失能老人之高齡照顧者照顧負荷、健康狀態與習得智謀之探討

The relationships among caregiver burden, health status, and learned resourcefulness for the senior caregivers of the disabled older adults

10.6832/KMU.2013.00048

陳孟君

失能老人 ； 高齡照顧者 ； 照顧負荷 ； 健康狀態 ； 習得智謀 ； disabled ； older adults ； senior caregiver ； caregiver burden ； health status ； learned resourcefulness

高雄醫學大學護理學系研究所學位論文

2013年

碩士

陳桂敏

繁體中文

高齡照顧者之照顧負荷狀況，可能影響提供失能老人照護之品 質。瞭解高齡照顧者照顧負荷、健康狀態與習得智謀因應技巧，將有 助於提昇整體居家照護品質。故本研究目的為探討失能老人之高齡照顧者照顧負荷、健康狀態與習得智謀之相關性。研究方法採橫斷式、相關性研究設計，以方便取樣，選取南部某一醫學中心與某一區域教學醫接受居家護理失能老人之高齡照顧者，共108位，以結構式問卷訪談收集資料，問卷內容包含簡短操作心智狀態問卷、巴氏量表、照顧負荷量表、中文簡短版健康狀態評估量表SF-36與習得智謀量表。 研究結果發現：照顧負荷與生、心理健康狀態及習得智謀呈顯著 負相關（r = -.52，p < .001；r = -.32，p = .001；r = -.68，p < .001）；生、心理健康狀態與習得智謀呈顯著正相關（r = .40，p < .001；r = .23，p= .016）。習得智謀、健康狀態與家庭經濟狀況、日常生活活動功能為照顧負荷之重要預測因子，共可解釋58.60%之總變異量。 此研究結果可提供健康照護專業人員瞭解高齡照顧者照顧負荷、健康狀態與習得智謀之相關性。期許作為臨床實務、教學、研究及未來提升高齡照顧者健康政策制定之參考，建議未來研究中能發展相關因應策略，以提昇高齡照顧者之習得智謀與健康狀態，減輕照顧負荷。

Heavy caregiver burdens can reduce disabled older adults care quality of the senior caregivers. Understanding the relationships among caregiver burden, health status, and learned resourcefulness skills can help to improve holistic family healthcare quality. The purpose of this study wasto explore caregiver burden, health status, and learned resourcefulness for the senior caregivers of the disabled older adults. A cross-sectional, correlation research design was applied in this study. Using convenience sampling, 108 senior caregivers of the disabled older adults were recruited from a medical center and a regional teaching hospital, southern Taiwan. Data was collected using a structured questionnaire interview, which included: Short Portable Mental Status Questionnaire (SPMSQ), Barthel Index (BI), Caregiver Burden Scale (CBS), SF-36 Health Survey (SF-36), and the Rosenbaum’s Self Control Scale (SCS). Results indicated that caregiver’s burden was negatively correlated with the physical health, mental health, and the learned resourcefulness (r = -.52，p < .001；r = -.32，p = .001；r = -.68，p < .001). Physical and mental health were positively correlated with the learned resourcefulness (r = .40 p < .001；r = .23，p = .016). Multiple regression analysis further showed that the predictors of caregiver burden included learned resourcefulness, health status, economic status, and activties of daily living, that accounted for 58.60% of the total caregiver burden variance. Results of this study suggested that the health professionals need to be aware of the relationships among the senior caregiver’s burden, health status, and the learned resourcefulness. Healthcare professionals could further develop and apply interventions to improve caregiver’s burdern.

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