精神分裂症患者主要照顧者之照顧需要研究

Care Needs for Patients with Schizophrenia of Chief Caregivers

10.6847/TJPMHN.200906_4(1).0002

夏慧玲(Hui-Ling Hsia)；葉玲玲(Ling-Ling Yeh)；黃光華(Kuang-Hua Hung)

精神分裂症患者 ； 主要照顧者 ； 需要 ； schizophrenia ； chief caregivers ； need

精神衛生護理雜誌

4卷1期（2009 / 06 / 01）

9 - 18

繁體中文

本研究目的探討精神分裂症患者主要照顧者照顧患者時所引發的需要。以深度訪談瞭解照顧者照顧患者時引發的需要（樣本數6），並依研究結果進行結構性問卷訪談100位患者。結果顯示主要照顧者需要健康照護之六大面向，包括平時（門診服務、專人提供電話服務、來往醫院便利交通）；緊急狀況時（有固定的人或機構諮詢、協助處理患者危險性行為、急診），發病時（有人員協助就醫、有車協助就醫、即時有病床）；復原時（自我照顧訓練、庇護工廠、就業輔導、社交娛樂、日間病房、康復及社區復健中心）；長期照護（長期照護機構）及連續性照護（垂直整合照護）。而社會照顧需要之兩大面向，包含居家（協助清掃、沐浴、喘息服務、家屬團體等）和福利（經濟協助、生活補助、就業保障、定額雇用）。研究發現需要比率較高面向為平時、緊急狀況與發病時的就醫服務(61%-99%)，其次為社區復健服務(52%-82%)，亦是精神健康照護體系應優先努力的方向。

This study aimed to explore the care needs for patients with schizophrenia of chief caregivers. The study adopted in-depth interview of caregivers (6 samples), and conducted structural interview (100 samples) according to the former research findings. The results showed that needs of mental healthcare services included six domains: in usual time (outpatient services, telephone service and transportation); in crisis condition (regular personnel or institution consultation, dealing with the patients' risky behavior and emergency case), exacerbation condition (personnel assistance, transport assistance and available hospital beds in time); recovery status (self-care training, sheltered workshop, employment assistance, social entertainment, day-time hospital beds, recovery and community recovery center); long-term care (long-term care institutions) and continuous care (vertical integration care). Needs of social care services included two domains, which were home services (cleaning, bathing, breath service and family groups) and welfare services (financial assistance, allowance, employment guarantee and regular number employment). The research findings showed that the higher proportions of domains of need were healthcare services provided for those who need in usual time, crisis condition, and exacerbation condition (61-99%), and in recovery status (52%-82%), which should schedule the agenda setting at the top priority.

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