探討酗酒者出院後主要照顧者的負荷及相關因素

宋雅菁

doi:10.6834/csmu202100277

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探討酗酒者出院後主要照顧者的負荷及相關因素

Exploration of the burden and related factors among primary caregivers of alcoholics after discharge

宋雅菁 , Masters　　Advisor：李淑杏　　

繁體中文 DOI： 10.6834/csmu202100277

酗酒者；出院後；主要照顧者負荷； Alcoholic ； after discharge ； Primary caregiver burden

Abstract │ Reference (126) │ Altmetrics

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Background: The number of deaths caused by alcoholism worldwide each year is gradually increasing. Alcoholism causes illness, disability, and family care problems. Previous research on alcoholism in Taiwan focused on specific ethnic groups, violence, emergency treatment, and diseases related to long-term alcohol abuse. The burden of primary caregivers after discharge of patients with alcoholism from hospital are worthy of discussion.
Objective: To explore the main caregivers’ burden and related factors after patients with alcoholism are discharged from hospital.
Methods: This cross-sectional study assessed the primary caregivers of 54 alcohol abuse patients discharged from a hospital in northern Taiwan. Mailed questionnaires or telephone interviews collected demographic data on the patients and primary caregivers, the Chinese version of the alcohol dependence severity assessment scale, the main caregiver load, functional social support scale, and self-conscious health status. Descriptive statistics included numbers, percentages, and mean ± standard deviations; inferential statistics included the Chi-square test, t-tests, ANOVA, and multiple linear regression.
Results: The average primary caregiver age was 48.6-years-old; 74.07% were female, 44.44% were spouses, and 37% had poor relationships with the patient. The primary caregiver load was moderate; psychological load was highest, followed by social load, physiological load, and financial load. Linear multiple regression analysis found female caregivers(β=-18.67, p=.0018), a poor relationship with the patient(β=-19.89, p≤.0001), low income(β=- 9.07, p=.0176), and a higher severity of alcohol dependence (β=0.35, p=.0385)were associated with higher caregiver burden. However, better social support was associated with significantly lower caregiver load (β=0.07, p=.033).
Conclusion: The primary caregivers of alcoholics experience physical and psychological burdens. Promoting family relationships and adequate social support, and reducing patients’ alcohol dependence can alleviate primary caregivers’ burden. The results of this study provide a reference for medical care and social policies.

Reference ( 126 ) 〈TOP〉

中文文獻
王俐絜、陳威宇、張書展、黃安年、洪榮駿、王瑞霞（2011）．消化道末期癌症病患居家主要照顧者之照顧負荷與其相關性因素探討．護理雜誌，58(6），54-64。https://doi.org/10.6224/JN.58.6.53
王亞妮（1999）．居家護理主要照顧者之負荷．台北：國立臺灣大學護理學研究所。
朱翠燕、李素卿、王祖琪、謝瑞雲、李秋玉、林秀麗（2010）．女性照顧者負荷之質性研究．北市醫學雜誌， 7(2），144-153。https://doi.org/10.6200/TCMJ.2010.7.2.05
杜恩年、簡意玲、葉寶專、胡海國、邱銘章、黃偉烈（2017）．酒精相關的認知功能傷害．台灣醫學，20(1），103-111。https://doi.org/10.6320/FJM.2017.21(1）.12

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