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題名 | 探討居家外籍監護工之照顧壓力、照顧準備與照顧技能--以宜蘭、基隆二縣市為例=The Care Stress, Care Preparation, and Care Skill on Foreign Nurse Aides at Home : Taking Yi-Lan and Keelung Counties as Examples |
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作者 | 高潔純; 陳麗芬; 楊曼華; Kao, Chieh-chun; Chen, Li-fen; Yang, Man-hua; |
期刊 | 臺灣健康照顧研究學刊 |
出版日期 | 20130900 |
卷期 | 15 2013.09[民102.09] |
頁次 | 頁53-74 |
分類號 | 419.71 |
語文 | chi |
關鍵詞 | 外籍監護工; 壓力照護; 照顧者準備; 照顧技能; 居家; Foreign health aides; Stress; Caregiver preparation; Care skills; Home care; |
中文摘要 | 背景:來台的外籍監護工成為提供照護服務的重要成員,已有許多研究探討外籍監護工於醫療機構服務的情形。研究目的:瞭解居家外籍監護工之照顧壓力、照顧準備與照顧技能及其間相關性。研究方法:橫斷式描述相關研究,採立意取樣,以台灣宜蘭及基隆二縣市 136名居家外籍監護工為研究對象,由 5位曾接受訓練的協訪員,運用結構式問卷量表,收集外籍監護工的壓力感受、照顧準備度與照顧技能等資料,各量表之內在一致性 Cronbach’s α值分別是 0.89、0.94、0.93。再運甠 SPSS17.0套裝軟體進行描述統計、皮爾森積差相關檢定、獨立 t檢定分析。研究結果 (1)居家外籍監護工之照顧壓力與照顧準備、照顧技能之間呈現負向相關性,照顧準備與照顧技能之間則呈現正向相關性;(2)居家外籍監護工的職前訓練、照護年資、情緒狀況、每日睡眠時數、是否需要持續執行傷口照顧等基本屬性資料不同,使其在照顧壓力、照顧準備及照顧技能的表現上,呈現明顯差別。護理臨床應用:此研究可作為宜蘭、基隆二縣市之居家外籍監護工訓練計畫參考及進一步研究的基礎。 |
英文摘要 | Background: Many foreign health aides in Taiwan have become the major roles to supply nursing services. By reviewing past relevant researches, most were focused on the care quality of foreign health aides in hospitals or long-term care facilities. The aim of this study was to explore the relationships among care stress, care preparation, and care skills of foreign home health aides.Methods: A cross-sectional descriptive design with purposive sampling was used to obtain data from 136 foreign home health aides who continuous care disabled elders in Yi-Lan and Keelung countries in Taiwan. Data collection was performed by five well-trained research assistants and structure instruments included the stress perception questionnaire, caregiver preparedness inventory, and care skills observation scale. Internal consistency reliability Cronbach’s α was 0.89, 0.94, 0.93, respectively. Descriptive statistics, Pearson correlation, t-test were used to analyze all obtained data. Results: The results show that: 1. High work stress perceived by foreign home health aides was related to poor care preparation and inadequate care skills (p<0.01). At the same time, the higher the level of preparation, the better the exhibited skills were (p<0.01); 2. The foreign home health aides’ characteristics with who lacked pre-vocational training in care giving, had less caring experience, were suffering from negative moods, slept for less than 8 hours per day or were needed for continuous providing wound care, the scores of care stress, care preparation and care skills were showed significant differences. Application in nursing: The findings would be helpful as a reference in training protocol of foreign home health aides in Yi-Lan and Keelung countries and as a baseline data for future research. |
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