協助一位家庭主要照顧者適應照顧壓力過程

Helping a Family Primary Caregiver Adjust to Caregiving Stress

本篇個案報告在於分享護理一位照顧長期臥床達10多年的家庭主要照顧者的過程。護理期間自民國91年1月18日至91年1月29日。筆者在護理期間藉由觀察、會談、身體評估及各種量表，包括巴氏量表、柯氏量表、照顧者負荷評估表、營養不良評估、病人照顧品質不良指標、諾頓（Norton）皮膚量表、老人憂鬱自我評量表等方法收集資料，發現個案主要護理問題有：（1）照顧者角色負荷過重，影響照顧病人品質及自己的生活品質；（2）社會支持不足；（3）家庭功能障礙。針對護理問題，其護理重點主要是藉由正式及非正式資源協助個案解決問題。

The authors present a case study of a nursing experience with a primary caregiver who cared for his wife for more than 10 years (1/18/92 to 1/29/02). Data were collected by observation, interviews, physical examination, and an assessment instrument consisting of the Barthrel Index, Karnofsky Scale, Caregiver Burden, Risk of Impaired Nutritional Status, Quality of Caregiving Index, Norton Skin Index, and Major nursing problems for both the care receiver and caregiver were: a) everyday quality of life was severely impacted by an overload of caregiving stress, b) insufficient social support, and c) deficiencies in family functioning. The authors describe the details of the primary intervention effort, primarily helping the patient and caregiver locate and contact formal and informal social support resources.