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題名：居家服務使用對老人家庭照顧者照顧負荷之緩衝性影響研究
書刊名：社會政策與社會工作學刊
作者：黃志忠 引用關係
作者(外文)：Huang, Chih-chung
出版日期：2014
卷期：18:1
頁次：頁1-43
主題關鍵詞：居家服務；家庭照顧者；照顧負荷；調節效果；長期照顧服務；Home care services；Family caregivers；Caregiving burden；Moderating variables；Long-term care
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  • 被引用次數被引用次數:期刊(6) 博士論文(2) 專書(0) 專書論文(0)
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背景與目的：本研究參考壓力過程模式架構來檢視社區內失能老人所使用的正式照顧服務，對家庭照顧者的照顧負面效應是否產生緩衝性影響。此一模式將正式照顧服務定義為一種正式社會支持的形式，藉以降低因照顧各種失能程度被照顧者所產生的照顧壓力與負荷。研究方法：本研究對家以中部某縣市接受居家服務之家庭照顧者為抽樣對象，經分層隨機抽樣，共計300人參與本研究；資料蒐集方法為問卷訪談，研究架構則以階層迴歸模式分析之。研究結果：被照顧者所使用的居家服務對於其干擾行為所造成的照顧負荷有降低的效果；此外，本研究也發現居家服務能有效緩衝家庭照顧者的照顧負面效應，在解釋家庭照顧者的照顧負荷具顯著性的預測效果與調節效果。研究結論：本研究資料顯示，以壓力過程模式檢視失能老人所使用的正式照顧服務對家庭照顧者的照顧負面效應產生緩衝性影響的確認，有著理論與實證資料的支持。本文也針對台灣長期照顧服務策略與方向之建議進行更進一步的討論。
Purpose: This investigation adopts the stress process conceptual framework to examine the moderating influence of formal services use by impaired elders on the negative consequences of caregiving for informal caregivers. The model is modified by defining formal services as a type of formal social support that can counteract the stress associated with various care recipient impairments. Methods: Using stratified random sampling, 300 caregivers receiving home care services were selected for the study. Data were compiled through self-administered questionnaires. Hierarchical regressions were used to test the hypothesized models. Results: The findings indicate home care service for care recipients can reduce the adverse effects of certain impairments on informal caregivers. Disruptive behaviors of the elders are significantly lowered. In addition, this study also confirms the moderating effects of formal services use by impaired elders on caregiving burden for informal caregivers. Conclusions: According to the results of this study, the application of a stress process conceptual perspective to identify the moderating effects of formal services use by impaired elders on the negative consequences of caregiving for informal caregivers are with theoretical and empirical data supported. Further discussions and suggestions on long-term care policies and strategies in Taiwan are provided.
期刊論文
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12.蕭佳莉、邱啟潤(20110600)。居家照護病患之主要照顧者正負向照顧經驗及其相關因素之探討。護理暨健康照護研究，7(2)，127-139。new window  延伸查詢new window
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18.Diwan, S.、Hougham, G. W.、Sachs, G. A.(2004)。Strain Experienced by Caregivers of Dementia Patients Receiving Palliative Care: Findings from the Palliative Excellence in Alzheimer Care Efforts (PEACE) Program。Journal ofPalliative Medicine，7(6)，797-807。  new window
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22.Jarrott, S. E.、Zarit, S. H.、Stephens, M. P.、Townsend, A.、Greene, R.(2005)。Instrumental Help and Caregivers' Distress: Effects of Change in Informal and Formal Help。American Journal of Alzheimer's Disease and Other Dementias，20(3)，181-190。  new window
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25.Lee, M.、Kolomer, S.(2007)。Design of an Assessment of Caregivers' Impulsive Feelings to Commit Elder Abuse。Research on Social Work Practice，17(6)，729-735。  new window
26.Miller, B.、Townsend, A.、Carpenter, E.、Montgomery, V. J.、Stull, D.、Young, R. F.(2001)。Social Support and Caregiver Distress: A Replication Analysis。Journal 01 Gerontology: Social Science，56(4)，249-256。  new window
27.Mockus-Parks, S.、Novielli, K. D.(2000)。A Practical Guide to Caring for Caregivers。American Family Physician，62(12)，2613-2620。  new window
28.Oktay, J. S.、Volland, P. J.(1990)。Post-Hospital Support Program for the Frail Elderly and Their Caregivers: A Quasi-Experimental Evaluation。American Journal of Public Health，80(1)，39-46。  new window
29.Orodenker, S. Z.(1990)。Family Caregiving in a Changing Society: The Effect of Employment on Caregiver Stress。Family and Community Health，12(4)，58-70。  new window
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31.Quinn, C.、Clare, L.、Woods, B.(2009)。The Impact of the Quality of Relationship on the Experiences and Well-Being of Caregivers of People with Dementia: A Systematic Review。Aging and Mental Health，13(2)，143-154。  new window
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36.Van Den Wijngaart, M. A. G.、Vernooij-dassen, M. J. F. J.、Felling, A. J. A.(2007)。The Influence of Stressors, Appraisal and Personal Conditions on the Burden of Spousal Caregivers of Persons with Dementia。Aging and Mental Health，11(6)，626-636。  new window
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39.Zarit, S. H.、Gaugler, K. E.、Jarrott, S. E.(1999)。Useful Services for Families: Research Findings and Directions。International Journal of Geriatric Psychiatry，14(3)，165-181。  new window
40.Anetzberger, G. J.(2000)。Caregiving: Primary Cause of Elder Abuse?。Generations，24(1)，46-51。  new window
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42.Lawton, M. P.、Kleban, M. H.、Moss, M.、Rovine, M.、Glicksman, A.(1989)。Measuring caregiving appraisal。Journal of Gerontology: Psychological Sciences，44(3)，61-71。  new window
43.MaloneBeach, E. E.、Zarit, S. H.、Spore, D. L.(1992)。Caregivers' Perceptions of Case Management and Community-Based Services: Barriers to Service Use。Journal of Applied Gerontology，11(2)，146-159。  new window
44.黃卓禕、李世代、張宏哲、江玲玲、李俊年(20080100)。居家呼吸器依賴病患與主要照顧者負荷之初探。呼吸治療雜誌，7(1)，1-14。  延伸查詢new window
45.Pearlin, L. I.、Mullan, J. T.、Semple, S. J.、Skaff, M. M.(1990)。Caregiving and the stress process: An overview of concepts and their measures。Gerontologist，30(5)，583-594。  new window
46.許淑敏、邱啟潤(20031000)。家庭照顧者的壓力源與因應行為--以一個支持團體為例。護理雜誌，50(5)，47-55。new window  延伸查詢new window
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48.邱啟潤、許淑敏、吳瓊滿(20021000)。主要照顧者負荷、壓力與因應之國內研究文獻回顧。醫護科技學刊，4(4)，273-290。new window  延伸查詢new window
49.陳正芬、吳淑瓊(20060600)。家庭照顧者對長期照護服務使用意願之探討。人口學刊，32，83-121。new window  延伸查詢new window
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51.邱啟潤(1988)。居家中風病人之主要照顧者負荷情形及相關因素之探討。護理雜誌，35(1)，69-83。new window  延伸查詢new window
52.湯麗玉(19920900)。痴呆症老人照顧者的負荷及其相關因素之探討。護理雜誌，39(3)，89-98。new window  延伸查詢new window
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會議論文
1.呂寶靜(2012)。臺灣日間照顧和居家服務之展望。臺灣因應、高齡社會來臨的政策研討會，臺灣社會工作專業人員協會主辦 。臺北：國立臺灣大學公共政策與法律研究中心。  延伸查詢new window
研究報告
1.黃志忠(2010)。南投縣居家服務品質評估研究。  延伸查詢new window
學位論文
1.盧盈妤(2011)。以案主為中心觀點探討居家服務照顧品質及其相關因素：以南投縣為例(碩士論文)。國立暨南國際大學，南投縣。  延伸查詢new window
2.沈若儀(2004)。居家服務使用與家庭照顧者負荷之關係探討(碩士論文)。臺灣大學。  延伸查詢new window
3.劉錦螢(2006)。失智症家庭照顧者相依關係與照顧活動之角色緊張的相關性探討(碩士論文)。長庚大學。  延伸查詢new window
4.林玉琴(2006)。居家服務使用服務滿意度評估研究--以嘉義基督教醫院為例(碩士論文)。國立中正大學。  延伸查詢new window
5.陳宜婷(2010)。失智老人家庭照顧者使用居家服務經驗之初探(碩士論文)。國立政治大學。  延伸查詢new window
6.莊謹鳳(2009)。家庭內老人心理虐待相關因素之探討--以中部地區居家服務老人為例(碩士論文)。國立暨南國際大學。  延伸查詢new window
7.蘇嫺敏(2009)。主要照顧者的照顧信念與照顧負荷相關研究--以台中市居家服務使用者為例(碩士論文)。國立暨南國際大學。  延伸查詢new window
圖書
1.Family Caregiver Alliance(2006)。Caregiver assessment: Voices and views from the field。San Francisco, CA：Family Caregiver Alliance。  new window
2.Kadushin, G.、Egan, M.(2008)。Gerontological home health care。New York, NY：Columbia University Press。  new window
3.呂寶靜(2012)。老人褔利服務。臺北：五南。  延伸查詢new window
4.World Health Organization(2002)。Lessons for Long-Term Cαre Policy. The Cross-Cluster lnitiative on Long-Term Care. WHO/NMH/CCL/02.1。World Health Organization：Geneva。  new window
5.Aneshensel, C.、Pearlin, L.、Mullan, J.、Zarit, S. H.、Whitlatch, C. J.(1995)。Profiles in caregiving: The unexpected career。New York, NY：Academic Press。  new window
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7.簡春安、鄒平儀(19980000)。社會工作研究法。臺北：巨流圖書。new window  延伸查詢new window
8.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, appraisal, and coping。Springer Publishing Company。  new window
9.呂寶靜(20010000)。老人照顧：老人、家庭、正式服務。臺北：五南。new window  延伸查詢new window
10.Steinmetz, S. K.(1988)。Duty Bound: Elder Abuse and Family Care。Newbury CA: Park：Sage Publication, Inc.。  new window
圖書論文
1.Zarit, S. H.、Edwards, A.(1996)。Family caregiving: Research and clinical intervention。Handbook of the clinical psychology of aging。Chichester, England：John Wiley and Sons。  new window
2.Noelker, L. S.、Bass, D. M.(1994)。Relationships Between the Frail Elderly's Informal and Formal Helpers。Family Caregiving Across the Lifespan。Thousand Oaks, CA：Sage Publications。  new window
3.Schulz, R.、Gallagher-Thompson, D.、Haley, W.、Czaja, S.(2000)。Understanding the Interventions Process: A Theoretical/Conceptual Framework for Intervention Approaches to Caregiving。Handbook on Dementia Cαregiving: Eνidence-Based Interνentionsfor Family Caregivers。New York：Springer。  new window
4.羅勝強、姜燕(2008)。調節變項與中介變項。組織與胃研究實證方法。臺北：華泰文化。  延伸查詢new window
 
 
 
 
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