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題名：思覺失調症病患之主要照顧者復原力與健康狀態之探討
書刊名：護理雜誌
作者：范雅琪／陳美碧／林寬佳 引用關係／白雅美／魏秀靜 引用關係
作者(外文)：Fan, Ya-chi／Chen, Mei-bih／Lin, Kuan-chia／Bai, Ya-mei／Wei, Shiow-jing
出版日期：2014
卷期：61:6
頁次：頁29-38
主題關鍵詞：思覺失調症；主要照顧者；復原力；健康狀態；Schizophrenia；Caregivers；Resilience；Health status
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(6) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:154
  • 點閱點閱:27
背景：復原力對健康具有正面影響力，但國內對思覺失調症病患的主要照顧者復原力與健康狀態之研究仍付之闕如。目的：探討思覺失調症病患的主要照顧者復原力與健康狀態之相關性。方法：採橫斷性相關性研究設計，於北部某醫學中心精神科病房收案共有思覺失調症病患其主要照顧者70名參與本研究，以「基本屬性問卷」、「生活品質量表」、「情緒自評量表」、「生命凝聚感量表」收集資料，以SPSS 17.0及SAS 9.2軟體進行統計分析。結果：⑴生活品質量表平均值67.46（SD = 17.74），輕度至極重度憂鬱者佔18.6%，輕度至極重度焦慮者佔17.1%，輕度至極重度壓力者10%。⑵主要照顧者照顧時間越長者其生活品質較差；主要照顧者本身有疾病者，其生活品質及復原力較差；病患住院天數越長，主要照顧者焦慮程度較低。⑶病患暴力或自傷次數越多，主要照顧者復原力及生活品質越差。⑷復原力為主要照顧者基本屬性與生活品質的中介因子。⑸主要照顧者復原力能預測生活品質及焦慮、憂鬱以及壓力。結論：本研究可增進專業人員對思覺失調症病患主要照顧者復原力與健康狀態的了解，以發展復原力為核心目標的精神心理衛生護理照護模式之參考。
Background: Resilience has been shown to have a positive effect on health status. However, little research has been conducted on the impact of resilience on the health of primary caregivers of schizophrenia patients. Purpose: This study investigated the correlations between resilience and the health status of caregivers of schizophrenia patients. Method: A cross-sectional, descriptive research design was used. Data collection was conducted using a set of questionnaires that included a demographic datasheet, the SOC-13 (Sense of Coherence), the DASS-21 (Depression Anxiety Stress Scales), and the SF-36 (short form). Seventy caregivers of schizophrenia patients were enrolled as participants at the psychiatric inpatient department of a medical center. SPSS 17.0 and SAS.9.2 statistical software packages were used to conduct descriptive analysis, the Sobel test, and Tobit model analysis. Results: (1) The mean QOL (quality of life) scale score was 67.46 (SD=17.74). Nearly one-fifth (18.6%) of caregivers were classified in the low to high depression range; 17.1% were classified in the low to high anxiety level; and 10% were classified in low to high stress level. (2) Duration of the caring period correlated negatively with caregiver QOL; having a concomitant disease significantly impacted QOL and resilience; and number of patient hospitalization days correlated negatively with level of caregiver anxiety. (3) The numbers of incidents of patient violence and patient suicide attempts correlated negatively with caregiver resilience and QOL. (4) Resilience was a mediator between caregiver demographic data and QOL. (5) Caregiver resilience was a predictor of QOL, depression, anxiety, and stress. Conclusion: The findings of the present study increase our understanding of the impact of resilience on the health status of caregivers of schizophrenia patients. The authors hope these finding may be referenced in the development of resilience-based nursing caring models in the future.
期刊論文
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3.Hogh, A.、Mikkelsen, E. G.(2005)。Is sense of coherence a mediator or moderator of relationships between violence at work and stress reactions。Scandinavian Journal of Psychology，46(5)，429-437。  new window
4.Jonker, L.、Greeff, A. P.(2009)。Resilience factors in families living with people with mental illnesses。Journal of Community Psychology，37(7)，859-873。  new window
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6.Lam, P. C. W.、Ng, P.、Tori, C.(2013)。Burdens and psychological health of family caregivers of people with schizophrenia in two Chinese metropolitan cities: Hong Kong and Guangzhou。Community Mental Health Journal，49(6)，841-846。  new window
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10.O’Rourke, N.、Kupferschmidt, A. L.、Claxton, A.、Smith, J. Z.、Chappell, N.、Beattie, B. L.(2010)。Psychological resilience predicts depressive symptoms among spouses of persons with Alzheimer disease over time。Aging and Mental Health，14(8)，984-993。  new window
11.Papastavrou, E.、Charalambous, A.、Tsangari, H.、Karayiannis, G.(2010)。The cost of caring: The relative with schizophrenia。Scandinavian Journal of Caring Sciences，24(4)，817-823。  new window
12.Richardson, C. G.、Ratner, P. A.(2005)。Sense of coherence as a moderator of the effects of stressful life events on health。Journal of Epidemiology & Community Health，59(11)，979-984。  new window
13.Schure, M. B.、Odden, M.、Goins, R. T.(2013)。The association of resilience with mental and physical health among older american indians.the native elder care study。American Indian and Alaska Native Mental Health Research，20(2)，27-41。  new window
14.Srivastava, S.、Bhatia, M. S.、Sharma, V.、Rajender, G.、Kumar, P.(2010)。Health-related quality of life in bipolar disorder patients and their caregivers。International Journal of Mental Health，39(4)，3-15。  new window
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16.Suresky, M. J.、Zauszniewski, J. A.、Bekhet, A. K.(2008)。Sense of coherence and quality of life in women family members of the seriously mentally ill。Issues in Mental Health Nursing，29(3)，265-278。  new window
17.Szanton, S. L.、Gill, J. M.、horpe, R. J., Jr.(2010)。The society-to-cells model of resilience in older adults。Annual Review of Gerontology and Geriatrics，30(1)，5-34。  new window
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20.Weimand, B.、Hedelin, B.、Sallstrom, C., Hall-Lord, M.、Hall-Lord, M.(2010)。Burden and health in relatives of persons with severe mental illness: A Norwegian cross-sectional study。Issues in Mental Health Nursing，31(12)，804-815。  new window
21.Werner, E.、Bierman, J. M.、French, F. E.、Simonian, K.、Connor, A.、Smith, R. S.、Campbell, M.(1968)。Reproductive and environmental casualites: A report on the 10-year-follow -up of the children of the Kauai pregnancy study。Pediatrics，42(1)，112。  new window
22.Wilks, S. E.、Croom, B.(2008)。Perceived stress and resilience in Alzheimer’s disease caregivers: Testing moderation and mediation models of social support。Aging and Mental Health，12(3)，357-365。  new window
23.葉人豪、葉玲玲、黃光華、陳快樂、邵文娟、陳宏(20090600)。社區精神分裂症照顧者之需要與負荷探討。精神衛生護理雜誌，4(1)，1-8。  延伸查詢new window
24.謝佳容、蔡欣玲、蕭淑貞、陳展航(20010800)。社區精神分裂病患主要照顧者人格堅毅性與其健康狀況相關性探討。新臺北護理期刊，3(2)，88-100。  延伸查詢new window
25.Luthar, S. S.、Cicchetti, D.、Becker, B.(2000)。The construct of resilience: A critical evaluation and guidelines for future work。Child Development，71(3)，543-562。  new window
26.曾文志(20060600)。復原力保護因子效果概化之統合分析。諮商輔導學報，14，1-35。new window  延伸查詢new window
27.盧瑞芬、曾旭民、蔡益堅(20031200)。國人生活品質評量（1）：SF-36臺灣版的發展及心理計量特質分析。臺灣公共衛生雜誌，22(6)，501-511。new window  延伸查詢new window
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29.Chan, I. W. S.、Lai, J. C. L.、Wong, K. W. N.(2006)。Resilience is associated with better recovery in Chinese people diagnosed with coronary heart disease。Psychology and Health，21(3)，225-249。  new window
學位論文
1.丁嘉妮(2007)。憂鬱症家屬與患者相處過程中的逆境經驗及其復原力發展之探究(碩士論文)。國立新竹教育大學。  延伸查詢new window
2.曾仁美(2005)。親子遊戲治療對憂鬱症兒童父母親職復原力之建構(博士論文)。國立彰化師範大學。new window  延伸查詢new window
3.黃淑賢(2003)。復原力對自閉症兒童家長心理調適影響之研究(碩士論文)。國立暨南國際大學。  延伸查詢new window
圖書
1.Pharoah, F.、Mari, J. J.、Rathbone, J.、Wong, W.(2010)。Family intervention for schizophrenia。Cochrane Database of Systematic Reviews。  new window
2.Taouk, M.、Lovibond, P. R.、Laube, R.(2001)。Psychometric properties of an Arabic version of the Depression Anxiety Stress Scales (DASS21)。Sydney, Australia：Cumberland Hospital。  new window
3.Van Breda, A. D.(2001)。Resilience theory: A literature review。Pretoria, South Africa：South African Military Health Service。  new window
4.Lovibond, P. F.、Lovibond, S. H.(1995)。Manual for the Depression Anxiety Stress Scales。Psychology Foundation of Australia。  new window
5.孔繁鐘(2009)。DSM-IV-TR精神疾病診斷準則手冊。台北市：合記。  延伸查詢new window
6.Antonovsky, Aaron(1979)。Health, stress, and coping: New perspectives on mental and physical well-being。San Francisco：Jossey-Bass。  new window
其他
1.World Health Organization。Schizophrenia，http://www.who.int/topics/schizophrenia/en/。  new window
 
 
 
 
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