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研究生:羅高文
研究生(外文):Lo Kao-Wen
論文名稱:末期腎病學童母親於日常生活照顧病童的親職壓力及社會支持之探討
論文名稱(外文):A Study on Social Support and Mothers| Parenting Stress from Daily Care for School-aged Child of End-Stage Renal Failure
指導教授:王如華王如華引用關係林清淵林清淵引用關係李美璇李美璇引用關係
指導教授(外文):Wang Ru-HwaLin Chin-YanLi Mei-Hsan
學位類別:碩士
校院名稱:國防醫學院
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
論文出版年:1998
畢業學年度:86
語文別:中文
論文頁數:100
中文關鍵詞:末期腎病兒童母親親職壓力社會支持
外文關鍵詞:end-stage renal failurechildmotherparenting stresssocial support
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本研究採橫斷式敘述性的相關研究設計,主要目的是在瞭解末期腎病學童母親於日常生活照顧病童的親職壓力與社會支持之情形,並探討背景屬性、社會支持與母親親職壓力之關係。
以7-12歲末期腎病病童之母親為研究對象,共有25位母親為本研究樣本,以Abidin親職壓力量表、Norbeck社會支持問卷等測量工具進行訪視。將所得資料以描述性分析、t檢定、單因子變異數分析、相關因素分析以及逐步迴歸分析等統計方法進行資料分析。研究結果顯示母親的親職壓力傾向高壓力範圍,主要社會支持來源以醫護人員首佔第一,社會支持功能以情緒支持最多;病童年齡與全量表、「適應性」、「社交孤離」,發病年齡與「適應性」,接受治療月數與母親特性分量表、「勝任感」等壓力得分在統計上有顯著負相關;孩童沒有就學的母親親職壓力及來自兒童特性的壓力比孩童有就學的母親壓力感受高;夫妻分住的母親比夫妻同住的母親覺得孩子比較過動,往往令她精疲力竭,而且來自兒童特性的壓力感受也較高;家庭社經地位越低,對於母親親職壓力也越大;而在母親特性分量表上,社經地位越低,母親對於勝任感、依附性、角色限制、抑鬱、夫妻關係所感受的壓力越大。
綜合以上結果本研究亦建議護理人員經由洗腎單位裝置答錄機或傳呼系統,提供病童母親需要的幫助,注重病童與家庭整體性評估及溝通聯繫,鼓勵病童參與學校活動及學業課程,並且促成父母支持團體的成立,以增加母親之社會支持網路及社會支持功能。
This study adopts the cross-sectional descriptive and correlative research design. The main purpose is to understand the parenting stress and social support situation of mothers, who have the school-aged child with end-stage renal failure, and to explore the relationship among the background characteristics of mothers and ill children, social support and mothers¢ parenting stress.
The research samples twenty-five mothers having end-stage renal failure children within the age from seven to twelve years old. Using the Parenting Stress Index and Norbeck Social Support Questionnaire to interview ill-child''''s mothers. The obtained interview data were statistically analyzed by descriptive statistics, t-test, one-way ANOVA, Pearson product-moment correlation, and stepwise regression.
The analyzed results indicate that mothers parenting stress trend to be high in PSI scale. The main social support resources for mothers come from doctors and nurses, and emotional support occupies most of the social support. In addition, no matter the age of ill-child to PSI scale, and Adaptive,or the age of disease coming on to Adaptive, the length of treatment to Parent Domain subscale and Compentence all have noticeably negative correlation in statistics. The PSI total score and Child Domain
subscale score show that mothers having out-of-school kids get higher stress than those sending kids to schools. Mothers in separating wedlock have stronger feelings that children are too active and exhaustive than those couples living together; moreover, the stress sensibility are also higher in Child Domain subscale. The social economy status is also an influence factor; the lower social economy status the family have, the higher the mothers'''' parenting stress is. The Parent Domain subscale shows that a mother having lower social economy status has higher stress in Competence, Attachment, Role Restriction, Depression, and Spouse. Summarizing the above results, this research suggests nurses of the Dialysis Center to setup answer machines or any calling system to provide ill-child''''s mother the necessary assistance. Notice the whole evaluation and communication with ill-children and their families. Encourage ill children to attend the school activities and classes. Impel ill-child''''s parents to establish help-each-other organization to built social support network and increase social support functions for mothers.
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