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題名：Caregiver Burden: Structural Equation Modeling
書刊名：護理研究
作者：周桂如
作者(外文)：Chou, Kuei-ru
出版日期：1998
卷期：6:5
頁次：頁358-371
主題關鍵詞：負荷；失智老人；結構公式模式；Burden；Elders with dementia；Structural equation modeling
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
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  • 點閱點閱:43
　　　　　家屬在照顧失智老人的負荷問題在臺灣越來越嚴重，故瞭解影響照顧者負荷之導 因及其相互之間的關係乃愈顯得重要，本研究目的即在測試一照顧者負荷之理論，希望藉此 能瞭解照顧者的需求、義務感、照顧之自我實現能力、調適方法以及照顧之參與程度對照顧 者負荷之影響。這是一橫斷切面式研究，從三所醫院之門診收集符合條件之收案對象，在個 案家中以結構式問卷進行訪談。所收集到之樣本資料並不符合原來之理論模式，在經過些微 的修正後呈現適合之照顧者負荷之理論模式，其 X �揚�與自由度之比為 2.1； 良好適合度 指標為.89；相較適合度指標為.93。研究結果呈現：「照顧者的需求」及「照顧者的義務感 」直接正向的影響到照顧者的參與度；「照顧者的參與度」及「以情緒調節為主的調適方法 」直接正向的影響到照顧者的負荷；「照顧者之義務感」、「自我實現能力」及「以問題為 主之調適方法」對照顧者負荷有直接反向之影響。研究中七項假說中有六項被支持，使我們 更清楚地瞭解在臺灣影響照顧者負荷之導因，進一步藉由融合中外相關研究文獻，來拓展我們 對照顧者負荷此一概念之認識。 lvement. Caregiving involvement and emotion-focused coping had direct positive effects on caregiving burden. Filial obligation, caregiving self-efficacy, and problem-focused coping had direct negative effects on caregiving burden. Six of the seven original hypothesized structural relationships were confirmed in the final model. The Burden Model tested in this study corroborates findings from other burden studies and extends our knowledge of caregiver burden. Filial obligation, self-efficacy, demands of care, involvement in care, and coping were shown to predict burden in this sample of Taiwanese caregivers.
期刊論文
1.Biegel, D. E.、Milligan, E.、Putnam, P. L.、Song, L.(1994)。Predictors of burden among lower socioeconomic status caregivers of persons with chronic mental illness。Community Mental Health Journal，30(5)，473-494。  new window
2.Novak, M.、Guest, C.(1989)。Application of a multidimensional caregiver burden inventory。Gerontologist，29(6)，798-803。  new window
3.Teri, L.、Truax, P.、Logsdon, R.、Uomoto, J.、Zarit, S.、Vitaliano, P. P.(1992)。Assessment of behavioral problems in dementia: The revised memory and behavior problems checklist。Psychological Aging，7(4)，622-631。  new window
4.Beckham, J. C.、Burker, E. J.、Rice, J. R.、Talton, S. L.(1995)。Patient predictors of caregiver burden, optimism, and pessimism in Rheumatoid Arthritis。Behavioral Medicine，20，171-178。  new window
5.Cicirelli, V. G.(1993)。Attachment and obligation as daughters' motives for caregiving behavior and subsequent effect on subjecuve burden。Psychology and Aging，8(2)，144-155。  new window
6.Choi, H.(1993)。Cultural and non-cultural factors as determinanrs of caregiver burden for the impaired elderly in South Korea。The Gerontologist，33(1)，8-15。  new window
7.Chakrabarti, S.、Kulhara, R.、Verma, S. K.(1992)。Extent and determinants of burden among families of patients with affective disorders。Acta Psychiatric Scant，86，247-252。  new window
8.Evans, R. L.、Bishop, D. S.、Ousley, R. T.(1992)。Providing care to persons with physical disability Effect on family caregivers。American Journal of Physical Medicine & Rehabilitation，71(3)，140-144。  new window
9.Lawton, M. P.、Brody, E. M.(1969)。Assessment of older people: Self-maintenance instrumental activities of daily living。The Gerontologist，9，179-186。  new window
10.Lawton, M. P.(1988)。Scales to measure competence in everyday activities。Psychopharmacology Bulletin，24，609-614。  new window
11.Kramer, B. J.、Kipnis, S.(1995)。Elder care and work-role conflict: Toward an understanding of gender differences in caregiver burden。The Gerontologist，35(3)，340-348。  new window
12.Kosberg, J. I.、Cairl, R. E.(1986)。The cost of care index: A case management tool for screening informal care providers。The Gerontologist，26(3)，273-278。  new window
13.Martinson, I. M.、Davis, A. J.、Liu, Chiang C.、Yi, Hua L.、Qiao, J.、Gan, M.(1995)。Chinese mothers' reactions to their child's chronic illness。Health Care for Women International，16，365-375。  new window
14.LoGiudice, D.、Waltrowicz, W.、McKenzie, S.、Ames, D.、Flicker, L.(1995)。Prevalence of dementia among patients referred to an aged care assessment team and associated stress in their carers。Australian Journal of Public Health，19(3)，275-279。  new window
15.Lin, M.(1988)。Caregiver burden: An exploratory study。Journal of Nursing，32(2)，45-55。  new window
16.Levine, N. B.、Dastoor, D. P.、Gendron, C. E.(1983)。Coping with dementia: A pilot study。Journal of the American Geriatrics Society，31(1)，12-18。  new window
17.Smith, G. C.、Tobin, S. S.、Fullmer, E. M.(1995)。Elderly mothers caring at home for offspring with mental retardation: A model of permanency planning。American Journal of Mental Retardation，99(5)，487-499。  new window
18.Silverstone, B.(1978)。An overview of research on informal social supports; Implications for policy and practice。Aged Care and Services Review，1(2)，23-35。  new window
19.Pearson, J.、Verma, S.、Nellett, C.(1988)。Elderly psychiatric patient status and caregiver perceptions as predictors of caregiver-burden。The Gerontologist，28(1)，79-83。  new window
20.Vitaliano, P. P.、Russo, J.、Young, H. M.、Teri, L.、Maiuro, R. D.(1991)。Predictors of burden in spouse caregivers of individuals with Alzheimer's disease。Psychology and Aging，6(3)，392-402。  new window
21.Bandura, Albert(1977)。Self-efficacy: Toward a unifying theory of behavioral change。Psychological Review，84(2)，191-215。  new window
22.Folstein, Marshal F.、Folstein, Susan E.、McHugh, Paul R.(1975)。"Mini-mental state": A practical method for grading the cognitive state of patients for the clinician。Journal of Psychiatric Research，12(3)，189-198。  new window
學位論文
1.Allen, G. J.(1993)。Radical variations in caregiver stress and burden among informal caregivers of impaired elderly persons(博士論文)。University of Florida。  new window
2.Denny, J. E.(1992)。Development and validation of the caregiving self-efficacy scale(學士論文)。University of Missouri，Columbia。  new window
3.Gallant, M. P.(1995)。The stress process among dementia spouse caregivers: The effects of burden, appraised control, support, and depression on caregiver health behaviors(博士論文)。The University of Michigan。  new window
4.England, M. C.(1990)。Test of a model for caregiver strain(博士論文)。Case Western Reserve University。  new window
5.Ignatius, P.(1987)。An analysis of relationships among interdependence in family caregivers and the elderly, carcgiver burden, and adaption of the home bound frail elderly(博士論文)。The Catholic University of America。  new window
6.Provencher, H. L.(1993)。The relationship of the perceived severity of behavioral disturbance and responsibility for behavioral disturbance to burden among primary caregivers of persons with schizophrenia(博士論文)。University of Pennsylvania。  new window
7.Tang, L. Y.(1991)。An exploratory study of burden and related factors on caring for demented elders(博士論文)。Taiwan University。  new window
圖書
1.Folkmant, S.、Lazarus, R. S.(1988)。Manual for the ways of coping questionnaire。Palo Alto, CA：Consulting Psychologist Press。  new window
2.Bollen, K. A.(1989)。Structural Equations with Latent Variables。New York：John Wiley & Sons。  new window
3.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
圖書論文
1.Brody, E. M.(1989)。The family at risk。Alzheimer's disease treatment and family stress: Directions for research。Maryland：U. S. Department of Health and Human Services. National Institute of Mental Health。  new window
 
 
 
 
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