照顧者的心理密碼：家庭照顧者如何憑藉掌握感影響負面信念？

The Psychological Code of Caregivers: How Can Family Caregivers Influence Negative Beliefs Through the Mastery of Caregivers?

本研究主要探討照顧者益處對失功能信念之影響，並依序以自我效能與掌握感作為中介變項，研究對象為中部六間地區醫院住院患者之主要照顧者，於2023年12月29日至2024年6月3日進行資料蒐集，運用照顧者益處量表、照顧者自我效能量表、照顧者掌握量表與失功能信念量表進行橫斷性調查。本研究結果顯示，照顧者益處雖然不會直接對失功能信念產生影響，但是可以依序透過自我效能與掌握感作為中介變項，進而間接影響失功能信念。本研究建議醫療院所可以運用相關培訓或活動，增進照顧者效能與掌握感，以降低照顧者在照顧壓力之下所產生的不合理思維模式。

This study primarily explores the impact of caregiver benefits on dysfunctional thoughts , with self-efficacy and caregiver mastery sequentially serving as mediating variables. The research participants were the primary caregivers of inpatients from six district hospitals in the central region of Taiwan, and data collection was conducted on December 29, 2023. A cross-sectional survey was employed using the Caregiver Benefit Scale, the Caregiver Self- Efficacy Scale, the Caregiver Mastery Scale, and the Dysfunctional Thoughts Scale. The research results indicated that while caregiver benefits do not directly influence by dysfunctional beliefs, they can indirectly affect dysfunctional beliefs through the sequential mediating effects of self-efficacy and caregiver mastery. The researchers suggest that hospitals can utilize psychological support programs or related activities to enhance caregivers' efficacy and mastery, thereby reducing the development of irrational thinking patterns caused by caregiving stress.