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題名:喘息服務方案對家庭照顧者之效益
書刊名:護理暨健康照護研究
作者:陳芬婷邱啟潤 引用關係
作者(外文):Chen, FentingChiou, Chii-jun
出版日期:2015
卷期:11:1
頁次:頁53-63
主題關鍵詞:家庭照顧者喘息服務效益滿意度Family caregiverRespite careBenefitsSatisfaction
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(7) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:63
  • 點閱點閱:47
背景:家庭照顧者在長期照護領域中扮演著重要的角色,喘息服務是支撐照顧者的重要措施之一。目的:探討家庭照顧者使用喘息服務的效益。方法:採橫斷性問卷調查研究,利用家庭照顧者效益量表及使用滿意度量表,收集南部某縣市用過喘息服務的150位家庭照顧者的資料。結果:家庭照顧者對喘息服務的滿意度方面,居家喘息(得分指標為78.21)及機構喘息(得分指標為75.63),兩者間沒有顯著差異;使用「居家式喘息服務」之家庭照顧者,所感受到的滿意度依序為:可接受性、負擔性、適度性、可近性及可用性;「機構式喘息服務」之家庭照顧者的滿意度高低排序為:可接受性和適度性一樣、可近性、可用性、負擔性。但機構式喘息服務在可負擔性層面之滿意度較居家喘息低(t=2.235, p=.027)。喘息對家庭照顧者的效益指標分數為66.17,「時間效益」為75.60,「照顧生活品質效益」為63.91,前者顯著高於後者(t=-11.516, p < .001)。結論/實務應用:喘息服務對家庭照顧者確實是有效益的。喘息服務在家庭照顧者效益部分,時間效益高於照顧生活品質效益,且居家式與機構式喘息服務的滿意度得分指標都在75以上。未來應增加喘息服務的補助經費,以落實家庭照顧者規律使用週休一日的喘息;並發展多元化的喘息服務型態或時段,更符合以家庭照顧者需求為中心的彈性化服務。
Background: Family caregivers play a key role in long‐term care. Respite care is an important strategy that supports these caregivers. Objective: This study explores the benefits to family caregivers of respite care. Method: A cross‐sectional survey was conducted. This study used the Scale of Benefits for Family Caregivers and the Service Satisfaction Scale to collect data from 150 family caregivers living in a city in southern Taiwan who had previously accessed respite care. Results: The analysis of participant satisfaction with respite care found no significant difference between hometype care (satisfaction index score=78.21) and institutional‐type care (satisfaction index score=75.63). Participants who had accessed home‐type care expressed their greatest satisfaction with the "acceptability" of this care type, followed by "affordability," "accommodation," "accessibility," and "availability". Participants who had accessed institutional‐type care expressed their greatest satisfaction with "acceptability" and "accommodation" (equal scores), followed by "accessibility," "availability," and "affordability". The lowest overall level of satisfaction was assigned to "affordability" by participants in the institutional‐type care category (t=2.235, p=.027). The benefit index score for respite care was 66.17, the "time benefit" index score was 75.60, and the "living quality benefit" index score was 63.91. The former is significantly higher than the latter (t=‐11.516, p < .001). Conclusions / Implications: This study confirms the significant benefit to family caregivers of respite care and supports that the time benefit of this care is greater than the living‐quality benefit. The satisfaction indexes for both participant categories exceeded 75. Results support that the relevant administrative authorities should allocate greater funding to support respite care services in order to allow family caregivers to regularly take one day off each week. Furthermore, diversified options and service hours for respite care should be offered in order to provide greater access flexibility for caregivers and to make respite care increasingly demand‐driven.
期刊論文
1.楊明理(2011)。淺談賦能概念在喘息服務之應用。臺灣心理諮詢季刊,3(1),16-28。  延伸查詢new window
2.陳翠芳、黃璉華(20100300)。Caregiver Efficacy and Efficacy Determinants for Elderly Care Recipients Who Accept Home Respite Care in Taiwan。The Journal of Nursing Research,18(1),18-25。new window  new window
3.Evans, D.(2013)。Exploring the concept of respite。Journal of Advanced Nursing,69(8),1905-1915。  new window
4.Lopez-Hartmann, M.、Wens, J.、Verhoeven, V.、Remmen, R.(2012)。The effect of caregiver support interventions for informal caregivers of community-dwelling frail elderly: A systematic review。International Journal of Integrated Care,12,1-16。  new window
5.Mason, A.、Weatherly, H.、Spilsbury, K.、Arksey, H.、Golder, S.、Adamson, J.、Glendinning, C.(2007)。A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers。Health Technology Assessment,11(15),1-157。  new window
6.Shaw, C.、McNamara, R.、Abrams, K.、Cannings-John, R.、Hood, K.、Longo, M.、Williams, K.(2009)。Systematic review of respite care in the frail elderly。Health Techonology Assessment,13(20),10-3310。  new window
7.Stockwell-Smith, G.、Kellett, U.、Moyle, W.(2010)。Why carers of frail older people are not using available respite services: An Australian study。Journal of Clinical Nursing,19(13/14),2057-2064。  new window
8.陳美妙、陳品玲、陳靜敏、徐亞瑛(20050600)。機構式喘息服務對失能老人主要照顧者負荷之影響。長庚護理,16(2)=50,152-166。new window  延伸查詢new window
9.黃秀梨、張媚、余玉眉(20060400)。我國機構式喘息服務政策之分析與建言。護理雜誌,53(2),59-66。new window  延伸查詢new window
10.黃秀梨、李逸、徐亞瑛、張媚、翁麗雀(20070300)。影響北臺灣家庭照顧者喘息服務利用的因素:前趨性研究。長期照護雜誌,11(1),51-65。  延伸查詢new window
11.林淑錦、白明奇(20061200)。失智症病患主要照顧者的壓力--以家庭生態觀點論之。長期照護雜誌,10(4),412-425。  延伸查詢new window
12.黃秀梨、陳月枝、熊秉荃(20060200)。從社會批判理論角度看臺灣的喘息服務。護理雜誌,53(1),72-79。new window  延伸查詢new window
13.邱啟潤、陳武宗(19971200)。誰來關懷照顧者?。護理雜誌,44(6),25-30。new window  延伸查詢new window
14.黃秀梨、李逸(20020800)。談喘息服務常見的使用障礙與因應策略。護理雜誌,49(4),92-96。new window  延伸查詢new window
15.鄭秀容、曾月霞(20081200)。居家失智老人家屬照顧者照顧需求及需求被滿足情形之研究。榮總護理,25(4),386-392。new window  延伸查詢new window
16.邱啟潤、許淑敏、吳淑如(20030100)。居家照護病患之主要照顧者綜合性需求調查。醫護科技學刊,5(1),12-25。new window  延伸查詢new window
研究報告
1.莊坤洋、吳淑瓊(2000)。台北市喘息服務模式之現況評估與發展研究 (計畫編號:DOH89-TD-1196)。台北:行政院衛生署。  延伸查詢new window
2.吳淑瓊、王正、呂寶靜、莊坤洋、張媚、戴玉慈、曹愛蘭、陳正芬(2003)。建構長期照護體系先導計畫. 第三年計畫。臺北:內政部。  延伸查詢new window
3.陳靜敏、吳淑瓊、呂寶靜、莊坤洋、執行機構:臺北醫學大學(2001)。我國長期照護服務之評估研究 (計畫編號:MOI-DSA-089-009)。  延伸查詢new window
學位論文
1.陳翠芳(2001)。居家式暫托服務老人其主要照顧者正面效益及相關因素之探討(碩士論文)。國立臺灣大學,台北市。  延伸查詢new window
圖書
1.內政部社會司(2007)。我國長期照顧十年計畫--大溫暖社會福利套案之旗艦計畫。台北:內政部社會司。  延伸查詢new window
2.Lund, D. A.、Wright, S. D.、Caserta, M. S.、Utz, R. L.(2006)。Respite services: Enhancing the quality of daily life for caregivers and care receivers。Salt Lake City, UT:Center on Aging, The University of Utah。  new window
3.Sarafmo, E. P.(2008)。Health Psychology: Biopsychosocial Interactions。New York:John Wiley & Sons, Inc.。  new window
其他
1.家庭照顧者關懷聯盟(20140301)。支持60萬家庭照顧者讓愛喘口氣,http://www.enable.org.tw/magz/detail.php?id=23。  延伸查詢new window
 
 
 
 
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