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研究生:蕭欽誌
研究生(外文):Chin-Chih Hsiao
論文名稱:支持團體對失智症病人照顧者之心理調適與社會支持之成效探討
論文名稱(外文):The Effects of Support Group Program on Coping Strategies and Social Support among Caregivers of People with Dementia
指導教授:周桂如周桂如引用關係
指導教授(外文):Kuei-Ru Chou
口試委員:朱信鍾明惠
口試委員(外文):Hsin ChuMin-huey Chung
口試日期:2015-06-05
學位類別:碩士
校院名稱:臺北醫學大學
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:2015
畢業學年度:103
語文別:中文
論文頁數:70
中文關鍵詞:失智支持團體心理調適社會支持
外文關鍵詞:dementiasupport groupcoping strategiesSocial Support
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本研究目的為探討支持團體對失智症病人照顧者之心理調適與社會支持之成效。本研究運用二次資料分析(Secondary data analysis),原始研究是採類實驗設計前後暨對照組比較方式(quasi-experimental pre-posttest control group design),分析主題為「長期照護之居家照顧病人家屬支持團體之建立與評值」,針對憂鬱、知識及負荷等指標進行分析,而本研究針對不同之研究目的及成果指標,運用相同之資料庫進行二次資料分析。原始研究設計將60位個案隨機分配進入支持團體及對照組兩組,每組有30位成員,以八週的支持團體為介入措施,採團體前-後-追蹤測量的方法,由研究對象填寫二份不同問卷以評估探討心理調適與社會支持成效。研究結果顯示:實驗組於團體結束以及結束一個月後,其社會支持之改變量未達統計顯著差異。心理調適方面,問題焦點心理調適在團體結束後及追蹤測量未達統計顯著差異;而情緒焦點心理調適在團體結束後測量未達統計上顯著差異,但在一個月追蹤測量則顯示參加支持團體之實驗組較對照組有統計上之顯著差異。結論:(一)失智症患者家屬參與「支持團體」之後其「社會支持」結果指標之成效未達統計上之顯著差異。(二)失智症患者家屬參與「支持團體」之後其「問題焦點心理調適」結果指標之成效未達統計上顯著差異。(三)失智症患者家屬參與「支持團體」之後其「情緒焦點心理調適」結果指標之成效在一個月追蹤後則達顯著之差異,顯示支持團體對失智症病人家屬之情緒上的心理調適是有影響的。
The aim of this study was to investigate the effect of the supporting group on coping strategies and social support among dementia caregivers. A secondary data analysis was used in this study. Quasi-experimental pre-posttest control group design was used to compare 60 caregivers (30 experimental and 30 control group) who received the support group intervention over 8 weeks. All caregivers evaluated by two instruments and the aim was to evaluate coping strategies and the burden of social support. Regarding the burden of social support, there were no significant differences between the pre-post intervention and one-month follow-up. Regarding the problem-focused coping strategies, there was no significant differences between the pre-post intervention and one-month follow-up. Regarding the emotional-focused coping strategies, there was no significant differences between the pre-post intervention, but did have shown to have significant differences after one-month follow-up. This result suggested providing support group to families of people with dementia did benefit to the caregivers’ emotion-focused coping.
目 錄
頁 數
致 謝……………………………..………………………………………………..... Ⅰ
中文摘要………………………………………………….. Ⅱ
英文摘要..……………………………………......... Ⅳ
目 錄……………………………............ VI
圖表目次…………………................... VIII
第一章 緒論
第一節 研究背景與動機…………………………………………………. 1
第二節 研究目的……………………………………………………………4
第三節 研究問題…….………………………………………………………. 4
第二章 文獻查證
第一節 失智症之流行病學…………………………….. 5
第二節 失智症介紹…………………………………………………………. 6
第三節 失智症對照顧者的影響…………………………11
第四節 支持團體對照顧者之成效…….……………….15
第五節 社會支持…….………………………………………………………. 19
第六節 心理調適…….………………………………………………………. 20
第三章 研究方法
第一節 研究設計…….………………………………………………………. 23
第二節 名詞界定…….………………………………………………………. 24
第三節 研究對象…….………………………………………………………. 26
第四節 研究步驟…….………………………………………………………. 26
第五節 研究工具…….………………………………………………………. 29
第六節 資料處理分析…………………………………………………….. 31
第七節 研究倫理…………………………………………………………….. 32
第四章 分析與結果
第一節 失智症患者與照顧者人口學分析…….………………… 33
第二節 社會支持指標分析…….……………………………………….. 41
第三節 心理調適指標分析…….……………………………………….. 41
第五章 討論
第一節 失智症患者人口學變項之結果討論………………….. 46
第二節 失智症照顧者支持團體對社會支持及心理調適
之結果討論…………………………………………………………. 48
第六章 結論與建議
第一節 結論…….………………………………………………………………. 52
第二節 研究限制…….……………………………………………………… 52
第三節 建議..…………………………………………………………………… 53
參考文獻
中文部份………………………………………………………………………….. 54
英文部份………………………………………………………………………….. 56
附錄
附錄一、壓力因應策略量表……………………………………………. 64
附錄二、個人資源問卷……………………………………………………. 67
附錄三、失智症主要照顧者支持團體計畫書…………………. 69
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