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題名：成年子女與照顧失能老年父母之影響--一個量化的探討並以臺北市為例
書刊名：社會政策與社會工作學刊
作者：謝美娥 引用關係
作者(外文)：Hsieh, Mei-o
出版日期：2001
卷期：5:2
頁次：頁57-112
主題關鍵詞：成年子女照顧者；老人照顧；家庭關係；照顧壓力；Family relationship；Caregiving stress model；Eldercare
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(9) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:9
  • 共同引用共同引用:65
  • 點閱點閱:172
本研究嘗試以修正的老人照顧壓力模式探討成年子女在照顧時所可能產生的後果。另外，本研究除了上述目的外，更想瞭解其影響後果是不是只有負面的經驗？或亦有正面的影響？成人子女如何因應照顧的負荷？照顧的影響是否受子女性別、子女與家庭的關係或家庭功能、因應模式或照顧工作的性質所影響? 本研究以台北市為研究地域，共成功面訪353份問卷。主要在了解成年子、女照顧後呆的差異。根據統計分析結果，歸納出以下結果。成年子女照顧者並不會因為性別、年齡、教育程度、工作狀況、宗教信仰、排行、與老人是否同住的差異，而在與照顧工作項目和主觀受干擾程度有所不同。家庭功能方面，除了女兒的家庭比較不喜歡接受親、友的幫助，其他方面並無不同。壓力因應方面，女兒比較會尋求情緒性與工具性的社會支持和宗教信仰的寄託；兒子則比較會使用積極面對的方式，也就是屬於以問題為焦點的因應策略。照顧影響方面，女兒表達了較多負面的身體與心理的影響；兒子則比較會拒絕向親友表達其心中的感受，但在其他方面的影響則無性別上的差異。社會資源使用方面，成年子、女並無差異。另外，有使用照顧資源或是有尋求照顧協助的照顧者，其在照顧管理方面均比較好。 家庭功能對照顧的影響方面，家庭角色清楚、協調解決問題的家庭，其照顧者比較不會有負面的身體心理影響。照顧者若童年與父母關係良好，不僅能獲得學習與感情依附，且對於照顧的管理比較好。壓力因應策略對照顧的影響方面，使用負面策略的照顧者，其負面的身體心理影響也會增加;而會使用正向的因應策略的照顧者，比較會覺得獲得學習的機會，而且感情也較能得到依附。尋求正向因應與求助宗教的照顧者，其能力感比較會增加。會尋求社會支持的照顧者，其照顧管理也較好。
Studies of the impact of elder-caregiving consistently report negative outcomes. Attempts to understand these findings have frequently focused on the traditional stress models which include three key components. The first is the stressor. The second is resources. The third is the stress outcome. However, this kind of approach is criticized. Abel (1990), Braithwaite (1996) and Szmukler (1996) suggest that the family relationship (family functioning or family dynamics) be incorporated in the stress paradigm. The modified model will have the chance to understand how the culture and history of a family may influence the caregiving outcomes. In this study, caregiving tasks, caregiving resources ( including coping strategies) as well as dimensions of family relationship will be examined to see how these concepts influence caregiving outcomes. Survey research with face to face interview was employed. Feelings and experiences of 353 adult- children using structured questionnaires were collected. The findings indicated that some personal resources in terms of sociodemographic characteristics and coping strategies, social resources, stressors (caregiving tasks and hassels), and family relationships do have influences on caregiving impacts. Finally practice implication is discussed.
期刊論文
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2.Scharlach, A. E.、Boyd, S. L.(1989)。Caregivingand employment: Results of an employee survey。The Gerontologist，29(3)，382-387。  new window
3.Dwyer, Jeffrey W.(1994)。Reciprocity, Elder Satisfaction, and Caregiver Stress and Burden: The Exchange of Aid in the Family Caregiving Relationship。Journal of Marriage and the Family，56(1)，35-44。  new window
4.Johansson, L.、Thorslund, M.、Smedby, B.(1993)。Formal and informal support among elderly in a rural setting in Sweden。Journal of Gerontological Social Work，20(1/2)，79-95。  new window
5.Kramer, B. J.(1993)。Expanding the conceptualization of caregiver coping: the importance of relationship-focused coping strategies。Family Relations: An Interdisciplinary Journal of Applied Family Studies，42(4)，383-391。  new window
6.Parks, S. H.、Pilisuk, M.(1991)。Caregiver burden: gender and psychological costs of caregiving。American Journal of Orthopsychiatry，61(4)，501-509。  new window
7.Walker, A. J.、Pratt, C. C.、Eddy, L.(1995)。Informal Caregiving to Aging Family Members: A Critical Review。Family Relations，44，401-411。  new window
8.Stone, R. I.、Short, P. F.(1990)。The Competing Demands of Employment and Informal Caregiving to Disabled Elders。Medical care，28(6)，513-526。  new window
9.Dwyer, J. W.、Coward, R. T.(1991)。A multivariate comparison of the involvement of adult sons versus daughters in the care of impaired parents。Journal of Gerontology: Social Science，46(5)，S259-S269。  new window
10.Cicirelli, V. G.(1983)。Adult Children's Attachment and Helping Behavior to Elderly Parents: A Path Model。Journal of Marriage and Family，45，815-825。  new window
11.Whitbeck, L.、Hoyt, D. R.、Huck, S. M.(1994)。Early family relationships, intergenerational solidarity, and support provided to parents by their adult children。Journals of Gerontology: Social Sciences，49(2)，85-94。  new window
12.戴玉慈、余玉眉、連倚南(19900700)。罹患中風對家庭的衝擊。公共衛生，17(2)，171-180。  延伸查詢new window
13.吳聖良(19920700)。臺灣社區殘障老人主要照顧者之壓力與需求之調查研究。公共衛生，19(2)，166-177。  延伸查詢new window
14.Brody, Elaine M.(1985)。Parent Care as a Normative Family Stress。The Gerontologist，25(1)，19-29。  new window
15.邱啟潤(1988)。居家中風病人之主要照顧者負荷情形及相關因素之探討。護理雜誌，35(1)，69-83。new window  延伸查詢new window
16.謝美娥(20001200)。成年子女照顧者照顧失能父母之影響與因應經驗。臺大社會工作學刊，3，1+3-36。new window  延伸查詢new window
17.吳淑瓊(19940700)。從健康服務的供需探討我國老人健康照護問題。經社法制論叢，14，85-100。  延伸查詢new window
18.吳聖良、胡杏佳、姚克明(19911000)。臺灣地區居家照護老人主要照顧者負荷情況及其需求之調查研究。公共衛生，18(3)，237-248。  延伸查詢new window
19.Epstein, Nathan B.、Baldwin, Lawrence M.、Bishop, Duane S.(1983)。The McMaster Family Assessment Device。Journal of Marital and Family Therapy，9(2)，171-180。  new window
20.Carver, Charles S.、Scheier, Michael F.、Weintraub, Jagdish K.(1989)。Assessing coping strategies: A theoretically based approach。Journal of Personality and Social Psychology，56(2)，267-283。  new window
21.Sankar, A.(1993)。Culture, research, and policy。The Gerontologist，33，497-498。  new window
22.Barber, C. E.(1988)。Correlates of subjective burden among adult sons and daughters caring for aged parents。Journal of Aging Studies，2(2)，133-144。  new window
23.Pasley, B. K.、Barber, C. E.(1995)。Family care of Alzheimer's patients: The role of gender and generational relationship on caregiver outcomes。Journal of Applied Gerontology，14(2)，172-192。  new window
24.Barusch, A. S.(1988)。Problems and coping strategies of elderly spouse caregivers。The Gerontologist，28(5)，677-685。  new window
25.Brody, E. M.(1981)。Women, in the middle。The Gerontologist，21，471-480。  new window
26.Brody, E. M.、Hoffman, C.、Kleban, M. H.、Schoonover, C. B.(1989)。Caregiving daughters and their local siblings: Perceptions, strains, and interactions。The Gerontologist，29，529-538。  new window
27.Litvin, S. J.、Albert, S. M.、Brody, E. M.、Hoffman, C.(1995)。Marital Status, Competing Demands, and Role Priorities of Parent-Caring Daughters。Journal of Applied Gerontology，14(4)，372-390。  new window
28.Cain, C. J.、Wick, M. N.(2000)。Caregiver attributes as correlates of burden in family caregivers coping with chronic obstructive pulmonary disease。Journal of Family Nursing，6(1)，46-68。  new window
29.Cantor, M.(1983)。Strain among Caregivers: A Study of Experience in the United States。The Gerontologist，23(6)，597-604。  new window
30.Cooney, R. S.(1999)。Primary Family Caregivers of Impaired Elderly in Shanghai, China: Kin Relationship and Caregiver Burden。Research on Aging，21(6)，739-761。  new window
31.Franks, M. M.、Stephens, M. A.(1992)。Multiple roles of middle-generation caregivers: Contextual effects and psychological mechanisms。Journal of Gerontology，47(3)，123-129。  new window
32.Fredriksen, K. I.、Scharlach, A. E.(1997)。Caregiving and employment: The impact of workplace characteristics on role strain。Journal of Gerontological Social Work，28(4)，3-22。  new window
33.Gerstel, N.、Gallagher, S. K.(1993)。Kin keeping and distress: Gender, recipients of care, and work-family conflict。Journal of Marriage and the Family，55，598-607。  new window
34.Greenberg, J. R.、Monson, T.、Gesino, J.(1993)。Development of university of Wisconsin family assessment caregiver scale (UW-FACS): a new measure to assess families caring for a frail elderly member。Journal of Gerontological Social Work，19(3/ 4)，49-67。  new window
35.Gupta, R.(1990)。The revised caregiver burden scale: a preliminary evaluation。Research on Social Work Practice，9(4)，508-521。  new window
36.Guralnik, J. M.、Simonsick, E. M.(1993)。Physical disability in older Americans。Journal of Gerontology，48(Supplement)，3-10。  new window
37.Gwyther, L. P.、Blazer, D.(1984)。Family therapy and the dementia patient。American Family Physician，29，149-156。  new window
38.Kinney, J. M.、Stephens, M. A. P.(1989)。Caregiving hassles scale: Assessing the daily hassles of caring for a family member with dementia。The Gerontologist，29(3)，328-332。  new window
39.Kinney, J. M.、Stephens, M. A. P.(1989)。Hassles of uplifts of giving care to a family member with dementia。Psychology and Aging，4(4)，402-408。  new window
40.MaloneBeach, E. E.、Zarit, S. H.(1991)。Current research issues in caregiving to the elderly。The International Journal of Aging & Human Development，32，103-114。  new window
41.Marks, N.(1996)。Caregiving across the lifespan: National prevalence and predictors。Family Relations，45，27-36。  new window
42.Matthews, S. H.(1988)。The burdens of parent care: A critical evaluation of recent findings。Journal of Aging Studies，2，157-165。  new window
43.Miller, B.、Furner, S.(1994)。Change in the number of informal helpers of frail older persons。Public Health Reports，109(4)，583-586。  new window
44.Parrott, T. M.、Bengtson, V. L.(1999)。The effects of earlier intergenerational affection, normative expectations, and family conflict on contemporary exchanges of help and support。Research on Aging，21(1)，73-105。  new window
45.Rose, S. K.、Strauss, M. E.、Neundorfer, M. M.、Smyth, K. A.、Stuckey, J. C.(1997)。The Relationship of Self-restraint and Distress to Coping among Spouses Caring for Persons with Alzheimer's Disease。Journal of Applied Gerontology，16(1)，91-98。  new window
46.Scharlach, A. E.(1994)。Caregiving and employment: Competing or complementary roles?。The Gerontologist，34，378-385。  new window
47.Starrels, Marjorie E.、Ingersoll-Dayton, Berit、Neal, Margaret B.、Dowler, David W.(1997)。The Stress of Caring for a Parent: Effects of the Elder's Impairment on an Employed, Adult Child。Journal of Marriage and the Family，59(4)，860-872。  new window
48.Strawbridge, W. J.、Wallhagen, M. I.(1991)。Impact of family conflict on adult child caregivers。Gerontologist，31(6)，770-777。  new window
49.Stull, D. E.、Bowman, K.、Smerglia, V.(1994)。Women in the middle: A myth in the making。Family Relations，43，319-324。  new window
50.Tennstedt, S. L.、Gonyea, J. G.(1994)。An agenda for work and eldercare research: Methodological challenges and future directions。Research on Aging，16(1)，85-108。  new window
51.Wagner, D. L.、Hunt, G. G.(1994)。The use of workplace eldercare programs by employed caregivers。Research on Aging，16(1)，69-84。  new window
會議論文
1.Cafferata, G. L.、Stone, R.、Sangl, J.(1986)。The Caregiver Role: Dimensions of Burden and Benefits。New York, NY。  new window
圖書
1.Hooyman, N.、Kiyak, H. A.(1996)。Social gerontology。Needham Heights, MA：Allyn ＆ Bacon。  new window
2.Rossi, Alice S.、Rossi, Peter H.(1990)。Of human bonding: Parent-child relations across the life course。Aldine de Gruyter。  new window
3.Greene, R. R.(1986)。Social work with the aged and their families。New York：Aldine publishing。  new window
4.Erikson, E. H.、Erikson, J. M.、Kivnick, H. Q.(1986)。Vital involvement in old age。New York：W. W. Norton & Company。  new window
5.吳淑瓊、張明正(1997)。臺灣老人的健康照護現況分析。臺北：國立臺灣大學公共衛生研究所曁衛生政策研究中心。  延伸查詢new window
6.Oyer, H. J.、Oyer, E. J.(1976)。Communicating with older people: Basic considerations。Aging and communication。Baltimore, MD。  new window
其他
1.內政部(1996)。中華民國八十五年老人狀況調查摘要分析，沒有紀錄。  延伸查詢new window
 
 
 
 
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