Yeh Pi-Ming, Chang Yuanmay
Department of Nursing, Missouri Western State University, St Joseph, Missouri, USA.
Chairman Office, Shin Kong Memorial Hospital, Taipei, Taiwan.
Int J Nurs Pract. 2015 Oct;21(5):622-34. doi: 10.1111/ijn.12333. Epub 2014 Oct 13.
This study was conducted to examine the relationships between family caregivers' perception of caregiving and its influencing factors among Taiwanese with hospitalized relatives. The study used a cross-sectional and descriptive correlational design. A convenience sample of 200 primary caregivers of hospitalized patients diagnosed with cancer, stroke and chronic illness was recruited in a Taiwanese Medical Center; this focus was chosen because cancer, stroke and chronic illness generally require long term care. Data were collected by structured questionnaires. Pearson product-moment correlation and stepwise multiple regression analyses were used to analyse the results of this study. Family caregivers who lacked family support and whose patients' ADL (activities of daily living) dependency was increasing experienced a greater caregiving burden. Family caregivers who had better psychological well-being, better quality of relationship and more caregiving knowledge experienced a lower caregiving burden. Quality of relationship, lack of family support and patients' ADL dependency accounted for 43% of the Zarit Burden Interview variance. The results indicated that family caregivers' perception of caregiving included sacrifice, strain, embarrassment, anger and loss of control. It is vital for nurses to understand these caregiving perceptions and their related factors to provide a holistic care plan.
本研究旨在探讨台湾地区有住院亲属的家庭照顾者对照顾的认知及其影响因素之间的关系。该研究采用横断面描述性相关设计。在一家台湾医学中心招募了200名被诊断患有癌症、中风和慢性病的住院患者的主要照顾者作为便利样本;选择这一重点是因为癌症、中风和慢性病通常需要长期护理。通过结构化问卷收集数据。采用Pearson积差相关和逐步多元回归分析来分析本研究结果。缺乏家庭支持且患者日常生活活动(ADL)依赖性增加的家庭照顾者经历了更大的照顾负担。心理健康状况较好、关系质量较好且照顾知识较多的家庭照顾者照顾负担较低。关系质量、缺乏家庭支持和患者的ADL依赖性占Zarit照顾负担访谈变异的43%。结果表明,家庭照顾者对照顾的认知包括牺牲、压力、尴尬、愤怒和失控感。护士了解这些照顾认知及其相关因素以提供全面的护理计划至关重要。