Yen Wen-Jiuan, Lundeen Sally
College of Nursing, Chung Shan Medical University, 110, Sec. 1,Chien-Kuo N. Road, Taichung, 402, Taiwan, ROC.
Int J Psychiatr Nurs Res. 2006 Sep;12(1):1378-92.
Caregiving is a demanding responsibility. Because of the de-institutionalization movement, much of the care provided by hospitals has been shifted to the community. Caregivers' issues cannot be overlooked. The purposes of the study are: (a) to understand meaning of caregiving, perceived social support and level of depression of caregivers during the transition phase immediately following a family members' discharge from the hospital to the community; (b) to determine the association between determinants and meaning of caregiving, perceived social support level of depression; (c) to determine the association between meaning of caregiving, perceived social support level of depression. Fifty five caregivers of schizophrenic patients were recruited from a private hospital in Taipei, Taiwan. Certain characteristics of caregivers were found to be associated with lower levels of depression, meaning of caregiving and perceived social support. Perceived social support was shown to be a mediator between the meaning of caregiving and caregivers' level of depression. Despite the small sample size, the findings can serve as a reference for mental health professionals as they develop mental health care program for patients and also for caregivers.
照顾是一项艰巨的责任。由于去机构化运动，医院提供的大部分护理已转移到社区。照顾者的问题不容忽视。本研究的目的是：(a) 了解家庭成员从医院出院到社区后的过渡阶段照顾者的照顾意义、感知到的社会支持和抑郁水平；(b) 确定决定因素与照顾意义、感知到的社会支持抑郁水平之间的关联；(c) 确定照顾意义、感知到的社会支持抑郁水平之间的关联。从台湾台北的一家私立医院招募了55名精神分裂症患者的照顾者。研究发现，照顾者的某些特征与较低的抑郁水平、照顾意义和感知到的社会支持相关。感知到的社会支持被证明是照顾意义与照顾者抑郁水平之间的中介。尽管样本量较小，但研究结果可为心理健康专业人员制定患者及照顾者的心理健康护理计划提供参考。
