{"id":35144,"date":"2020-03-31T00:24:07","date_gmt":"2020-03-30T16:24:07","guid":{"rendered":"https:\/\/case.ntu.edu.tw\/blog\/?p=35144"},"modified":"2020-03-18T13:52:16","modified_gmt":"2020-03-18T05:52:16","slug":"%e5%a4%b1%e6%99%ba%e9%95%b7%e8%bc%a9%e7%9a%84%e7%85%a7%e9%a1%a7%e8%80%85%e5%80%bc%e5%be%97%e6%88%91%e5%80%91%e5%a4%9a%e5%8a%a0%e9%97%9c%e6%87%b7%e8%88%87%e5%8d%94%e5%8a%a9","status":"publish","type":"post","link":"https:\/\/case.ntu.edu.tw\/blog\/?p=35144","title":{"rendered":"\u5931\u667a\u9577\u8f29\u7684\u7167\u9867\u8005\u503c\u5f97\u6211\u5011\u591a\u52a0\u95dc\u61f7\u8207\u5354\u52a9"},"content":{"rendered":"
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\u963f\u8332\u6d77\u9ed8\u75c7\u662f\u8fd1\u4ee3\u6700\u8b93\u4eba\u611f\u5230\u68d8\u624b\u7684\u75be\u75c5\u4e4b\u4e00\uff0c\u56e0\u70ba\u6211\u5011\u76ee\u524d\u53ea\u80fd\u5ef6\u7de9\u963f\u8332\u6d77\u9ed8\u75c7\u9577\u8f29\u7684\u9000\u5316\uff0c\u6c92\u6709\u8fa6\u6cd5\u5b8c\u5168\u6cbb\u7652\u9019\u7a2e\u75be\u75c5\uff0c\u9019\u6703\u884d\u4f38\u51fa\u53e6\u4e00\u500b\u56f0\u96e3\uff1a\u4e3b\u8981\u7167\u9867\u8005\u662f\u5426\u80fd\u627f\u64d4\u96a8\u4e4b\u800c\u4f86\u7684\u7684\u58d3\u529b\u3002<\/p>\n

\u25cf\u7167\u9867\u8005\u58d3\u529b\u6e90\uff1a\u5c0d\u75c7\u72c0\u7684\u8aa4\u89e3\u4ee5\u53ca\u72a7\u7272\u81ea\u8eab\u751f\u6d3b\u54c1\u8cea<\/strong><\/span><\/p>\n

\u6839\u64daN. Beinart\u7b49\u4eba\u66fe\u7d93\u91dd\u5c0d\u7167\u9867\u8005\u8ca0\u64d4(Caregiver burden)\u505a\u51fa\u6587\u737b\u56de\u9867\uff0c\u4ed6\u767c\u73fe\u5176\u4e2d\u4e00\u7a2e\u7167\u9867\u8005\u58d3\u529b(Carergiver stress)\uff0c\u53ef\u80fd\u4f86\u81ea\u65bc\u7167\u9867\u8005\u4e26\u4e0d\u662f\u9019\u9ebc\u77ad\u89e3\u963f\u8332\u6d77\u9ed8\u75c7\uff0c\u56e0\u6b64\u4ed6\u5011\u53ef\u80fd\u5c0d\u5bb6\u4eba\u7684\u75c7\u72c0\u6709\u4e9b\u504f\u898b\u8ddf\u8aa4\u89e3\uff0c\u4f8b\u5982\uff1a\u5728\u963f\u8332\u6d77\u9ed8\u75c7\u7684\u75c5\u7a0b\u767c\u5c55\u4e2d\u671f\uff0c\u60a3\u8005\u53ef\u80fd\u6703\u51fa\u73fe\u884c\u70ba\u7570\u5e38\u3001\u559c\u6b61\u5230\u8655\u904a\u8d70\u3001\u4e0d\u5408\u4f5c\u3001\u6297\u62d2\u6cbb\u7642\u3001\u51fa\u73fe\u53e3\u982d\u653b\u64ca\u7b49\uff0c\u6709\u4e9b\u7167\u9867\u8005\u6703\u8a8d\u70ba\u9019\u4e9b\u9000\u5316\u884c\u70ba\u662f\u51fa\u81ea\u65bc\u500b\u4eba\u9078\u64c7\uff0c\u662f\u76f8\u7576\u4e0d\u7406\u6027\u4e14\u53ef\u6065\u7684\uff1b\u4e5f\u6709\u4e0d\u5c11\u7167\u9867\u8005\u70ba\u4e86\u7167\u9867\u5931\u667a\u75c7\u9577\u8f29\uff0c\u4f7f\u81ea\u5df1\u9677\u5165\u8ca1\u52d9\u56f0\u96e3\u3001\u751f\u6d3b\u4f5c\u606f\u8b8a\u5f97\u4e0d\u898f\u5f8b\u751a\u81f3\u9577\u671f\u5931\u7720\u3002<\/p>\n

\u9019\u4e9b\u4e8b\u60c5\u5f88\u6709\u53ef\u80fd\u589e\u52a0\u4e3b\u8981\u7167\u9867\u8005\u7f79\u60a3\u5fc3\u8840\u7ba1\u75be\u75c5\u3001\u6182\u9b31\u75c7\u6216\u662f\u7126\u616e\u75c7\u7684\u98a8\u96aa\uff0c\u591a\u6578\u7684\u4e3b\u8981\u7167\u9867\u8005\u90fd\u66fe\u7d93\u8868\u793a\u904e\uff0c\u81ea\u5df1\u7684\u60c5\u7dd2\u6b63\u5728\u7d93\u6b77\u4e00\u5834\u300c\u5de8\u5927\u7684\u6d69\u52ab\u300d\uff0c\u4e26\u4e14\u96a8\u6642\u90fd\u53ef\u80fd\u5d29\u6f70\u3002<\/p>\n

\u25cf\u7167\u9867\u5931\u667a\u75c7\u9577\u8f29\u7684\u7d93\u6b77\uff0c\u771f\u7684\u53ea\u662f\u5168\u7136\u7684\u60e1\u5922\u55ce\uff1f<\/strong><\/span><\/p>\n

\u4e8b\u5be6\u4e0a\u4e26\u975e\u6240\u6709\u4eba\u90fd\u6703\u56e0\u70ba\u7167\u9867\u5931\u667a\u75c7\u9577\u8f29\u800c\u7f79\u60a3\u6182\u9b31\u75c7\uff0cBeinart\u7b49\u4eba\u767c\u73fe\uff0c\u5728\u300c\u64c1\u6709\u826f\u597d\u793e\u6703\u652f\u6301\u7cfb\u7d71\u300d\u7684\u60c5\u6cc1\u4e0b\uff0c\u5931\u667a\u75c7\u7167\u9867\u8005\u6240\u7d93\u6b77\u5230\u7684\u5c31\u4e0d\u5168\u7136\u662f\u8ca0\u64d4\u800c\u5df2\uff0c\u4ed6\u5011\u5c07\u6709\u6a5f\u6703\u85c9\u7531\u9019\u5c64\u7167\u9867\u95dc\u4fc2\u4f86\u9032\u884c\u300c\u53cd\u601d\u300d\uff0c\u91cd\u65b0\u9ad4\u8a8d\u81ea\u5df1\u8207\u6b64\u4eba\u7684\u95dc\u4fc2\uff0c\u4e26\u4e14\u85c9\u6b64\u7372\u5f97\u6210\u9577\u3002\u4f46\u662fBeinart\u7b49\u4eba\u4e5f\u5728\u56de\u9867\u4e2d\u5f37\u8abf\uff0c\u9019\u50c5\u662f\u5c11\u90e8\u5206\u4eba\u7684\u7d93\u6b77\uff0c\u6cc1\u4e14\u9084\u9700\u8981\u5c07\u300c\u5176\u4ed6\u7684\u8b8a\u9805\u300d\u7d0d\u5165\u8003\u91cf\uff0c\u4f8b\u5982\uff1a\u793e\u7d93\u5730\u4f4d\u3001\u4e3b\u8981\u7167\u9867\u8005\u7684\u5e74\u9f61\u3001\u8eab\u9ad4\u72c0\u6cc1\u3001\u6027\u5225\u4ee5\u53ca\u58d3\u529b\u56e0\u61c9\u7b56\u7565(Coping strategy)\u7b49\uff0c\u66f4\u91cd\u8981\u7684\u662f\uff0c\u5728\u8a55\u4f30\u4e3b\u8981\u7167\u9867\u8005\u58d3\u529b\u6642\uff0c\u6211\u5011\u4e5f\u61c9\u8a72\u8003\u91cf\u5230\u7167\u9867\u8005\u8207\u5176\u4ed6\u5bb6\u5ead\u6210\u54e1\u4e4b\u9593\u7684\u95dc\u4fc2\u662f\u5426\u548c\u8ae7\uff0c\u7136\u800c\u6700\u9069\u5408\u7528\u4f86\u9810\u6e2c\u65e5\u5f8c\u6182\u9b31\u75c7\u767c\u75c5\u6a5f\u7387\u7684\u8b8a\u9805\uff0c\u4f9d\u820a\u662f\u300c\u793e\u7d93\u5730\u4f4d(Socioeconomic status)\u300d\u3002<\/p>\n

\u25cf\u5b9a\u671f\u7684\u4ecb\u5165\u8207\u95dc\u61f7\uff0c\u5982\u4f55\u5354\u52a9\u5931\u667a\u9577\u8f29\u7167\u9867\u8005<\/strong><\/span><\/p>\n

\u7167\u9867\u8005\u8ca0\u64d4\u53ef\u80fd\u5c0d\u5931\u667a\u75c7\u75c5\u60a3\u7684\u4e3b\u8981\u7167\u9867\u8005\u9020\u6210\u9f90\u5927\u7684\u8eab\u5fc3\u58d3\u529b\uff0c\u6240\u4ee5\u70ba\u4e86\u9867\u53ca\u4ed6\u5011\u7684\u798f\u5229(Well-being)\uff0c\u5b78\u8005\u8a8d\u70ba\u4ed6\u5011\u9700\u8981\u9069\u6642\u7684\u63a5\u53d7\u4ecb\u5165(Intervention)\uff0c\u624d\u80fd\u9577\u4e45\u966a\u4f34\u5931\u667a\u75c7\u9577\u8005\u3002<\/p>\n

Selwood\u7b49\u4eba\u6839\u64da\u6587\u737b\u56de\u9867\uff0c\u8a8d\u70ba\u7d66\u4e88\u300c\u9762\u5c0d\u9762(Face-to-face)\u300d\u7684\u4ecb\u5165\u53ef\u80fd\u662f\u6700\u597d\u7684\u5e6b\u52a9\u65b9\u5f0f\uff0c\u4f8b\u5982\uff1a\u9032\u884c\u885b\u751f\u6559\u80b2\u3001\u7d66\u4e88\u5fc3\u7406\u6cbb\u7642\u3001\u884c\u70ba\u6cbb\u7642\u6216\u662f\u5176\u4ed6\u652f\u6301\u6027\u6cbb\u7642\u7b49\u3002\u7136\u800c\u4e5f\u6709\u5b78\u8005\u8a8d\u70ba\uff0c\u5229\u7528\u96fb\u8a71\u6216\u662f\u7db2\u8def\u9032\u884c\u5b9a\u671f\u8ffd\u8e64\uff0c\u4e5f\u53ef\u4ee5\u9054\u5230\u826f\u597d\u7684\u6210\u6548\u3002<\/p>\n

 <\/p>\n

\u8cc7\u6599\u4f86\u6e90\uff1a<\/strong><\/p>\n

    \n
  1. Leah D. Clyburn.,  Michael J. Stones., Thomas Hadjistavropoulos & Holly Tuokko., Predicting Caregiver Burden and Depression in Alzheimer's Disease., Social Sciences., 2000<\/a><\/li>\n
  2. N. Beinart J., Weinman D & Wade R. Brady., Caregiver Burden and Psychoeducational Interventions in Alzheimer\u2019s Disease: A Review., Dement Geriatr Cogn Disord Extra 2012<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

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