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題名：長期照護中主要照顧者之家庭功能、社會支持與情緒
書刊名：護理研究
作者：林麗嬋／歐美／吳肖琪
作者(外文)：Lin, Li-chan／Ou, Meei／Wu, Shiao-chi
出版日期：1997
卷期：5:1
頁次：頁77-87
主題關鍵詞：主要照顧者；家庭功能；社會支持；情緒；Caregiver；Family function；Social support；Emotion
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(20) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:20
  • 共同引用共同引用:105
  • 點閱點閱:151
　　　　　本研究目的在：(1) 比較不同照護模式中主要照顧者家庭功能、社會支持與正、負向情緒之感受。(2)探討主要照顧者家庭功能、社會支持與正、負向情緒之關係。本研究共分為預試與主要施測兩階段。第一階段30名研究對象被用來檢定研究工具之信度。第二階段87名研究對象來自：(1)參與衛生署實驗計劃方案之護理之家、日間照護中心及醫院附設之居家照護單位中年滿65歲以上老人的家庭主要照顧者。(2)能聽懂國語或臺語。(3)可以進行語言溝通。所收集之資料以描述性分析、ANOVA及Pearson相關分析。研究結果顯示：不同照顧模式中的家庭主要照顧者其家庭功能與社會支持感受無統計上的顯著差異（F(��,�l)=.25,F (��,�l)=.33,P >.05）。居家照護和護理之家的家庭主要照顧者的正向情緒得分顯著高於日間照護（F(��,�l)=3.43,p<.05）。但在負向情緒方面則未達統計的顯著差異（F(��,�l)=3.09,p=.05）。至於各研究變項的關係，家庭功能與社會支持感受的相關為.52（p<.05），社會支持感受與正向情緒的相關為.20（p<.05），正向情緒與負向情緒的相關為.-28（p<.05），上述結果顯示有顯著相關。未來建議鼓勵社區喘息照顧的設置以及成立社區式養護機構，以便家屬能隨時探望。
　　　　　The purposes of this research were:(1) to compare the difference of family function, social support, positive affect and negative affect in family caregivers. (2) to investigate the relationships among family function, social support, positive affect and negative affect in family caregivers. The research consisted two Stages, a pilot and a planned major study. In stage one, 30 family caregivers were used to test the reliability of instruments used. In stage two, 87 family caregivers were from family caregivers of older people who met the following three requirements (1) to be 65 years old or older and to reside in a nursing home, to attend a day care program or receive home care; (2) to be able to understand the Mandarin or Taiwanese language; (3) to be capable of verbal communication. There was no significant difference of family function and social support among different long-term care models （F(��,�l)=.25,F(��,�l)=.33,p>.05）. Home care and nursing home had significantly higher score on positive affect than that in daycare （F(��,�l)=.3.43, p<.05）.However, there was no significant difference of negative affects among different long-term care models （F(��,�l)=3.09, p=.05）. The significant correlation between family funciton with social support was .52(p<.05),social support with positive affect was.20 (p<.05) , positive with negative affect was-.28(p<.05).Recommendations deived from this study include to provide respite care for caregivers and establish community-based institution for the elderly.
期刊論文
1.Phillips, L. R.(1989)。Elder-family caregiver relationships: Determining appropriate nursing intervention。Nursing Clinics of North America，24(3)，795-807。  new window
2.Gaynor, S.(1989)。When the caregiver becomes the patient。Geriatric Nursing，10(3)，121-123。  new window
3.Zarit, S. H.、Todd, P. A.、Zarit, J. M.(1986)。Subjective Burden of Husbands and Wives as Caregivers: A Longitudinal Study。The Gerontologist，26(3)，260-266。  new window
4.Kievman, B.、Blackman, S.(1989)。Handling change: The family caregiver's perspective。Caring，8(12)，4-8。  new window
5.Penning, M. J.(1995)。Cognitive impairment, caregiver burden, and the utilization of home health services。Journal of Aging and Health，7(2)，233-253。  new window
6.Davidhizar, R.(1992)。Understanding powerlessness in family member caregivers of the chronically ill。Geriatric Nursing，13(2)，66-69。  new window
7.Fitting, M.、Rabins, R.、Lucas, M. J.、Eastham, J.(1986)。Caregivers for dementia patients: A comparison of husbands and wives。The Gerontologist，26(3)，248-252。  new window
8.林麗嬋、歐美(19960900)。比較不同長期照護模式老人之士氣。護理研究，4(3)，243-253。new window  延伸查詢new window
9.蕭蔚(19910900)。老人居家照護的需求分析。社區發展季刊，55，64-73。new window  延伸查詢new window
10.Clemenrs, S. D.(1982)。Today I place my father...。Geriatric Nursing，13(6)，303-304。  new window
11.Coward, R. T.、Cuder, S. J.(1989)。Informal and formal health care systems for the rural elderly。Health Services Research，23(6)，785-806。  new window
12.Ferris, M.(1992)。Nursing Interventions for families of nursing--home residents。Geriatric Nursing，13(1)，37-38。  new window
13.Gilhooly, M. L. M.(1984)。The impact of care--giving on care--givers: Factors associated with the psychological well--being of people supporting a dementing relative in the community。British Journal of Medical Psychology，57，35-44。  new window
14.Goodman, C. C.(1991)。Perceived social support for caregiving: Measuring the benefit of self--help/support group participation。Journal of Gerontological Social Work，16(3/4)，163-175。  new window
15.Greenberg, J. R.、Monson, T.、Gesino, J.(1993)。Development of university of Wisconsin family assessment caregiver scale (UWFACS): A new measure to assess families caring for a frail elderly member。Journal of Gerontological Social Work，19(3/4)，49-68。  new window
16.King, S.、Collins, C.、Given, B.、Vredevoogd, J.(1991)。Institutionalization of an elderly family member: Reactions of spouse and nonspouse caregivers。Archives of Psychiatric Nursing，5(6)，323-330。  new window
17.Paveza, G. J.、Cohen, D.、Eisdorfer, C.、Freels, S.、Semla, T.、Ashford, J. W.、Gorelick, P.、Hirschman, R.、Luchins, D.、Levy, P.(1992)。Severe family violence and Alzheimer's disease: Prevalence and risk factors。The Gerontologist，32(4)，493-497。  new window
18.Schirm, V.(1990)。Shared caregiving responsibilities for chronically ill elders。Holistic Nursing Practice，5(1)，54-61。  new window
19.邱啟潤、呂淑宜、許玉雲(19880100)。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
20.吳聖良、胡杏佳、姚克明(19911000)。臺灣地區居家照護老人主要照顧者負荷情況及其需求之調查研究。公共衛生，18(3)，237-248。  延伸查詢new window
21.Watson, David、Clark, Lee Anna、Tellegen, Auke(1988)。Development and Validation of Brief Measures of Positive and Negative Affect: The PANAS Scales。Journal of Personality and Social Psychology，54(6)，1063-1070。  new window
22.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
23.徐亞瑛(19920900)。都市型及鄉村型社區中居家殘病老人照顧者之負荷及相關影響因素。護理雜誌，39(3)，99-106。new window  延伸查詢new window
圖書
1.Benner, P. A.、Wrubel, J.(1989)。The primacy of caring: Stress and coping in health and illness。Menlo Park, CA：Addision-Wesley。  new window
2.Matassarin-Jacobs, E.、Black, J. M.(1993)。Medical-surgical nursing。Philadelphia：W. B. Saunders。  new window
3.McDaniel, S.、Campbell, T. L.、Seaburn, D. B.(1990)。Family--oriented primary care。New York：Springer-Verlog。  new window
單篇論文
1.Lin, L. C.(1993)。The development of Taiwanese Elderly Stressor Inventory，University of Minnesota。  new window
 
 
 
 
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