臺灣博碩士論文加值系統

本研究的目的在探討精神分裂病患主要照顧者對照顧病患的知識和態度及其影響因素。本研究以立意取樣的方式,從臺北市立療養院門診共收案120位精神分裂病患之主要照顧者為本研究對象,以調查訪談方式來收集資料。
研究結果發現:(一)精神分裂病患照顧者之知識平均得分(19.9分)高於普通的程度,知識偏向正確;對病程的認知最正確,而對治療的認知最不正確。(二)精神分裂病患照顧者的態度平均得分(131.0分)高於中立意見(117.0分)以上,態度偏向正向;對病患的接受程度最高,而對病患的協助意願最低。(三)精神分裂病患者的自我照顧能力﹑性別﹑宗教信仰﹑病識感﹑工作狀況﹑患病時間﹑精神症狀和恢復程度,以及照顧者的年齡﹑教育程度﹑社會階層﹑宗教信仰﹑與病患關係﹑相處時間﹑提供訊息者﹑訊息需求﹑病患人數﹑症狀認知感受和社會資源運用等項目,對照顧者的知識或態度有不同的影響。(四)可以預測照顧者的知識之重要變項為:態度總分﹑提供訊息者和知道日間留院等三項,共可以解釋52%的變異量;其中以態度總分具有最大的解釋力。(五)可以預測照顧者的態度之重要變項為:知識總分﹑恢復程度﹑活性症狀和使用過日間留院等四項,共可以解釋60%的變異量;其中以知識總分具有最大的解釋力。(六)照顧者的知識和態度之間有強的正相關(R=0.6)。
本研究結果,有助於護理人員在提供精神分裂病患照顧者的醫療照顧時,所應採取之護理措施的具體參考,並且作為社區心理衛生業務及居家護理推展之重要參考資料。

The purpose of this study was to explore the knowledge and
attitude of schizophrenic patients'' caregivers toward caring
for the patients. By convenience sampling, one hundred twenty
schizophrenic patients'' caregivers were drawn from the outpatient department of the Taipei City Psychiatric Center.
The result of the study revealed that : (1) The average score of the knowledge of caregivers was higher than general population. The subjects have better knowledge about the disease process,and knowledge about therapy was relatively less correct. (2) The average score of the attitude of caregivers was higher than gene-ral population. The acceptance dimention was the most positive,and the help tendency was the least. (3) Variables of patients,including self-care ability, sex, religion, insight, work, thesick time, symptoms and the recovery level, were associated with the knowledge or attitude of caregivers. Variables of caregivers including age, education, social class, religion, relationship with patients, time of staying together, the information provider, the need of knowledge, other patient among families, perception of symptoms and the utilization of social resources, were associ- ated with the knowledge or attitude of caregivers.(4) The predic-
table variables of the knowledge were the attitude score, the
existance of the information provider and the awareness of the
day treatment. (5) The predictable variables of attitude were the knowledge score, the recovery level, the positive symptoms and the experience of the admission of day treatment. (6) The knowle- dge and attitude were strongly correlated(R=0.6).
The results of this study may help nurses understand the
knowledge and attitude of schizophrenic patients'' caregivers,
and serve as a reference for providing community mental health
services and home-care.