臺灣博碩士論文加值系統

本研究目的為探討初次腦中風病患照顧者負荷之相關因素。採立意取樣於中部某區域醫院神經內外科病房收案72人，本研究使用照顧者負荷量表(caregiver Burden Inventory; CBI）、自覺健康量表之一般性健康分量表(General Health Perceptions subscale of SF-36)、正負向情感量表(Positive and Negative Affect Schedule; PANAS)及自覺社會支持量表(Received Social Support Scale)。研究採描述性統計、t test、one- way ANOVA、Pearson Correlation、Mann-Whiney U、Kruskal-Wallis、Spearman’s Rank order Correlation進行統計分析。研究結果發現(1)初次腦中風病患照顧者負荷以時間負荷、身體負荷及發展負荷為最嚴重。(2)初次腦中風病患照顧者負荷受病患住院天數、教育程度、日常生活功能及照顧者的年齡、照顧時間、自覺健康狀況的影響。(3)初次腦中風病患照顧者以正向情感表現居多。照顧者正向情感與照顧者負荷無相關，但與負向情感為負相關。(4)初次腦中風病患照顧者自覺社會支持是足夠且感到滿意，照顧者自覺社會支持與照顧者負荷無顯著關係。本研究結果可作為臨床護理人員照顧病患的參考，瞭解初次腦中風病患照顧者之照顧負荷，提供適合照顧者之照護服務，協助其對照顧工作之適應，進而提升病患照護品質。

The aim of the study was to explore the associated factors of caregiver burden for patients with the first onset of cerebral vascular accident (CVA). Seventy two subjects were recruited from neurological ward of a local hospital in Taichung by purposive sampling. Caregiver Burden Inventory, General Health scale of SF-36 health survey, Positive and Negative Affect Schedule and Received support scale were utilized to measure variables. Data were analyzed by descriptive statistics, t test, one- way ANOVA, Pearson Correlation, Mann-Whiney U, Kruskal-Wallis, Spearman’s Rank order Correlation. The results showed that: (1) Time, physical and development were the top three items which the caregivers felt burdensome. (2) Days of hospitalization, patients’ education, daily function and caregivers’ age, caregiving hours and self perceives health were found to be associated with caregivers’ burden. (3) Positive affect was found in most caregivers of patients with first time onset of CVA. Negative affect was found to be related to caregiver burden. (4) Caregivers of patients with first time onset of CVA were satisfied with support they received; Caregivers received social support was nonsignificant to caregiver’s burden. The research outcome can be a reference for clinical nursing stuffs to understand the burden of the caregivers in caring the patients and provide appropriate assistances to help them to reach a good status of adjustment of being caregivers.

致謝
中文摘要I
英文摘要II
第一章緒論 1
第一節 研究背景及動機 1
第二節 研究目的 3
第三節 研究問題 4
第四節 名詞界定 5
第二章文獻查證 7
第一節 腦中風的概念 7
第二節 照顧者的負荷概念 12
第三節 影響照顧者負荷之因素 18
第四節 研究架構 27
第三章研究方法 28
第一節 研究設計 28
第二節 研究步驟 28
第三節 研究對象 31
第四節 研究對象權益與倫理考量 31
第五節 研究工具 32
第六節 資料處理與分析 39
第四章研究結果 40
第一節 研究對象基本資料 40
第二節 腦中風病患照顧者負荷分佈及影響程度 42
第三節 腦中風病患及照顧者人口學變項與照顧者負荷之關係 44
第四節 照顧者情感與照顧負荷之相關性 50
第五節 照顧自覺支持與照顧者負荷之相關係 53
第五章討論 57
第一節 人口學特性 57
第二節 照顧者的負荷 59
第三節 照顧者負荷影響因素 61
第四節 照顧者負荷與照顧者情感的相關性 66
第五節 照顧者負荷與照顧者自覺支持的相關性 67
第六章結論與建議 68
第一節 結論 68
第二節 應用與建議 70
第三節 研究限制 72
參考文獻 75
附錄一 人體試驗委員會通過同意書 87
附錄二 研究對象同意函 88
附錄三 研究問卷 91
附錄四 照顧者情緒量表 92
附錄五 照顧者負荷量表 93
附錄六 照顧者社會支持量表 94
附錄七 原文問卷使用同意函(一) 96
附錄八 專家效度名單 99
附錄九 專家校度檢測單 100

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