家庭照顧者親職化經驗、照顧負荷與健康狀態之關係

淡江大學機構典藏 > 教育學院 > 教育心理與諮商研究所 > 學位論文 > Item 987654321/93682

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题名:	家庭照顧者親職化經驗、照顧負荷與健康狀態之關係
其它题名:	Relationship among parentified experience, caregiver burden, and health status of family caregivers
作者:	李汶軒;Lee, Wen-Hsuan
贡献者:	淡江大學教育心理與諮商研究所碩士班郭瓈灧
关键词:	家庭照顧者;親職化經驗;照顧負荷;健康狀態;Family caregivers;Parentified Experience;Caregiver Burden;Health Status
日期:	2013
上传时间:	2014-01-23 13:24:21 (UTC+8)
摘要:	本研究旨在探討家庭照顧者親職化經驗、照顧負荷與健康狀態之間的關係，本研究以413位家庭照顧者為研究對象，採用問卷調查法進行資料蒐集，所使用研究工具則包括親職化經驗量表、照顧負荷量表簡短版以及中國人健康量表(CHQ-12)，所得資料以描述性統計、卡方檢定、t 檢定、多變量變異數分析、單因子變異數分析、Pearson積差相關，以及調節迴歸等統計方法進行分析。本研究發現如下： 1.不同年齡、手足排行、成為照顧者因素之家庭照顧者，親職化經驗有顯著差異。 2.不同婚姻狀況、職業狀態、自評經濟狀況、居住狀況、共同協助照顧家人數、照顧不同障礙等級家人、照顧不同身心健康狀況之家庭照顧者，其照顧負荷有顯著差異。 3.不同性別、居住區域、與照顧者不同關係、自評經濟狀況、照顧不同障礙等級家人之家庭照顧者，其健康狀態有顯著差異。 4.(1)家庭照顧者「功能性照顧」親職化經驗愈高時，則「案主依賴」照顧負荷愈重、「健康狀態」愈不佳。 (2)家庭照顧者「情感性照顧」親職化經驗愈高時，則「愧疚」、「案主依賴」照顧負荷愈重、「健康狀態」愈不佳。 (3)家庭照顧者「不公平性」親職化經驗愈高時，則「家庭干擾」、「愧疚」、「案主依賴」及「整體」的照顧負荷愈重、「健康狀態」愈不佳。 (4)家庭照顧者「家庭干擾」、「案主依賴」及「整體」的照顧負荷愈重，則「健康狀態」愈不佳。 5.在控制背景變項下，「照顧負荷」對「健康狀態」的預測力，不因「親職化經驗」程度而有所不同。最後研究者根據本研究結果加以討論，並提出具體建議，以供諮商實務相關人工作者及未來研究者參考。關鍵字：家庭照顧者、親職化經驗、照顧負荷、健康狀態 The study aims to explore the relationship among parentified experience, caregiver burden, and health status of family caregivers. The participants were 413 family caregivers. The data was collected and conducted through questionnaire survey. The instruments adopted by the researcher in the study consisted of the parentified experience questionnaire, the caregiver burden questionnaire and the Chinese Health Questionnaire (CHQ-12). The researcher applied the Statistical Package for Social Science 20.0 (SPSS 20.0) for Windows to deal with the collected data, including descriptive statistics, Chi-Square Test,t-test, M ANOVA, One-way ANOVA, Pearson’s Correlation, and Moderated Regression Analysis. The following are the findings of this study: 1.The parentified experience has the significant differences because of the family caregivers with the difference of age, the sibling’s ranking, and the reasons as caregivers. 2.The caregiver burden has significant differences because of the family caregivers with the differences of marriage, occupation, self-evaluation of economy, residential status, the number of taking care of family and the level of disability, and the different physical and mental health status of family care. 3.The health status has significant differences because of the family caregivers of difference gender, residential area, the different relationship, self-evaluation of economy, and taking care about the different level of disability. 4.(1) When the family caregivers’s parentified experience of “Instrumental Caregiving” is higher, the caregiver burden of “Client Depend” and the“Health Status” are higher. (2) When the family caregivers’ parentified experience of “Emotional Caregiving” is higher, the caregiver burden of “Guilt” ,“Client Dependent” and the“Health Status” are higher. (3) When the family caregivers’ parentified experience of “Unfairness” is higher, the caregiver burden of the “Family Disturbance”, “Guilt”, “Client Dependent” , “Whole Burden ” and the“Health Status” are higher. (4) When the family caregivers’ caregiver burden of the “Family Disturbance”, “Client Dependent” , “Whole Burden are higher, the“Health Status” is higher. 5.Under the control variables, the predictors of “Caregiver Burden” as for “Health Status” are no differences because of the different level of “Parentified Experience” . According to the results of this study, the researchers discussed and proposed the concrete suggestion for people who might do the relevant practical consultant job and further researchers as the reference in the future.
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