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題名：失能老人家庭尋找平衡點的照顧過程及相關因素探討
書刊名：護理研究
作者：王玉女／徐亞瑛／姚開屏 引用關係／吳淑瓊
作者(外文)：Wang, Yu-nu／Shyu, Yea-ing／Yao, Kai-ping／Wu, Shwu-chong
出版日期：1998
卷期：6:6
頁次：頁489-500
主題關鍵詞：失能老人；家庭照顧過程；尋找平衡點；互相競爭需求；Frail elder；Family caregiving process；Finding a balance point；Competing needs
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(3) 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:3
  • 共同引用共同引用:15
  • 點閱點閱:78
　　　　　本研究之目的旨在探討失能老人家庭「尋找平衡點」的照顧過程及相關因素。採 立意取樣方式，以具可接受信、效度之結構性問卷訪談失能老人及其家庭主要照顧者，共得 有效問卷 97 份。結果顯示：失能老人家庭照顧者在照顧過程中將面臨許多互相競爭需求， 如「要適應病人的時間，但同時也要考慮自己的時間」等。大多數照顧者在面臨互相競爭需 求時均能夠事先「察覺互相競爭需求的存生」，且常採用的權衡輕重方式為「原則導向權術 」或「模擬式權衡」。照顧者常用之尋找平衡點策略包括「活動時間表安排」、「照顧小組 徵召」、「照顧小組經營」、「照顧技巧創新」、「治療處理」、「自我照顧」及「行為情 緒處理」。經由階級迴歸分析，「照顧時間」、「照顧工作有人輪替」、「照顧資源」及「 照顧者的自我要求」等自變項對「尋找平衡點：需求兼顧程度」之解釋量為 30.9 ％。研究 結果可供居家護理人員以不同的角度看失能老人家庭照顧過程，且從多方面考量造成照顧者 在照顧過程中無法找到平衡點的原因。研究限制包括立意取樣，結果無法推論所有失能老人 家庭照顧過程，及橫斷性研究，缺乏長期變化資料。
　　　　　The purpose of this study was to investigate the process of family caregiving to frail elders, "Finding a Balance Point", and to explore related factors. Ninety-seven frail elders and their primary caregivers each received a single contact interview. Statistical analysis of results obtained demonstrated the reliability and validity of measures used in data collection. Findings revealed that in the caregiving process caregivers faced many competing needs. Most of the caregivers were able to recognize competing needs in advance and used "principle weighing" or "simulation weighing" to set their priorities. Balancing strategies frequently used by caregivers were "altering the schedule/activity", "recruiting and additional member to the work team", "running the work team", "innovating care tasks", "managing treatment", "engaging self-care activities" and "managing behavior/emotion problems". Results indicated that caregivers with long periods of caregiving, other caregivers to take turns, good caregiving resources, and realistic caregiving principles were more able to find a balance point between competing needs. The variance of "finding a balance point" explained by these variables was 30.9%. Based on these findings, home care nurses will be able to develop appropriate nursing interventions to facilitate the caregivers to find a balance point more easily. Measures developed in this study may also be used in clinical assessment by home care nurses. The factors limiting the scope of this study could be overcome in future studies by utilizing random sampling and more longitudinal approaches to data collection and analysis.
期刊論文
1.Stoller, E. P.、Pugliesi, K. L.(1989)。Other Roles of Caregivers: Competing Responsibilities or Supportive Resources。Journal of Gerontology: Social Sciences，44(6)，S231-S238。  new window
2.Phillips, L. R.、Rempusheski, V. F.(1986)。Caring for the frail elderly at home: Toward a theoretical explanation of the dynamics of poor quality family caregiving。Advances in Nursing Sciences，8(4)，62-84。  new window
3.Matthews, S. H.、Rosner, T. T.(1988)。Shared filial responsibility: The family as the primary caregiver。Journal of Marriage and the Family，50，185-195。  new window
4.Stone, R. I.、Short, P. F.(1990)。The Competing Demands of Employment and Informal Caregiving to Disabled Elders。Medical care，28(6)，513-526。  new window
5.Stone, R.、Cafferata, G. L.、Sangl, J.(1987)。Caregivers of the frail elderly: A national profile。The Gerontologist，27(5)，616-626。  new window
6.Goldstein, V.、Regenry. G.、Wellin, E.(1981)。Caretaker role fatique。Nursing Outlook，29(1)，24-30。  new window
7.Cartwright, J. C.、Archbold, P. G.、Stewart, B. J.、Limandri, B.(1994)。Enrichment processes in family caregiving to frail elders。Advances in Nursing Science，17(1)，31-43。  new window
8.Given, B.、Stommel, M.、Collins, C.、King, S. S.、Given, C. W.(1990)。Responses of elderly spouse caregivers。Research In Nursing & Health，13(2)，77-85。  new window
9.徐亞瑛(19960900)。茁根理論之介紹--以「臺灣地區殘病老人家庭照護品質」研究為例。護理研究，4(3)，263-272。new window  延伸查詢new window
10.Bartko, J. J.(1966)。The intra-class correlation coefficient as a measure of reliability。Psychological Reports，19(1)，3-11。  new window
11.Krach, P.、Brooks, J. A.(1995)。Identifying the responsibilities & Needs of working adults who are primary caregivers。Journal of Gerontological Nursing，21(1)，41-50。  new window
12.Hasselkus, B. R.(1989)。The meaning of daily activity in family caregiving for the elderly。The American Journal of Occupational Therapy，43(10)，649-659。  new window
13.Greenland, S.(1994)。Hierarchical regression for epidemiologic analyses of multiple exposures。Environmental Health Perspectives，102(Suppl.8)，33-39。  new window
14.Shaw, M. C.、Halliday, P. H.(1992)。The family, crisis and chronic illness: An evolutionary model。Journal of Advanced Nursing，17，537-543。  new window
15.Strahan, R.、Gerbasi, K. C.(1972)。Short, homogeneous versions of the Marlow-Crowne social desirability scale。Journal of Clinical Psychology，28(2)，191-193。  new window
16.徐亞瑛、葉炳強、陳榮基(1996)。北台灣老年期癡呆症患者的居家照顧者照顧經驗。高雄醫學科學雜誌，12(1)，50-61。  延伸查詢new window
17.Beach, D. L.(1993)。Gerontological caregiving: Analysis of family experience。Journal of Gerontological Nursing，19(12)，35-41。  new window
18.Lynn, M. R.(1986)。Determination and quantification of content validity。Nursing Research，35(6)，382-385。  new window
研究報告
1.徐亞瑛、許木柱(1995)。台灣地區殘病老人家庭照顧品質之探討。  延伸查詢new window
2.行政院主計處(1994)。中華民國台灣地區社會指標統計：民國八十二年。台北：行政院主計處。  延伸查詢new window
3.陳月枝、戴玉慈、楊清姿、王祖琪、鄭雅心(1995)。長期照護服務對象功能評估表彙編。  延伸查詢new window
圖書
1.行政院主計處、內政部(1994)。中華民國台灣地區老人狀況調查報告。台北：行政院主計處：內政部。  延伸查詢new window
2.張紹勳、林秀娟(1996)。SPSS for Windows統計分析--初等統計與髙等統計。台北：松岡。  延伸查詢new window
 
 
 
 
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