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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 陳雅美(Ya-Mei Chen) | |
dc.contributor.author | Yu-Chin Chang | en |
dc.contributor.author | 張鈺勤 | zh_TW |
dc.date.accessioned | 2021-05-14T17:43:03Z | - |
dc.date.available | 2017-02-24 | |
dc.date.available | 2021-05-14T17:43:03Z | - |
dc.date.copyright | 2016-02-24 | |
dc.date.issued | 2015 | |
dc.date.submitted | 2015-12-08 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/4531 | - |
dc.description.abstract | 研究背景:全球失智症人數逐年攀升,失智症患者由家庭照顧者所提供照護有增加的趨勢,家庭照顧者因照顧而產生的影響需被了解,因會影響到照顧者及失智症患者身理及心理,進而影響照護結果。選擇使用不同的長期照護模式,會對家庭照顧者產生不同的正負向影響。由此推測,失智症患者及家庭照顧者選擇使用日間照顧中心模式及瑞智互助家庭模式,會對家庭照顧者產生不同的正負向影響,目前國內研究大多針對單一正向或是負向影響進行研究,但未探討家庭照顧者對使用不同模式的正負向照顧影響。
研究目的:探討失智症患者使用日間照顧中心模式及瑞智互助家庭模式,對家庭照顧者多元評估之影響。 研究方法:本研究在五家日間照顧中心及瑞智互助家庭進行問卷調查。研究對象為經醫師確診為失智症患者且已經使用服務模式達三個月失智症患者之主要照顧者,且為主要提供失智症患者照顧服務之家庭照顧者。研究以複迴歸(Multiple Regression)控制家庭照顧者及患者人口學特質,探討使用日間照顧服務模式及瑞智互助家庭模式下,家庭照顧者之正負向影響。 研究結果:本研究共納入93人。照顧者多元評估量表兩組服務模式無顯著差異,其三個構面「照顧者壓力指數」、「照顧的滿足感」、「照顧的熟練能力」對兩組服務模式皆無顯著差異。照顧者就業狀況是否改變對多元評估及照顧者壓力指數為正相關,與照顧的滿足感為負相關;每日照顧平均時間對多元評估為正相關;照顧者年齡對照顧的熟練能力為負相關。 研究討論:兩者服務模式在照顧者壓力指數、照顧的滿足感及照顧的熟練能力無顯著差異,代表兩種服務對家庭照顧者其實都有很好的支持。建議未來發展多元長照家庭支持照顧服務時,也可提供瑞智家庭給之失智長輩的家庭做參考。研究結果建議對於家庭照顧者,在未來應給予照顧者社會支持及照顧技巧的訓練,來降低照顧的壓力,增加照顧的滿足感及熟練能力。 | zh_TW |
dc.description.abstract | Background:As global aging, more dementia patient are cared by family caregivers., family caregivingmay have great impact onboth physical and mental health of the caregiver and the dementia older adults they are caring for. Evaluating family cargivers' experiences, which may included both positive and negative experiences, are important for future program and policy development. People with dementia and their family caregivers may use adult day care model or wisdom of family model in Taiwan.
Objective:The purpose of this study was to explore and compare comprehensive assessment of family caregiver with dementia using adult day care and wisdom of family. Method:This study administer a comprehensive questionnaire in five adult day care centers and one wisdom of family. The comprehensive Questionnaire incldued three subscale. There were caregiving satisfaction, caregiving mastery and modified caregiver strain index. Participants of this study is the caregiver who attended the dementia patient, patient used the service already three months and is the mainly caregiver. The study used multiple regression to analyze and compare the differences in comprehensive assessment between families using adult day care and wisdom of family. Dementia cases and their family caregivers' characteristics were controlled. Result:93 family caregiver were surveyed. There were no significant differences in comprehensive assessment scores between caregiver using adult day care and wisdom of family. For subscales, caregiver strain index, caregiving mastery and caregiving satisfaction, there were no significant differences found between family caregivers using adult day care and wisdom of family. As for the total score of comprehensive assessment scores, employment status change of caregiver was positively associated with caregiver comprehensive assessment scale and caregiver strain index, and negatively associated with caregiving satisfaction. The average care time of a day is positively associated with caregiver comprehensive assessment scale. Caregiver age was negatively associated with caregiving mastery. Disscussion:There were no significant differences in the scores for conprehensive assessment, caregiver strain index, caregiving satisfaction and caregiving mastery between family careivvers using adult day care and wisdom of family. This indicated both services are equally supported family caregivers with demented older adutls. Findings suggested both services can be recommended to family careivgvers with different service preference. In the future, we suggest service agency to give caregivers’ social support and skills of care to declined caregiving stress and increase caregiving satisfaction and mastery. | en |
dc.description.provenance | Made available in DSpace on 2021-05-14T17:43:03Z (GMT). No. of bitstreams: 1 ntu-104-R02848011-1.pdf: 2154757 bytes, checksum: 21b6907ec470b48e6db447127b5fff8b (MD5) Previous issue date: 2015 | en |
dc.description.tableofcontents | 致謝 i
中文摘要 ii Abstract iv 目錄 vi 表目錄 viii 圖目錄 x 第一章 緒論 1 第一節 研究背景 1 第二節 研究動機 5 第三節 研究目的 5 第二章 文獻回顧 6 第一節 失智症 6 第二節 失智症家庭照顧者多元評估與影響 16 第三節 台灣失智症照顧服務 24 第四節 評估工具回顧 31 第三章 研究方法與設計 34 第一節 研究架構 34 第二節 研究對象 35 第三節 研究過程 35 第四節 研究工具 36 第五節 問卷效度與信度測試 44 第六節 統計方法 46 第四章 研究結果 48 第一節 問卷回收 48 第二節 問卷信效度分析 49 第三節 樣本特徵與各變項分布情形 58 第四節 探討日間照顧與瑞智互助家庭對照顧者多元評估的答題分析 69 第五節 多元評估量表之照顧者及被照顧者基本特質比較 77 第六節 日間照顧及瑞智互助家庭服務之多元評估多變項分析 84 第七節 照顧者與被照顧者之特質對選擇使用日間照顧及瑞智互助家庭服務多變項分析 89 第八節 照顧者與被照顧者的基本特質之多元評估多變項分析 90 第五章 討論 95 第一節 研究資料品質 96 第二節 日間照顧與瑞智互助家庭對多元評估量表之討論 99 第三節 照顧者及被照顧者特質對服務選擇之討論 103 第四節 照顧者及被照顧者特質對多元評估之討論 104 第五節 研究限制 107 第六章 結論與建議 108 第一節 結論 108 第二節 建議 109 參考文獻 111 附錄 120 附錄一 研究倫理審查核可證明 120 附錄二 研究問卷 122 | |
dc.language.iso | zh-TW | |
dc.title | 探討失智症患者使用日間照顧中心與瑞智互助家庭模式下之家庭照顧者多元評估 | zh_TW |
dc.title | Comprehensive Assessment of Family Caregivers with Dementia in Adult Day Care and Wisdom of Family | en |
dc.type | Thesis | |
dc.date.schoolyear | 104-1 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 湯麗玉,程蘊菁 | |
dc.subject.keyword | 日間照顧中心,瑞智互助家庭,家庭照顧者,照顧者多元評估, | zh_TW |
dc.subject.keyword | adult day care,wisdom of family,family caregiver,comprehensive assessment of caregiver, | en |
dc.relation.page | 129 | |
dc.rights.note | 同意授權(全球公開) | |
dc.date.accepted | 2015-12-08 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 健康政策與管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
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