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題名：影響居家癌病患者家庭照顧者需要因素之研究
書刊名：中華公共衛生雜誌
作者：陳惠津／李怡娟／吳肖琪
作者(外文)：Chen, Heuy-jin／Li, I-chuan／Wu, Shiao-chi
出版日期：1998
卷期：17:5
頁次：頁412-422
主題關鍵詞：居家照護；癌病；照顧者；需要；Home care；Cancer；Caregivers；Needs
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(5) 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:5
  • 共同引用共同引用:0
  • 點閱點閱:45
　　　　　為能瞭解癌病患者家庭照顧者之需要及其影響因素，本研究以台北二所區域以上之醫院癌症(腫瘤)治療中心，在民國85年4月29日至5月28日接受門診治療之癌病患者其家庭照顧者為對象，採結構式問卷面訪，共訪樣本115人。結果發現六項家屬照顧需要中，其重要性依次為資訊、協助照顧病人、靈性、心理、個人及家務處理。由複迴歸分析的結果發現患者教育程度愈高、照顧者本身年齡愈輕、照顧者有宗教信仰者，照顧者之總需要愈高。患者為放射線治療者、照顧者年齡愈輕、照顧者教育程度愈高、且有信仰者其對資訊的需要較高。家務處理需要與治療狀況、照顧者年齡及與 患者之關係有關。協助照顧病人需要方面與患者教育程度、癌病轉移情形、照顧者性別、年齡、與信仰有關。個人需要及心理需要，皆受照顧者年齡及信仰影響。在靈性需要方面則僅受照顧者是否有宗教信仰影響。建議未來醫療供給者能針對患者與家屬不同的特性，提供不同需要上的協助。
　　　　　The purpose of this study was to describe the needs of caregivers of cancer patients who lived at home. Subjects were from two out-patients cancer departments at two regional hospitals in metropolitan Taipei. We selected 115 caregivers of cancer patients. A structured questionnaire was used to collect data from Apr 29 to May 28 1996. The research results revealed the following six dimensions of needs for cancer patients: information needs, patient care needs, spiritual needs, psychological needs, perso nal needs and household needs. The results of multiple regression analysis indicated that overall caregiver needs were higher in cancer patients with higher educational level, younger caregivers and caregivers with religious beliefs. In the information needs dimension, higher caregivers' needs were associated with patients receiving radiotherapy, younger caregivers, caregivers with a higher educational level, and caregivers with religious beliefs. Household needs had significant correlation with the can cer patients' radiotherapy and chemical therapy, the caregivers' age and the relationship between patients and caregivers. Patient care needs had significant correlation with the patients' educational level, cancer metastasis, and caregivers' gender, age and religious beliefs. Personal needs and psychological needs were influenced by caregivers' age and religious beliefs. Spiritual needs were influenced by caregivers' religious beliefs. Recommendations are that health care providers consider the differe nt needs based on the characteristics of patients and caregivers addressed by this study. Results indicate that caregivers with lower educational levels demands a special level of concern and assistance by the health care delivery system.
期刊論文
1.Molter, N. C.(1979)。Needs of relatives of critically ill patients: A descriptive study。Heart & Lung: The Journal of Acute and Critical Care，8(2)，332-339。  new window
2.Young, R. F.、Kahana, E.(1989)。Specifying Caregiver Outcomes: Gender and Relationship Aspects of Caregiving Strain。The Gerontologist，29(5)，660-667。  new window
3.Hinds, C.(1985)。The needs of families who care for patients with cancer at home: Are we meeting them?。Journal of Advanced Nursing，10(6)，575-581。  new window
4.Hileman, J. W.、Lackey, N. R.(1990)。Self-identified needs of patients with cancer at home and their home caregivers: A descriptive study。Oncology Nursing Forum，17(6)，907-913。  new window
5.Tringal, C. A.(1986)。The needs of family members of cancer patients。Oncology Nursing Forum，13(4)，65-70。  new window
6.Oberst, M. T.、Thomas, S. E.、Gass, K. A.、Ward, S. E.(1989)。Caregiving demands and appraisal of stress among family caregivers。Cancer Nursing，12(4)，209-215。  new window
7.Grad, J. P. D.、Sainsbury, P. M. D.(1963)。Mental illness and the family。Lancet，1，544-547。  new window
8.Chen, C. J.、Lee, S. S.、Hsu, K. H.、Tsai, S. F.、You, S. L.、Lin, T. M.(1988)。Epidemiologic characteristics of malignant neoplasms in Taiwan。Journal of National Public Health Association Republic of China，8(1)，59-71。  new window
9.DeAngelo, P.(1988)。Elderly family caregivers: an exploratory study of their needs。Caring，3，19-22。  new window
10.Siegel, K.(1991)。Caregiver burden and unmet patient needs。Cancer，68，1131-1140。  new window
11.Gray, G.、Adler, D.、Fleming, C.、Brescia, F.(1988)。A clinical data base for advanced cancer patients: implications for nursing。Cancer Nursing，9(6)，317-325。  new window
12.Young-Brockopp, D.(1982)。Cancer patients perceptions of five psychosocial needs。Oncology Nursing Forum，9(4)，31-35。  new window
13.Heinrich, R. S.、Schag, C.、Ganz, P.(1984)。Living with cancer: the cancer inventory of problem situations。Journal Clinical Psychology，40(4)，972-980。  new window
14.Hays, J. C.(1986)。Patient symptoms and family coping: predictors of hospice utilization patterns。Cancer Nursing，9(6)，17-25。  new window
15.Reed, D. G.(1986)。Religiousness among terminally ill and health adults。Research in Nursing and Health，9(1)，35-41。  new window
16.Gaynor, S. E.(1990)。The long haul: The effects of home care on care-givers。Image: Journal of Nursing Scholarship，22(4)，208-212。  new window
17.Cassildth, B. R.、Lusk, E. J.、Strouse, T. B.、Miller, D. S.、Brown, L. L.、Cross, P. A.(1985)。A psychological analysis of cancer patients and their next-of-kin。Cancer，55(1)，72-76。  new window
18.Stetz, K. M.(1987)。Caregivering demands during advanced cancer; the spouse's needs。Cancer Nursing，10(5)，260-268。  new window
19.Hampe, S. O.(1975)。Needs of the grieving spouse in a hospital setting。Nursing Research，24(2)，113-120。  new window
20.Nerenz, D. R.、Leventhal, H.、Love, R. R.(1982)。Factor contributing to emotional distress during cancer chemotherapy。Cancer，50(5)，1020-1027。  new window
21.Grobe, M. E.、Ilstrup, D. M.、Ahmann, D. L.(1981)。Skills needs by family members to maintain the care of an advanced cancer patient。Cancer Nursing，4(5)，371-375。  new window
22.Longman, A. J.、Atwood, J. R.、Sherman, J. B.(1992)。Care needs of homebased cancer patients and their caregivers。Cancer Nursing，15，182-190。  new window
23.O'Brien, M. E.(1983)。An identification of needs of family members of terminally ill setting。Military Medicine，148，712-716。  new window
24.Barusch, A. S.、Spaid, W. M.(1989)。Gender difference in caregiving: Why do wives report greater burden?。The Gerontologist，29(5)，667-676。  new window
25.Seltzer, M. M.、Lvry, J.、Litchfield, L. C.(1987)。Family members as care managers: Partnership between the formal and informal support networks。The Gerontologist，27(6)，722-728。  new window
26.Cox, E. O.、Parsons, R. J.、Kimboko, P. J.(1988)。Social services and intergeneration caregivers: Issues for social work。Social Work，33，430-434。  new window
27.Katz, S. S.、Ford, A. B.、Moskowitz, R. W.(1963)。Studies of illness in the aged: The Index of ADLs。Journal of American Medical Association，185(12)，914-919。  new window
28.丁先玲、王榮德、許文林(19930300)。臺灣地區居民意外災害及惡性腫瘤、腦血管疾病之累積死亡率與潛在生命損失之長期趨勢(1971-1990)。中華民國公共衛生學會雜誌，12(1)，84-91。  延伸查詢new window
29.Brody, Elaine M.(1981)。"Women in the Middle" and Family Help to Older People。The Gerontologist，21(5)，471-480。  new window
學位論文
1.吳麗彬(1990)。肝癌病人家屬的需要(碩士論文)。國防醫學院。  延伸查詢new window
2.賴秀美(1992)。癌症病患家屬的社會支持與生活適應之關連性研究(碩士論文)。東吳大學。  延伸查詢new window
3.曾紀瑩(1993)。癌症患童母親之壓力與調適行為(碩士論文)。國立臺灣大學。  延伸查詢new window
4.羅靜心(1990)。住院癌症病患家屬的壓力及其因應策略之探討(碩士論文)。東海大學。  延伸查詢new window
5.楊佩琪(1990)。老年痴呆症病患家屬之壓力與需求探討(碩士論文)。東海大學。  延伸查詢new window
圖書
1.Chesler, M. A.、Barbarin, O. A.(1987)。Childhood cancer and the family: Meeting the challenge of stress and support。New York：Brunner/Mazel。  new window
 
 
 
 
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