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研究生:范聖育
研究生(外文):Sheng-Yu Fan
論文名稱:家庭功能與安寧療護主要照顧者生活品質的相關性探討
論文名稱(外文):The impact of family functioning on the quality of life of primary caregiver in hospice
指導教授:柯慧貞柯慧貞引用關係曹朝榮曹朝榮引用關係
指導教授(外文):Huei-Chen KoChao-Jung Tsao
學位類別:碩士
校院名稱:國立成功大學
系所名稱:行為醫學研究所
學門:社會及行為科學學門
學類:心理學類
論文種類:學術論文
論文出版年:2002
畢業學年度:90
語文別:中文
論文頁數:70
中文關鍵詞:安寧療護家庭功能生活品質照顧者
外文關鍵詞:Family functioningHospicePrimary caregiverThe quality of life
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  擔任癌末病患的照顧工作會影響照顧者的生活品質。過去研究顯示家庭功能對於照顧者的負荷或是照顧滿意度都有影響;但對於生活品質的影響卻未知。因此本研究的目的有:(1)評估癌末病患照顧者的生活品質;(2)瞭解家庭功能向度與各個照顧者生活品質範疇的相關;(3)探討在不同生活品質範疇中最有預測力的家庭功能向度。
  本研究設計採取橫斷式的相關性研究法。收集154位安寧病房中病患的主要照顧者,由其完成基本資料、家庭功能問卷以及生活品質量表。
  結果顯示,與一般健康人相比較,主要照顧者的生活品質在生理健康範疇與心理範疇的得分較差。教育年數愈少的照顧者,在生理健康與環境範疇的得分愈差。使用逐步迴歸分析,對於生理健康範疇最有預測力的家庭功能向度為問題解決與溝通。在心理範疇為問題解決與獨立性向度。在社會關係範疇為凝聚力向度。在環境範疇為問題解決向度。在照顧範疇為獨立性向度。
  家庭問題解決能力較佳,則照顧者在心理與環境範疇的生活品質較佳;家庭成員的獨立性較高,照顧者在心理與照顧範疇的生活品質較佳;而整體家庭凝聚力高,照顧者的社會關係生活品質較佳。因此在家庭功能方面較重要的預測變項為問題解決、凝聚力以及獨立性向度。未來在提升照顧者之不同生活品質範疇,可設計由這些不同的家庭功能加以介入。
  Providing hospice care to terminal patients will affect the quality of life of caregiver. Family functioning is linked to caregiver’s burden and care satisfaction. However, the relationship between family functioning and the quality of life of caregiver in hospice is still unknown. This cross-sectional study was aimed to (1) evaluate the quality of life of caregivers in hospice; (2) examine the correlations between the subdomains of quality of life of caregivers and the dimensions of family functioning; (3) explore the important predictors of subdomains of quality of life in family functioning dimensions. One hundred and fifty-four primary caregivers of cancer patients in hospice were recruited as subjects and administered the demographic form, the Family Function Scale, and the Quality of Life Scale.
  The caregivers had lower QOL scores in physical health and psychological domains compared to the norm of the healthy. The caregivers with less education got lower scores in physical health and environment domains. As to the physical health domain, the best predictor on family functioning was problem solving and communication. As to psychological domain, those were problem solving and independence. Regarding social domain, that was cohesion. Regard with environment domain that was problem solving dimension. With respect to caring domain that was independence.
  The problem-solving ability of the family is better, and the quality of life of primary caregivers are better in psychological and environment domains. The independence of family members is higher, and the primary caregivers get better scores in psychological and caring domains. And the primary caregivers have better quality of life of social relationship domain in the family with higher cohesion. The results were helpful to identify factors of family functioning that were important for intervention to improve the quality of life of caregiver.
中文摘要 ……………………………………………………… I
英文摘要 ……………………………………………………… II
誌謝 …………………………………………………………… IV
目錄 …………………………………………………………… V
表目錄 ………………………………………………………… VII
第一章 文獻探討 2
  第一節 癌症對照顧者的影響 2
  第二節 照顧者的生活品質 8
  第三節 家庭功能 13
  第四節 研究目的 17
第二章 研究方法 18
  第一節 研究對象 18
  第二節 生活品質量表 19
  第三節 家庭功能量表 24
  第四節 資料統計分析 27
第三章 結果 28
  第一節 人口學變項 28
  第二節 照顧者的生活品質 32
  第三節 人口學變項、家庭功能與照顧者的生活品質 33
第四章 討論 42
  第一節 人口學變項 42
  第二節 照顧者的生活品質 44
  第三節 人口學變項、家庭功能與照顧者生活品質 46
  第四節 臨床應用 50
  第五節 研究限制與未來研究方向 52
第五章 參考文獻 54

附錄一 測量量表
(包含基本資料、家庭功能量表與生活品質量表) ………63


表目錄
表2-1. CQOLC的題目 …………………………………………………………… 19
表2-2. 訪談照顧者的基本資料 …………………………………………………21
表2-3. 生活品質量表各範疇之題數一覽表 ……………………………………22
表2-4. G1、G4與各範疇之間的相關 …………………………………………23
表2-5. 不同家庭功能量表的比較 ………………………………………………24
表2-6. 家庭功能量表各分量表之題數一覽表 …………………………………26
表3-1. 照顧者人口學變項 ………………………………………………………28
表3-2. 主要照顧者與健康人在生活品質各範疇的得分之比較 ………………32
表3-3. 人口學變項與生活品質的相關係數 ……………………………………33
表3-4. 家庭功能與生活品質的相關係數 ………………………………………34
表3-5. 逐步迴歸分析摘要表 ……………………………………………………35
表3-6.1 問題解決組在年齡與教育年數上的t考驗 …………………………… 36
表3-6.2 問題解決組在性別的Chi-Square考驗 …………………………………37
表3-7.1 溝通組在年齡與教育年數上的t考驗 ………………………………… 37
表3-7.2 溝通組在性別的Chi-Square考驗 ………………………………………37
表3-8.1 獨立性組別在年齡與教育年數上的t考驗 …………………………… 38
表3-8.2 獨立性組別在性別的Chi-Square考驗 …………………………………38
表3-9.1 凝聚力組別在年齡與教育年數上的t考驗 …………………………… 38
表3-9.2 凝聚力組別在性別的Chi-Square考驗 …………………………………39
表3-10. 不同問題解決與溝通組別在生理健康範疇上得分之比較 ……………39
表3-11. 不同問題解決與獨立性組別在心理範疇上得分之比較 ………………40
表3-12. 不同凝聚力組別在社會關係範疇上得分之比較 ………………………40
表3-13. 不同問題功能組別在環境範疇上得分之比較 …………………………40
表3-14. 不同獨立性組別在照顧範疇上得分之比較 ……………………………41
中文部分
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李樹人(民國91年6月11日) 十大死因,癌蟬聯第一。聯合晚報,第3版。

林梅香 肝癌患者家屬主要照顧者的壓力、因應行為與健康狀況相關性之探討。 國防醫學院護理研究所,民國83年。

姚開屏 台灣版世界衛生組織生活品質問卷之發展及使用手冊。 台北市,民國88年。

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胡綾真 居家照顧癌症轉移病患之主要照顧者的照顧負荷、憂鬱與生活品質之探討。 私立長庚大學護理研究所,民國88年。

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徐薇鈞 癌症病患主要照顧者生活品質與社會支持及其相關研究。 高雄醫學院護理研究所,民國86年。

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