| 摘要: | 背景與目的：臺灣整體人口結構快速高齡化，高齡化也使得急性醫療轉成慢性照護比例增加；加上家庭功能弱化，提供服務的照顧者減少，相對使長期照顧需求人數也同步增加。居家服務在長期照顧2.0的使用率最高，而衛生福利部也在2019年特別編印「長照復能操作指引」，顯現復能在居家的關鍵及重要性，服務對象也包含家屬，我國目前對照顧者缺乏全國性完整照顧者法案與具體推展之計畫，而國內目前尚無本土性實證闡述長照居家式之居家服務和居家復能使用者與家庭照顧者壓力之關係，因此本研究進行相關性之探討。
研究方法：本研究之設計採方便取樣方式透過結構式問卷進行資料訪談，於北部某物理治療所承接社區整體照顧服務，針對接受長照2.0居家服務或居家復能且及家庭照顧者，包含家庭照顧者及服務使用者共收93位樣本，收案期間為2021年8月至2021年10月，以皮爾森積差相關及多元線性回歸進行統計分析。
研究結果：皮爾森基差相關研究結果分析，以線性迴歸控制人口學變項及長照2.0居家服務或居家復能使用者之特質及健康狀態，其結果顯示長照等級(F=2.21, p=0.04)、ADLs(r=-.23, p=0.02)、IADLs(r=.25, p=0.02)、憂鬱量表總分(r=.23, p=0.03)變項與家庭照顧者壓力具有顯著相關。進而再選取和家庭照顧者依變項有顯著相關的自變項，放入迴歸分析中，結果發現長照等級(t=2.830, p=0.006)為家庭照顧者壓力之重要預測因子。
結論：建議未來應更聚焦於居家服務配搭居家復能使用上的研究，翻轉醫療照護，改以提升長照使用者生活自立支援為目標，減輕家庭照顧者之負擔。
Gerontology Health Management, Taipei Medical University
Purpose of Study: An aging population will bring great for the whole community impact in Taiwan. The number of long-term care needs has also increased, home services have the highest utilization rate in long-term care 2.0, the Ministry of Health and Welfare is also writing a "Guidelines for the Operation of Long-term cara reablement" in 2019, which shows the key and importance of reablement at home, home reablement services also include family members. The research priorities tend to focus on issues in the exploring the relationships between home care, home reablement useage and family caregiver’s stress is less depth in Taiwan.
Methods: The design of this study is convenience sampling by means of structured questionnaire for data collection of the physiotherapy clinic in Taipei. There are 93 subjects included home care, home reablement useage and family caregiver in this study. The implementation period is from August to October 2021, The study uses statistical analysis of Pearson correlation and Multiple regression.
Results: The results of Pearson Correlation research were analyzed to control demographic variable with linear regression
the characteristics and health status of the home care, home reablement the users of the long term levels 2.0. Long term rating (F=2.21, p=0.04), ADLs (r=-.23, p=0.02), IADLs (r=.25, p=0.02), Geriatric Depression Scale total score (r=.23, p=0.03) variable. There is a significant correlation between family caregiver stress.
Family caregiver dependent variable have significantly related independent variable, put into regression analysis, and the results show long term levels (t=2.830, p=0.006) is an important predictor of family caregiver stress.
Conclusion: It is suggested that the future should focus more on the study of the usage of home reablement matching home care, tansfer of medical care, to improve on long term care into the Independent life Support as the goal, reduce family caregiver stress. |
