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研究生:吳家燕
研究生(外文):Jia-Yan Wu
論文名稱:精神分裂症病患主要照顧者的壓力、休閒因應與身心健康關係之研究
論文名稱(外文):The Study on the Relationships among Stress, Leisure Coping and Health for Primary Caregivers to Schizophrenia Patients
指導教授:陳建和陳建和引用關係陳為堅陳為堅引用關係
指導教授(外文):Chienho ChenWei J. Chen
學位類別:碩士
校院名稱:國立台北護理學院
系所名稱:旅遊健康研究所
學門:民生學門
學類:運動休閒及休閒管理學類
論文種類:學術論文
論文出版年:2007
畢業學年度:95
語文別:中文
論文頁數:114
中文關鍵詞:精神分裂症主要照顧者壓力休閒因應身心健康
外文關鍵詞:schizophreniaprimary caregiversstressleisure copinghealth
相關次數:
  • 被引用被引用:6
  • 點閱點閱:307
  • 評分評分:
  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:2
精神分裂症是精神醫學中典型的精神疾病,其家庭中的主要照顧者在長期的
照顧責任下產生沉重的壓力感受,會有負向情感表徵及較低的生活滿意度指數,
此不僅影響其身心健康,也影響其照顧病患的品質,因此若能瞭解主要照顧者的
壓力,進而發展適當的壓力因應策略,當能保護照顧者的身心健康。本研究即從
休閒效益的角度,暸解並探討精神分裂症病患主要照顧者的壓力、休閒因應信念、
休閒因應策略與身心健康的可能關係,以驗證休閒在因應壓力和促進身心健康的
角色。研究對象選取來自北部某醫學中心精神科日間住院病房、門診及台北縣市
康復之友協會,採判斷取樣選取精神分裂症病患之主要照顧者150名,抽樣期間自
96年3月至96年6月,以結構式訪談進行問卷資料之蒐集。問卷包括基本資料表、
家屬壓力源量表、休閒因應信念、休閒因應策略和SF-36自覺健康問卷。研究結果
顯示:照顧壓力對身心健康有顯著且負向影響、休閒因應信念對休閒因應策略有
顯著且正向影響、休閒因應策略對身心健康有正向影響、休閒因應信念對照顧壓
力對有顯著且負向影響、休閒因應策略對照顧壓力對有顯著且正向影響。此研究
結果提供未來臨床健康促進實務和學術研究之參考。
Schizophrenia is a typical psychotic illness, and the primary caregivers of the patient experience heavy burden, negative emotion and poor quality of life under stress. Caring for the patient also influences the physical and mental health for primary
caregivers. Therefore, when we have a further understanding of the stress of caregivers,we can develop stress coping strategies to protect the physical and mental health for caregivers. From the perspective of the potential benefit brought by leisure activities, the purpose of the present study was to explore the leisure coping belief and strategies of caregivers as well as their relationship to their stress brought by providing care, and their physical and mental health. The study subjects contain 150 primary caregivers of
schizophrenic patients recruited from the family members of patients who were outpatients or were admitted to the day-care unit of a medical center at Taipei or from the members of National Alliance of the Mental Ill. From March to June, 2006, the data were collected by semi-structured interview. The content of questionnaire
included basic data, stressors, leisure coping beliefs, leisure coping strategies and SF-36. The results of the study showed that the stress of care giving negatively influenced the physical and mental health, that leisure coping beliefs positively influenced leisure coping strategies, that leisure coping strategies positively influenced the physical and mental health, that leisure coping beliefs negatively influenced the stress of care giving, and that leisure coping strategies positively influenced the stress
of care giving. The study results have implications for the health promotion programs of the caregivers of schizophrenic patients.
誌謝......................................................................................................................I
中文摘要...................................................................................................................III
英文摘要...................................................................................................................IV
目 錄........................................................................................................................ V
表 目 錄................................................................................................................. VII
圖 目 錄................................................................................................................ VIII
第一章 緒論............................................................................................................. 1
第一節 研究背景與動機....................................................................................... 1
第二節 研究目的.................................................................................................. 3
第三節 名詞定義.................................................................................................. 3
第四節 研究流程.................................................................................................. 5
第二章 文獻回顧..................................................................................................... 6
第一節 壓力、因應與健康關係之探討................................................................ 6
第二節 精神分裂症病患主要照顧者壓力之相關研究....................................... 12
第三節 休閒因應之相關研究............................................................................. 19
第三章 研究設計................................................................................................... 30
第一節 假設模式................................................................................................ 30
第二節 研究對象與抽樣..................................................................................... 35
第三節 研究工具................................................................................................ 36
第四節 資料分析方法......................................................................................... 40
第五節 問卷調查作業......................................................................................... 47
第四章 結果與討論............................................................................................... 48
第一節 人口學變項分析及各構面的研究變數分析.......................................... 48
第二節 問卷信度、效度分析與多變量常態性的假設驗證............................... 61
VI
第三節 相關分析與驗證性因素分析.................................................................. 62
第四節 結構方程模式分析................................................................................. 72
第五節 綜合討論................................................................................................ 78
第五章 結論與建議............................................................................................... 82
第一節 結論........................................................................................................ 82
第二節 建議........................................................................................................ 83
參考文獻................................................................................................................... 85
中文部份............................................................................................................... 85
英文部份............................................................................................................... 89
附 錄..................................................................................................................... 97
附錄一 研究問卷................................................................................................ 97
附錄二 整體功能評量表................................................................................... 107
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