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[[alternative]]The Development of Competence Indicators for Family Caregivers of Schizophrenic Patients

By 蘇秋燕 and Chiou-Yan Su


[[abstract]]背景:隨著思覺失調症患者逐年增加且政府積極推動去機構化的情形下,大多數病患會回到家庭,由家人擔任照顧工作,由於家庭照顧者對於精神疾病的不了解,照顧過程產生的種種問題也不知道該如何處理,又因為烙印而產生的抗拒,使得照顧過程產生許多衝突與壓力,進而危及整個家庭功能,因此,家庭照顧者的勝任度就顯得非常重要。過去台灣沒有以思覺失調症之家庭照顧者之勝任度為主題之研究,至今尚無針對勝任度內涵進行探討之相關研究,本研究立意於思覺失調症之家庭照顧者的勝任度,建構勝任度應具備的內涵及指標項目。目的:一、建構思覺失調症之家庭照顧者的勝任度指標;二、從研究結果探討臨床工作者的實務相關建議。方法:本研究採用修正式德菲法,先以文獻查證勝任度的內涵(知識、技能、態度),確認家庭照顧者勝任度內容,自擬勝任度問卷,再邀請22 位臨床精神科領域專家進行二回合問卷調查回覆後修正,以建構思覺失調症之家庭照顧者勝任度指標。結果:專家群對於家庭照顧者勝任度指標達成共識的項目合計有26 項,包含10 項知識指標、10 項技能指標、及6 項態度指標。結論:政府在推動精神病患去機構化的同時,除了重視精障個案的社區管理之外,應考量到家庭照顧者的照顧情形,以避免他們成為未來需照顧的族群,本研究可以協助提供國內思覺失調症之家庭照顧者勝任度概念的建立,作為臨床工作者服務個案及政府推動相關應用之參考。[[abstract]]With schizophrenic patients increasing every year, the government is actively promoting the policy of deinstitutionalization. Under the policy tenet, all patients discharged from hospital are encouraged to return home and cared by family members.If family caregivers don’t understand the nature of mental illness, the care tasks will present to them with difficulties. When stigma regarding mental illness sets in andfamily caregivers are not prepared to deal with it, they are bound to be confronted with conflicts with patients and other family members. Consequently, care giving tasks may become cumbersome and even taxing that may lead to caregiver burden.The problem come a full circle to impact the patients’ well-being. In addition, the entire family would be in jeopardy. Therefore, the family caregivers’ competence holds the key to family caregiver and as a result patient and family well-beings.Previous studies on family caregiver competence in caring for the Schizophrenic patients were lacking and instruments on that competence await to be developed.The purpose of this study was to develop an instrument on family caregiver competence in providing care to the schizophrenic patients. Literature was reviewed to produce the fundamental items of competence measures, including three dimensions, knowledge, skills, and attitudes of family caregivers. The next stage was to use Modified Delphi Method to verify and modify those items. A total of 22 experts were invited to rate the provided items of the instrument. After two rounds of expert reckoning and reaching an agreement, a total of 26 items were generated, including 10 knowledge indicators, 10 skills indicators, and six attitude indicators.This study was only the first step to construct an instrument on caregiver competence for providing care to schizophrenic patients. Future studies may want to carry on the task of verifying the reliability and validity of the instrument in order that it can be useful for clinicians to employ as a screening tool and to further provide needed training for family caregivers

Topics: 知識;家庭照顧者;思覺失調症;德菲法;態度, competence;schizophrenia;Delphi Method;knowledge;attitude, [[classification]]17
Publisher: 國立台北護理健康大學長期照護研究所
Year: 2015
OAI identifier: oai:NTUNHSIR:987654321/3917
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