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1
題名:血液透析患者主要照顧者的負荷、需求及相關因素     (28點)
An Exploratory Study of Primary Caregivers' Burdens, Needs, and Related Factors in Hemodialysis Patients
著者:鍾玉珠(Yu-Chu Chung) ;呂秋華(Chiu-Hua Lu)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:血液透析 ; 主要照顧者 ; 負荷 ; 需求 ; hemodialysis ; primary caregiver ; burdens ; needs
刊名:臺灣腎臟護理學會雜誌
卷期:6卷1期(2007.6)
頁碼:23-36
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

本研究目的在了解血液透析患者之主要照顧者負荷、需求及其相關因素。針對北區某區域教學醫院洗腎室透析患者之主要照顧者共101位,採結構式問卷收集資料。結果顯示:(1)照顧者負荷平均得分為1.77分偏中度負荷,其中以“擔心患者病情變化”為最重的負荷。照顧者負荷與慢性病、更換職業、外傭之有無、目前健康狀況及照顧前後之健康狀況、家人互動、親友互動、經濟狀況的改變達統計上顯著差異。目前健康狀況、照顧前後之家人互動情形、日常生活活動功能、外傭之有無、照顧前後之經濟狀況等為照顧者負荷的顯著預測因子,解釋變異量為48.8%。(2)照顧者需求平均得分為1.87分屬中度需求,其中以“醫護人員能盡全力照顧患者”為最大需求。照顧需求與照顧前後的健康狀況、家人互動、經濟狀況的改變等達統計上顯著差異。目前健康狀況、照顧前後的家人互動情形為照顧者需求的顯著預測因子,解釋變異量為11.4%。(3)患者的日常生活活動功能愈差,主要照顧者負荷愈高(r=-0.279, p<0.001);主要照顧者負荷愈高,則主要照顧者需求則愈高(r=0.559, p<0.001)。依本研究結果將有助於瞭解北台灣血液透析者之主要照顧者需求,並作為日後發展血液透析患者整體照護之參考。
The purpose of this study was to explore the burdens, needs, and related factors among primary caregivers while they were taking care of their hemodialysis patients. There were 101 questionnaires collected from those patients' primary caregivers in one hospital located in Northern Taiwan. The results of this study were as follows: Firstly, the mean for primary caregivers' burdens was 1.77, a medium burden level, and "worrying about the patient's disease progression" was the major identified burden. In addition, the caregivers' burden showed significant differences according to whether they have chronic diseases, job changes for patient care, and foreign helpers or not. Also, the changes of health status, family relationship, kin interaction, and economics, among primary caregivers, before and during care of patients, yield significant differences in burden. Using a multiple stepwise regression analysis, health status, family relationship, Barthel's score revealed that, foreign helpers or not, and economic change were found to explain 48.8% of the variance of primary caregivers' burdens. Secondly, the mean for primary caregivers' needs was 1.87, a medium level of needs, and the best care from medical staffs was the most important need. Factors associated with caregivers' needs include the changes of health status and family relationship for primary caregivers before and during care of patients. Both health status and family relationship were found to explain 11.4% variance of primary caregivers' needs. Thirdly, the lower the Barthel's score, the higher the caregivers' burden. Also, there was a positive relationship between the caregivers' burdens and needs. Results of the study will be of assistance to health professionals in understanding the needs of caregivers who care for hemodialysis patients in Northern Taiwan, and will act as a reference for the future development of action plans and techniques for the holistic care of hemodialysis patients.


    

本卷期目次
臺灣腎臟護理學會雜誌 6卷1期 (2007.6)
透析病患口渴的護理/ 詹雅琦
血液透析患者主要照顧者的負荷、需求及相關因素/ 鍾玉珠呂秋華
血液透析病患需求之衛生教育/ 林燕如孫嘉玲謝湘俐
照護一位末期腎病病人初次面臨血液透析之護理經驗/ 邱淑芳盧彩屏
照顧一位感染愛滋病毒的長期血液透析病患之護理經驗/ 彭雪萍廖彥琦陳淑娟
降低血液透析過程中病患血壓下降之專案/ 丁麗珠江曉萍林筱芳林芳苓
 
   
 
   

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