腦中風病人主要照顧者之照護需求及其相關因素探討

Caring Need and Related Factors of Stroke Patients' Primary Caregivers

腦中風對於病人及照顧者是一大壓力源，瞭解主要照顧者的照護需求有助於提升病人出院後的照護品質。本研究探討腦中風病人主要照顧者於出院前之照護需求及其相關因子，採橫斷式研究法，以結構性問卷收集資料，有效問卷共156份。收集的資料以SPSS 15.0建檔並進行分析，並運用描述性統計、t檢定、單因子ANOVA、Pearson相關檢定與迴歸法分析資料。結果顯示在照護需求各構面以醫療照護相關訊息得分最高，次之為醫療服務需求。不同主要照顧者與病人基本屬性對照顧需求程度差異分析結果發現，年紀較大、教育程度低與日常生活活動功能較依賴的中風病人照顧者，有較高的照顧需求。迴歸分析結果也發現，照顧者的教育程度為照顧需求的預測因子。此研究結果可提供護理人員評估照顧者需求並教導照護相關的知識及技能，以提昇照顧者的照護能力。

Stroke is a stress source for the patient and family. In order to give a better care for stroke patients, it is important to understand the caring needs of stroke patients’ caregivers. The aim of this study was to investigate the caring needs and correlated factors for primary caregivers of stroke patients before discharge. A cross-sectional survey with structured questionnaires, convenient sampling was implemented for this study. The study was conducted in a neurology ward of a medical center in southern Taiwan. One hundred and fifty-six primary caregivers of stroke patients, who met our inclusion criteria, were recruited in this study. The SPSS 15.0 for Windows was used for statistical analysis, including descriptive statistics, one-sample t-test, one-way ANOVA, Pearson’s correlation test, and regression analysis. The results showed that the need for medical care related information was the highest score, followed by the need for medical service. Caregivers with older age, lower education level, and take care more dependent level of patients’ function of daily activity had greater caring need. Education level is a powerful predictor of caring needs for primary caregivers of stroke patients. The results of this study can provide the nursing staff as a reference to help caregivers to reach a better care-related knowledge and skill.