MSN, RN, Assistant Professor, Department of Nursing, Tzu Chi University of Science and Technology, Taiwan, ROC.
PhD, RN, Professor, Nursing and Health Research, Faculty of Health Sciences, University of Hull, England, UK.
J Nurs Res. 2019 Oct;27(5):e47. doi: 10.1097/JNR.0000000000000314.
Indonesians constituted 79% of foreign care workers for long-term care in Taiwan in 2015. Therefore, it is crucial to explore the effect of work stress and quality of life (QoL) on this population.
This study aims to explore stress levels, social support requirements, and perceived QoL among Indonesian care workers (ICWs) who work in home care settings.
A cross-sectional design was used. Data were collected between 2014 and 2016 from a convenience sample of ICWs working in eastern Taiwan using a self-administered questionnaire that comprised the Stress Perception Scale (SPS), Social Support Scale (SSS), and World Health Organization Quality of Life-Brief scale. One hundred fifty-seven valid questionnaires were collected. The response rate was 80.51%. Data were analyzed using descriptive statistics, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis.
The results found that the average SPS of the sample was 70.50, with low QoL scores and requirements for more social support. In addition, significant and positive correlations were found between QoL and SPS, SSS, duration of patient care, and hours of care per week. Stepwise regression analysis showed that the most predictive variables for QoL were time spent caring, preservice training, psychological stress, and emotional support, which together accounted for 60.9% of the total variance.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: This study facilitated understanding of the stress on ICWs and the impact of social support on their QoL. The findings suggest that new immigrants in Taiwan should be introduced to foreign care workers or nursing attendants. Moreover, long-term-care-related teachers should work with home care institutions or agencies to develop a teaching model for innovative care skills to relieve the perceived stress of ICWs.
2015 年，印度尼西亚人占台湾长期护理外籍看护工的 79%。因此，探索工作压力和生活质量（QoL）对这一人群的影响至关重要。
本研究旨在探讨在家庭护理环境中工作的印度尼西亚看护工（ICWs）的压力水平、社会支持需求和感知生活质量。
采用横断面设计。2014 年至 2016 年期间，从台湾东部的便利样本中收集了从事 ICWs 的工作的自我管理问卷数据，该问卷包括压力感知量表（SPS）、社会支持量表（SSS）和世界卫生组织生活质量简表。共收集了 157 份有效问卷，应答率为 80.51%。使用描述性统计、单因素方差分析、皮尔逊相关系数和多元回归分析对数据进行分析。
结果发现，样本的平均 SPS 为 70.50，生活质量评分较低，对社会支持的需求较高。此外，生活质量与 SPS、SSS、患者护理时间和每周护理时间之间存在显著正相关。逐步回归分析显示，生活质量的最具预测性变量是护理时间、岗前培训、心理压力和情感支持，它们共同解释了总方差的 60.9%。
结论/对实践的影响：本研究有助于了解 ICWs 的压力以及社会支持对其生活质量的影响。研究结果表明，台湾应该向外国看护工或护理员介绍新移民。此外，长期护理相关教师应与家庭护理机构或机构合作，开发创新护理技能的教学模式，以减轻 ICWs 的感知压力。
