第四章 研究結果與分析
第三節 研究限制與建議
一、 研究取樣方面
本研究僅針對一家及傳統性癌症病房之癌症病患的照顧者 收集照顧者之照顧負荷、憂鬱程度與其生活品質，建議未來的 研究可探討安寧居家療護對居家照顧者照顧負荷、憂鬱程度與 生活品質之成效。另外，本研究之有效樣本數為 41 人，若能增 加樣本數，更可增加其推論性。
二、 研究設計方面
本研究採縱貫性研究，實因為研究時間及人力之限制與研 究場所之治療方式，追蹤時間為出院時至出院後第四週，相信 延長追蹤之時間，更可發現壓力性照顧負荷者之憂鬱程度與生 活品質變化之情形。另外，追蹤之間隔及時間點的選擇，更須 注意，建議追蹤時間點之間隔至少於二週以上，除了基準點 外，追蹤次數以 2 次為較佳，減少個案之拒絕。
三、 研究工具方面
照顧者照顧負荷量表（CSI）是一簡易篩選工具，然而無法 區分壓力性照顧負荷之來源，建議測量工具可針對不同的照顧 負荷來源，作更深入之探討，以便作為護理措施之方向。
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陳美伶（民 87）．癌症疼痛病人憂鬱因果模式之研究（進行中）．
87 年國科會計劃 NSC 87-2314-13-182-117．
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附錄一
參與研究同意書
親愛的病患照顧者您好：
我是長庚大學護理學研究所研究生胡綾真，指導教授為陳美伶 老師，本研究為了解您在家中，照顧病患時所經歷的自身感受與想 法，請就您個人的觀點表達出照顧病患以來的生活品質、照顧負荷 與情緒感受，希望藉研究的發現，可以提供更多有關居家照護中照 顧者的資料，做為日後發展居家照顧的參考。您所表達的內容，均 採不記名方式，絕對保密，資料的分析，一切以團體意見表示，對 於您的家人目前所接受醫療照顧不會造成任何影響。
此計劃共有四次訪談問卷過程（出院時、出院後第一週、第二 週及第四週），在這過程中您可以隨時提出問題，亦可隨時退出研 究，歡迎並感謝您的參與。
祝平安
研究生 胡綾真敬上 ~參與同意書~
本人經胡綾真解說，同意參與並提供確實的資料。
本人經胡綾真解說，同意參與並提供確實的資料。