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    題名: 居家失能老人之主要照顧者緊張感受、社會支持及生活品質之探討--以屏東縣為例
    A Study of Strain, Social Support and Quality of Life among Caregiver's of Home-dwelling Disabled Elderly --An Example of Pingtung County.
    作者: 陳曼微;Man-Wei Chen
    貢獻者: 健康照護學院護理學系碩士班
    關鍵詞: 緊張感受;社會支持;生活品質;失能老人;主要照顧者;Strain;Social Support;Quality of Life;Disabled Elderly;Caregiver
    日期: 2010
    上傳時間: 2010-09-29 12:11:12 (UTC+8)
    摘要: 本研究目的在探討居家失能老人主要照顧者緊張感受、社會支持及生活品質之相關性,採橫斷式相關性研究設計,以屏東縣長期照顧管理中心收案失能老人主要照顧者為研究對象,系統抽樣共收案152位。研究工具採結構式問卷,內容包括:失能老人及照顧基本特性、緊張感受量表、社會支持量表及台灣簡明版世界衛生組織生活品質問卷,所得資料以SPSS/PC 17.0套裝軟體進行描述性及推論性統計。
    研究結果發現如下:(1)居家失能主要照顧者整體生活品質平均值為48.48分(總分為80分),其中四範疇滿分為20分,得分最高為環境範疇生活品質(12.35分),最低為生理範疇生活品質(12.03分);(2)研究對象社會支持協助以實質性支持得分最高,訊息性支持得分最低。(3)緊張感受量表平均得分為6.73分,顯示未達高緊張程度;(4)居家服務使用與緊張感受呈現正相關;社會支持與生活品質呈現正相關;緊張感受與生活品質呈現負相關。(5)社會支持、緊張感受、經濟來源為子女供應、照顧者自覺經濟情形、自覺目前健康狀況、照顧者骨骼系統疾病史與失能老人骨骼系統疾病史等七個變項,可以預測居家失能老人主要照顧者整體生活品質解釋變異量為67.6%。

    The purpose of research was to explore the factors relation to primary caregiver’s strain, social support, and quality of life of home-dwelling disabled elderly. The study’s design was cross-sectional and correlation. A total 152 subjects were selected from the Long-term Care Management Center (Public Health Bureau) of the Pingtung County Government, by systematic sampling. A structured questionnaire was used to collect data via a face to face interview. The questionnaire gave to the caregiver's included disabled elderly characteristics, caregiver characteristics, Caregiver Strain Index, Social Support, and quality of life scale (WHOQOL-BREF). The data was analyzed using SPSS 17.0 for Windows.

    The major findings of this study were as follows:(1)using the Taiwanese WHOQOL-BREF the mean score of overall quality of life of caregiver 48.48 out of 80, in the domain of environment quality of life got the highest score(12.35), in the physical health domain quality of life got the lowest score(12.43). (2)The highest level of social reported was the essential support, the lowest score report was the informational support. (3) The caregiver strain measure that the mean score was 6.73, indication mild strain. (4) Home care services and strain were found to have a positive correlation. Social support and quality of life were also found to a positive correlation. Strain and quality of live found to negative correlation. (5)The most important predictive variables for the social support, strain, the income is from children, or economic and health of self-perceived that combine caregiver have bone or muscular disease of history, and disabled elderly. These variables explained 41.7% of the variance in caregivers quality of life.
    顯示於類別:[護理學系暨碩士班] 博碩士論文

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