A Study on the Changing Process of Family Function by Care of the Aged People

本研究的目的在于阐明家庭功能因老年人照护而发生变化和发展的过程。对于家庭功能的变化，本研究重点关注照顾功能。根据Leininger提出的关怀成分，编制了关怀功能评价量表，即3个因子，共28个条目：因子1：情感支持16个条目，因子2：疏远6个条目，因子3：接受6个条目，并对量表的信度和效度进行了检验。应用该量表对老年人家属1）健康状况时、2）入院时、3）住院期间、4）出院后进行研究，明确其变化过程。进一步探讨了影响家庭照顾功能和支持系统发展的因素.在家庭照顾功能中，因子1根据需要的程度而变化很大。 ...更多信息 照顾的程度。但即使在住院期间，当双肺口腔支持明显减少时，由于情感支持的补偿，它也保持在一定水平。住院期间因子2较入院前显著下降，且因暂时离开护理而使疏远等负性项目的参与减少。因子3在健康时、住院期间和住院后变化不大，是一个相对稳定的量表.采用多元回归模型对影响护理指标的相关因素进行分析，得出以下结论：对于因素1，在一定距离内进行护理或在住院期间对患者进行强烈呼吁的护理系统是有效的。因素2中，照护支持或有效利用医院照护是有用的，因为照护压力最具影响力。对因子1和因子2的支持（不包括与老年人有关的因子3）对家庭照顾功能的改善有较好的效果。少

The purpose of this study was to elucidate the process of changing and developping of the family function as a result of care of aged people. For the changes in famiry function, the caring function was focused in this study. The scales to evaluate caring function were developed based on the care components proposed by Leininger, i.e, 3 factors, consisting of 28 items ; Factor 1 : 16 items for emotional adn behavial suporting Factor 2 : 6 items for estranging , Factor 3 : 6 items for accepting, and their reliability and appropriateness were examined. Using these scales, families of aged people 1) at the time of healty condition, 2) at the time of admissin to hospital, 3) during hospitalization, and 4) after leaving hospital were studied and their changing process was clarified. Furthermore, factors effective on developping the family caring functions and the supporting system were studied.1. Among family caring functions, the Factor 1 is largely variable according to the degree of necce … More ssity of the care. But even during the hospitalization when bihavioral support markedly decreased, it was kept at a certain level because of compensation by emotional support. The Factor 2 declined remarkably during the hospitalization compared with before admision, and participation of estranging or other negative items were decreased because of leaving from the care temporarity. The Factor 3 indicated little variation at the time of healty condition or during and after hospitalization, saggesting that it is a relatively stable scales.2. Factors related to the caring indices were analyzed using a multiple regression model, and concluded as follow as : Regarding the Factor 1, a system making care with some distance or a strong appeal for visiting the patients during the hospitalization were found to be effective. With regard to the Factor 2, care supporting or effective utilization of hospital care were useful, because the stress due to care is most influential. The support to the Factor 1 and 2, excluding the Factor3 in which the relation to aged people has been commonly observed, showed a good rezult in improving family caring function. Less