本研究目的在探討主要照顧者經教育訓練後參與重度慢性病患照顧方式及對照顧 品質之影響。研究對象為某醫中心重度慢性病患及其主要照顧者。本研究採類實驗性研究法 後測設計，經立意取樣選取慢性病房 30 位病患，其主要照顧者施與教育訓練，為實驗組， 另選取急性病房中與慢性病房，病患性質相同之病患 30 位及其主要照顧者為對照組，以問 卷為測量工具，以 SAS 程式進行分析。 研究結果發現：重度慢性病患主要照顧者以病患服 務員居多 (90%)，主要照顧者經過裀識與技術教育訓練後，參與護理人員照顧重度慢性病患 之照顧方式，其照顧品質顯示優於沒有接受教育訓練者。研究所得結果，可以提供相關單位 ，在臨床上推廣運用，使重度慢性病患得到妥善之照顧。

　　　　　The purpose of this study is to explore the method of caring chronic patients and the effect on caring quality from primary caregivers who have been educationally trained. The objectives of the study are for chronic patients and primary caregivers in Medical Center. The study design applies retrospective method. The experimental group contains 30 patients from chronic ward and their educated primary caregivers. The control group selects 30 patients from acute ward and their conditions are similar to those from chronic ward. The questionnaires are collected by direct interview. The trained interviewers really observe situation of care by nurse staffs and caregivers, then fill up the Quality of Care Questionnaires. The results of this study show that 90 percent of primary caregivers are nurse-aides. After primary caregivers accept training from nurse staffs, it is obviously that the quality of care by trained caregivers is better than untrained ones. The research results give us a way in clinical nursing to care those patient better.