantly better than that of men. Stress coping is significantly negatively related to age. The greater the age, the stress coping score is lower. The stress coping score of who graduated from high school is significantly lowered than other education levels. The stress response is significantly positively related to the number of children in the family.
2. Social support score from family and friend is higher than that from a health care professional; social support from family and friends mostly belong to "emotional support" and "evaluative support"; lesser ones are "substantial support". Social support from health care professionals mostly belongs to "informative support"; lesser is "substantive support".
3. The social support received from family, friends, and medical professionals have shown a significant positive correlation with stress coping.

並列關鍵字

Cases of dementia Primary caregiver ； social support ； stress response

參考文獻

江季蓁、駱麗華（2002）。新診斷白血病兒童住院期間主要照顧者之生活品質。護理雜誌，49(2)，42-50。

黃寶園（2010）。社會支持在壓力反應歷程中的中介效果。中華心理衛生學刊，23(3)，401-436。

一、中文部分

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