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研究生:朱秀珠
研究生(外文):Chu, Hsiu-Chu
論文名稱:頭部外傷病患出院前後家屬照顧者的壓力感受、因應方式及相關因素之探討
論文名稱(外文):Stress and Coping of The Family Caregivers Before and After The Head Injury Patient''s Discharge
指導教授:鄭綺鄭綺引用關係
指導教授(外文):Chii Jeng
學位類別:碩士
校院名稱:長庚醫學暨工程學院
系所名稱:護理學研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
畢業學年度:85
語文別:中文
論文頁數:113
中文關鍵詞:頭部外傷家屬照顧者壓力因應
外文關鍵詞:Head Injuryfamily caregiverstresscoping
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本研究為一相關性、描述性研究。目的在探討頭部外傷
患者住院時 及出院後一個月,家屬照顧者之壓力感受、
因應方式及其影響因素 。本研究以立意取樣法選取 20
位頭部外傷病患及其家屬,以參閱 病歷、觀察、會談、
及自設的「家屬壓力量表」及「因應量表」, 於病患出
院前一週及出院後一個月對家屬進行訪談。結果顯示病患
出院一個月後,家屬照顧者來自病患身體症狀、認知功能損傷及照
顧的知識能力之壓力顯著下降。病患住院時家屬照顧者壓力的主要
預測變項為是否因事故而有糾紛。病患出院一個月後家屬壓力的主
要預測變項為病患的癒後等級 (GOS)。病患住院前後家屬的因應方
式並未因壓力降低而明顯改變。病患事故時是否有飲酒最能預測家
屬於病患住院中使用的因應頻率。住院時家庭功能衝擊所導致的壓
力與家屬的因應方式最相關;病患出院後則為照顧的知識能力壓力
與因應方式最相關。
This is a correlational and descriptive study.
The purpose of the study was to realize the
perceived stress and coping strategies of family
caregivers before and after the head injury
patient''s discharge. The relationship of the stress
and the coping strategies and the factors related to stress
coping also were examined. Twenty head injury patients and
their family caregiver were selected by purposive sampling.
Two instruments, the Stress Survey and the Caregiver coping
Inventory, developed by the investigator were used to measure
perceived stress and coping strategies of family caregivers.
Data were collected by means of chart review, patient
observation, and interview. The results of the study revealed
that the stress from the patient''s physical symptoms, the
impaired cognitive function and knowledge deficit decreased
significantly one month after patient''s discharge.
Before and one month after patient''s discharge, whether there
are disputs on the event and the patient''s GOS score are the
main predicting factors in the perceived stress of family
caregivers, respectively. The coping strategies used did not
change a lot one month after patient''s discharge. Whether
there was drinking on the accident is a significant predictor
in the frequency of the coping strategies used. A significant
relationship was observed between the perceived stress from
the impact of the family function and the coping strategies
used before patient''s discharge. After patient''s discharge,
the stress from the lack of knowledge in patient care was
correlated to the coping strategies used.
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