思覺失調症病人暴力行為對其主要照顧者之習得智謀、照顧負荷及照顧需求相關之探討

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思觉失调症病人暴力行为对其主要照顾者之习得智谋、照顾负荷及照顾需求相关之探讨

A Study of Schizophrenia Patients’ Violent Behaviors to Primary Caregivers’ Learned Resourcefulness, Care Burden, and Needs

林惠珍 , 硕士　　导师：陈芬如　　

繁体中文

思觉失调症；暴力行为；习得智谋；照顾负荷；照护需求； Schizophrenia ； Violent Behaviors ； Learned Resourcefulness ； Caregiver Burden ； Care Needs

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摘要 │ 参考文献 (115) │ 国际计量

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Background: Schizophrenia is a mental disorder featuring chronic progressionand devolution of social function, what made the primary caregivers feel most difficult was violent behaviors, it affected not only patients themselves but also the mood and heavy burden of caregivers to disturb the whole family and their financial status. Previous studies have examined the variable of caregiver burden of caregivers, we aimed to conduct the study of relationship between violent behaviors and learned resourcefulness as well as care needs of primary caregivers. 
Objectives: The purpose of this study was to explore and compare violent behaviors of patients with Schizophrenia to primary caregivers’ learned resourcefulness, care burden, and needs. 
Methods:A cross-sectional study was conducted via purposive sampling survey covering a total of 60 subjects, the researcher chose 30 primary caregivers each for schizophrenic patients who had violent behaviors or not at an Acute Psychiatric Ward of a medical center in southern Taiwan.A structured questionnaire was used to collect data with the following tools: Learned Resourcefulness Scale, Caregiver Burden Scale, and Care Needs Scale. All the data were analyzed bydescriptive statistics, Independent-Sample T Test, Chi-square test, and Pearson product moment correlation. 
Results: There was no difference on the caregiver burden of primary caregivers whether the schizophrenic patients who hadviolent behaviors or not, the mean for primary caregivers’ burdens for patients with violent behaviors was 45.10±10.11 while the mean for patients without violent behaviors was 46.40±8.55, both heavy burden level, it indicated that family members undertaken a certain of burdens when there was patients at a family; there was a significant difference on redresssive self-control (p=.026) and reformative self-control (p=.043) of learned resourcefulness for the primary caregivers of patients had violent behaviors; moreover, there was a significant difference on Information Need (p=.023), Real Need. (p=.038), and Total Need. (p=.028) of care needs;and to  exam the relevance to conclude that total learned resourcefulnesswas positively correlated to total need (r＝0.326,p＜.001), perceived belief and self-efficacywas positively correlated to family interfering (r=0.259,p=.045).  
Conclusions: The primary caregivers of schizophrenic patients who undertake multiple burden due to the long-term care and life event pressures of patients shall regulate the pressure of inner-self via redresssive self-control of learned resourcefulness and reach the self-setting goal via reformative self-control of learned resourcefulness; and it showed that caregivers who utilize learned resourcefulness to cope with the pressure had information need, real need, and total needs. Therefore, the medical personnel can offer the adequate care needs to the caregivers whenever interacting with primary caregivers, especially, the resources of information to caregivers to learn to regulate the burden when caring patients to enhance the overall nursing caring quality of the family of patients.

参考文献 ( 115 ) 〈TOP〉

王士华、戎谨如、陈乔琪、魏秀静、林宽佳（2007）‧青少年思觉失调症病患主要照顾者相关压力、习得智谋与照顾负荷之研究‧护理杂志，54（5），37-47。doi：10.6224/JN.54.5.37。
连结：
宋丽玉（2002）‧精神疾病照顾者负荷量表之发展验证-以实物应用为取向‧社会政策与社会工作学刊，6（1），61-69。
连结：
宋丽玉（2005）‧精神障碍者之复健与复元-一个积极正向的观点‧中华心理卫生学刊，18（4），1-29。doi: 10. 1177/1049731511402218
连结：
李冠莹、陈映烨、李仁钦（2007）‧思觉失调症住院病人性别与症状‧台湾精神医学，21（4），263-270。
连结：
李姿莹、蔡芸芳、杨美赏（2000）‧花莲地区原住民与非原住民思觉失调症主要照顾者需求及相关因素探讨‧慈济医学，12（4），247-257。
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。