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題名:以家庭為重心影響老年慢性病患照顧相關因素之探討
書刊名:榮總護理
作者:史曉寧黃愛娟
出版日期:1994
卷期:11:4
頁次:頁426-437
主題關鍵詞:家庭老年人社會支持家庭功能和適應行為FamilyElderlySocial supportFamily functionCoping behavior
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     本研究的目的是探討以家庭為重心影響老年慢性病患之照顧相關因素,進而尋出社 會醫療因應措施。研究者運用半結構式訪談指引的方式收集資料。研究之個案是社區老年慢 性病患,然後於訪談期間將個案所表達的語言和非語言行為,寫成敘述體的行為過程記錄, 總共有17位。再以內容分析法將老年人和子女的孝道觀、社會支持、個案對被照顧事件和慢 性病之認知評鑑、老年人因應行為、和家庭功能加以系統性分析、歸類、並數碼化及計算分 數,運用描述性統計來分析彼此間之相關性。 研究結果發現,老年人的適應行為,分為趨向性適應行為和逃避性適應行為兩種,兩者 有顯著的負相關。同時老年人趨向性適應行為和家庭功能呈顯著正相關,逃避性適應行為和 家庭功能呈顯著負相關。至於老年人的社會支持分為社區支持和家庭支持兩大類。家庭支持 和家庭功能有顯著正相關,但社區支持和家庭功能則無顯著正相關。另外老年人適應行為和 社會支持之間的相關性,家庭支持和個案趨向性適應行為有顯著正相關,至於社區支持和個 案趨向性行為未達顯著正相關。最後研究發現個案對慢性病和被照顧事件之認知評鑑為順受 者之家庭功能較逆受者為高。而順受者個案與子女孝道價值觀一致,而逆受者則否。
     Our research studies the factors related to the elderly who have chronic diseases at home. In advance, we can find good ways to care for the elderly. The researchers as public health nurses interview the elderly by semistructured questionnaire. We use content analysis to category and code the elderly's social support, their perception of caregiving and chronic disease, their coping behavior, family function, and the elders' and their children's bilial duties. Also, in our research, we used SPSS soft ware. The result inaicated that the elder's' approach coping behavior with a negative significant relationship to avoidance coping behavior. The elder's coping behavior has a positive significant relationship with the elder's family function, but, the elders' avoidance coping behavior has a significant negative relationship with the elders' family function. In social support, we have two categories: the family and the community. The family's support has significant affect on the elder's family function. But, the community support has a non-significant affect on the family function. Furthermore, the elder's coping behavior has a significant relationship with the faily support. Then, the elder's coping behavior has a non-significant relationship with community support. Finally, the acceptant case of the perception of caregiving and chronic disease has a higher family function score than the ambivalent case. The acceptant case's value of bilial duties is consistent with his/her children value, but the ambivalent case's value of bilial duties is not consistent with his/her children value.
 
 
 
 
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