• 沒有找到結果。

失智症病患主要照顧者的壓力源、評價和因應行為與健康之相關性探討

N/A
N/A
Protected

Academic year: 2021

Share "失智症病患主要照顧者的壓力源、評價和因應行為與健康之相關性探討"

Copied!
3
0
0

加載中.... (立即查看全文)

全文

(1)

失智症病患主要照顧者的壓力源、評價和因應行為與健康

之相關性探討

Exploring the Relationship between Stressors,

Appraisal,

Coping and Health among the Family Caregivers of

Elderly Dementia Patients

謝佳容

Chiu LJ;Hsieh CJ;Tsai SL 摘要 本研究以壓力和因應行為的互動理論為基礎,研 究目的在探討失智症病患主要照顧者的壓力源、 評價與因應行為和健康之關係。研究採立意取 樣,研究對象來自北區某三所醫院門診之 65 歲以 上的失智症老人及其主要照顧家屬,研究工具為 結構式問卷,共計訪視 71 位有效樣本,研究結果 如下: 1. 在 71 位失智症病患中,男女約各佔半數,平均 年齡 77.7 歲,教育程度以不識字居多,平均發 病時間為 4 年,有 67.6%的個案有其他慢性疾病 狀況;在 71 位主要照顧者中,以女性居多,平 均年齡 49.3 歲,與病患的關係主要為子女。 2. 失智症病患主要照顧者壓力源包括:個案記憶 行為問題、日常生活功能、認知功能及個案經 濟來源,這些壓力源影響家屬的健康狀況。 3. 失智症主要照顧者對個案記憶行為問題評價及 日常生活功能評價和主要照顧者的健康互相影 響。主要照顧者對個案記憶行為問題和日常生 活功能評價受困擾程度越高,及處理記憶行為 問題自我效能愈低,則家屬整體健康愈差;相 對的,若家屬健康狀況愈差,則主要照顧者對

(2)

個案的記憶行為問題和日常生活功能評價受困 擾程度愈高,且處理記憶行為問題之自我效能 越低。 4. 主要照顧者因應行為和健康互相影響:主要照 顧者運用情緒因應行為頻率愈高者,則健康較 差。 本研究提供失智症家屬實證研究的相關資訊,能 供未來臨床實務、衛生教育、研究和社會政策之 參考。 Abstract

This study was based on the transactional model of stress and coping. The purpose of the study was to

explore the relationship between stressors, appraisal, coping and health among the family caregivers of

elderly dementia patients. The study used purposive sampling. The samples came from among patients of

three outpatient clinics of hospitals for dementia patients aged 65 and over, and their families. The study

tool was a structured questionnaire. The total effective sample size was 71. The results were as follows:

1. Among the 71 dementia patients, about half were male and half female and they had an average age

of 77.7. The majority, as far as educational level was concerned, were illiterate. The average length

of illness was 4 years, and 67.6% of the patients also suffered from other chronic conditions. As far

as family caregivers were concerned, a majority were female, average age 49.3, and relationship with

patient mostly either son or daughter.

2. The stressors for family caregivers of the elderly dementia patients included: patients’ memory and

behavior problems, daily living functions, cognitive functions and patient’s financial resources; these

stressors indirectly affected the family caregivers’ health status.

3. There were some associations between family caregiver’s health on the one hand, and the dementia

patient’s memory and behavior problems appraisals on the other. Patient’s daily living function

(3)

appraisals also had an impact on family caregiver’s health. The more the family caregiver perceived

pressure from the patient’s memory and behavior problems and daily living function appraisal, and the

lower the self-efficacy to handle the patient’s memory and behavior problems, the poorer the overall

family caregivers’ health. On the other hand, the poorer the family caregivers’ health status , the greater

the stress effect perceived by family caregivers,and the greater the stress effect with the memory and

behavior problem and daily living function appraisal, and hence lower self-efficacy for the patient’s

memory and behavior problem.

4. Mutual influences between the family caregivers’ coping and health status: The higher the frequency

with which family caregivers applied emotional coping, the poorer their health. The informationgleaned from this evidence based research could contribute applications in clinical

practice, health education, and research and social policy field of family caregivers with elderly dementia

參考文獻

相關文件

substance) is matter that has distinct properties and a composition that does not vary from sample

Tseng, Growth behavior of a class of merit functions for the nonlinear comple- mentarity problem, Journal of Optimization Theory and Applications, vol. Fukushima, A new

Hence, we have shown the S-duality at the Poisson level for a D3-brane in R-R and NS-NS backgrounds.... Hence, we have shown the S-duality at the Poisson level for a D3-brane in R-R

減少身體脂肪、降低患上癌症、心血管疾病和糖尿病的風險、促

减少身体脂肪、降低患上癌症、心血管疾病和糖尿病的风险、促

 name common laboratory apparatus (e.g., beaker, test tube, test-tube rack, glass rod, dropper, spatula, measuring cylinder, Bunsen burner, tripod, wire gauze and heat-proof

Learning Elements under Knowledge Contexts in Technology

○ Value function: how good is each state and/or action. ○ Policy: agent’s