不同就醫模式精神病患的家庭照顧者照顧負荷之研究–以南部某區域教學醫院為例

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Title:	不同就醫模式精神病患的家庭照顧者照顧負荷之研究–以南部某區域教學醫院為例
Other Titles:	A Study of Caregiver Burden in Family Caregivers of Psychiatric Patients with Different Medical Behaviors at a Regional Hospital in Southern Taiwan
Authors:	賴美靜 LAI, MEI-CHING
Contributors:	自然生物科技學系自然療癒碩士班陳嘉民 CHEN, CHIA-MIN
Keywords:	精神病患;家庭照顧者負荷;家庭功能;社會支持網絡 psychiatric patients;family caregiver burden;family functioning;social support network
Date:	2020
Issue Date:	2022-08-11 13:22:32 (UTC+8)
Abstract:	背景及目的：隨著精神醫療的革新與人道主義的興起，精神病患照護強調「發展積極治療與復健、減少消極收容與養護」，病患的治療及安置的場所不再僅限於醫療機構。當病患走出醫院後，如何銜接一個完善的照護系統，成為目前病患照護上一個重要的議題。因此，本研究擬針對不同就醫模式下的精神病患之家庭照顧者負荷現況進行瞭解，並進一步探討其與家庭功能、社會支持之關連性。　　材料及方法：本研究採橫斷式設計，以南部某區域醫院精神科非住院的社區精神病患、急性精神科病房精神病患及日間病房精神病患三類之家庭照顧者為收案對象，收案時間為民國109年3月至民國109年6月，經過研究人員解說後，同意參加此研究者進行收案，並簽署知情同意書，招募74名。研究以面訪方式進行，問卷內容包含（1）基本資料表、（2）家庭功能量表、（3）照顧者負荷量表及（4）社會支持網絡量表。　　結果：（1）病患及照顧者基本屬性：病患未規則服藥導致精神症狀反覆及照顧者年齡導致身心俱疲與照顧者負荷相關。（2）急性病房在照顧者負荷總分居高，其照顧者緊張感得分最高。（3）家庭功能總分為日間病房得分最高，其健康照顧功能得分最高。（4）社會支持網絡得分以急性病房得分最高，其朋友網路得分居高。　　Background and Purpose:With the revolution in psychiatry and the rise of humanitarianism, care of psychiatric patients emphasizes “the development of active treatment and rehabilitation, and reducing passive accommodate and care”. The treatment and placement of patients is no longer limited to medical institutions. When the patient leaves the hospital, how to connect to a comprehensive care system has become an important issue in patient care. Therefore, this study aims to understand the current burden of family caregivers of psychiatric patients under different health care models. It also aims to further investigate its relationship with family functioning and social support.　　Materials and Methods: This study adopted a cross-sectional design. Family caregivers of psychiatric patients in the psychiatric department of a regional hospital in the southern Taiwan were used as the subjects of the study. They cared for three types of psychiatric patients, Non-hospitalized community psychiatric patients, psychiatric patients in the acute psychiatric ward, and day ward psychiatric patients. The research period was from March 2020 to June 2020. After explanation by the researcher, the participants agreed to be participate in the study, signed consent forms, and recruited 74 individuals. The study was conducted by face-to-face interviews. The questionnaires included: (1) The Basic Information Form, (2) The Family Functioning Scale, (3) The Caregiver burden Scale, and (4) The Social Support Network Scale.　　Results: (1) Basic attributes of patients and caregivers: there was correlation between psychotic symptom recurrence in patients who do not take medication regularly and caregiver age causes physical and mental exhaustion and caregiver's burden. (2) Acute wards had the highest total caregiver load scores and the highest caregiver stress scores. (3) The highest total family function score was for the day ward, and had the highest health care function score. (4) The acute ward had the highest social support network score and the highest friend network score.
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