研究限制

第六章結論與建議

第三節研究限制

由於人力及時間的限制，本研究對象採立意取樣，僅取自於北部、中部的都會區各二家醫學中心與區域醫院神經內科門診進行收案，未能符合隨機抽樣原則，

也可能忽略城鄉差距對照顧者壓力因應之影響，使研究的推論性受限。另外，會至醫院就診的患者大多為輕、中度失智階段，未來可採隨機抽樣方式、擴大母群體範圍至居家或社區進行不同群體的研究，或是選取對照組進行比較的研究設計，

將更能整體性探究與瞭解照顧者壓力因應歷程之樣貌，並有助於研究結果的推論性與正確性。

二、研究設計方面

本研究採取橫斷性設計法，因此無法觀察到隨著患者疾病階段與問題行為的變化，照顧者壓力因應歷程是否出現不同的改變。長期照顧失智患者對照顧者而言是一種動態的影響，建議未來進行長期性追蹤研究，或是合併質性研究，以確認在失智患者不同的疾病階段對照顧者壓力因應機制和家庭支持網絡的動態表現。

三、研究工具方面

本研究使用的因應策略量表中文版是由新加坡大學 Ng 等學者（2007）翻譯，

較少應用於國內的研究，因此針對因應策略量表進行極端組檢定及同質性檢定的項目分析，以作為選題的依據，結果發現有些題項的鑑別力不佳，或是某些題項與其他題項的相關性較差，在考慮量表的信效度以及減少研究對象的答題負荷，

因此刪去 11 題，最後剩下 27 題進行分析，此舉可能會影響測量工具的有效預測性，以及對於抽象構念的評估正確性。未來應進行因應策略量表的心理計量特性分析，探究因應策略概念的內涵、特質與相互關係，才能做正確的推論。

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在文檔中探討失智症患者家庭照顧者的壓力因應歷程對憂鬱程度之影響 (頁 166-197)

第六章 結論與建議

第三節 研究限制