本研究之目的為探討台灣地區長期照護機構照護者之老人精神虐待行為狀況及其相關因素。採橫斷式及描述相關性研究設計。基本資料表、老人照護者精神虐待行為指標量表(CPEAB)，及照顧者負荷量表(CBS)為蒐集資料之工具。計114位老人照護者完成此研究。其中，16.1%的個案在CPEAB之得分高於40分（原量表分數範圍介於20至80分），分數越高表示越具精神虐待老人之傾向。在 CPEAB的20項指標中，「口語責難或怪老人」、「忽略老人要求」、「不禮貌地直呼老人姓名」為得分最高的三項，分別為(M=2.18, 2.12, 2.02; SD=.83,.84,.91)。而CPEAB與個案的年齡、專業階層、教育程度、老人照護訓練、及CBS分數呈現顯著相關(P& lt;.05-.001)，代表越年輕、受的教育及老人照護訓練越少、及照顧負荷越高者，其精神虐待行為愈嚴重。此外，護理人員所呈現的精神虐待行為比照顧服務員來得嚴重為另一重要發現。本研究結果在醫療或社會二層面上，為促進機構老人生活品質措施的政策之重要參考依據。

This study explored the state and the correlated factors of psychological abuse behavior among caregivers in long-term care facilities in Taiwan. A cross-sectional design utilizing a descriptive-correlational approach was conducted. A sociodemographic sheet, Caregiver Psychological Elder Abuse Behavior Scale (CPEAB), and Caregiver's Burden Scale (CBS) were employed to collect data. A total of 114 caregivers completed the study, of whom 16.1% returned an CPEAB score greater than 40. The potential range of CPEAB scores ranged from 20 to 80, with the highest score indicating the greatest tendency toward psychological abuse behavior. Among the total of 20 CPEAB indicators, "Accuse him/her verbally", "Ignore his/her request", and "Insult him/her" received the highest item mean scores (M=2.18, 2.12, 2.02; SD=0.83, 0.84, 0.91). Significant relationships between the CPEAB and subject age, professional status, educational level, geriatric care training, and CBS score were found (p<.05-.00l). These results indicate that caregivers who are younger in age, less educated and lacking in geriatric training had a greater burden and displayed a tendency toward more abusive behavior. Another important finding was that nurses displayed more abusive behavior than their care attendant counterparts. Results of this study provide important information that may be used in medical and social interventions and policies aimed at improving quality of life for the institutionalized elderly.