The hypothesis and the testing on the process to enhance self-reinforcement of in-home of caregivers of aged person with dementia and facilitating factors of the process.

本研究的目的是通过对16名被试的访谈和872名被试的问卷调查，揭示痴呆患者居家照顾者的自我强化过程及其促进因素。结果表明：1.痴呆症居家照顾者的自我强化过程是确定、改变、接受和成长4个过程。2.对504名被试(57.8%)的自我强化进行探索性数据分析，得到4个因素：确定性(α=0.94)、变化(α=0.9)、接受(α=0.83)和成长性(α=0.76)(αof ALL=0.88)，贡献率为69.5%。3.自我强化得分与应激得分呈负相关(r=-0.09)。4.通过多元回归分析，揭示了4个过程的促进因素。促进因素是：(1)确定性：对疾病的接受、理解和认识。(2)改变：接受和照顾者在心理和身体上的舒适(3)接受：接受，精神错乱的老人。(4)成长：心灵和身体的接纳、理解和安慰。这些结果表明，我们应该按照自我强化的过程来支持照料者。

The purpose of this research was to reveal the self-reinforcement process of in-home caregivers of aged person with dementia and the facilitating factors of the process through the 16 subjects' interviews and 872 subjects' questionnaire research. The result showed next 4 points ; 1.The self-reinforcement process of in-home caregivers of dementia were 4 processes ; certainty, change, acceptance and growth. 2.The exploratory date analysis about the self-reinforcement for 504 subjects' data(57.8%) showed 4 factors ; certainty(α=0.94), change(α=0.90), acceptance(α=0.83) and growth(α=0.76)(α of all=0.88) and 69.5% contributions. 3.The self-reinforcement scores were correlated with the stress scores oppositely (r=-0.09) 4.Using the multiple regression analysis, the facilitating factors of the 4 processes were revealed. The facilitating factors were ; (1)certainty : the acceptance, the understanding, and the recognition of the disease. (2)change : the acceptance and the caregivers' comfort in mind and body (3)acceptance : the acceptance, the demented olds. (4)growth : the acceptance, the understanding and the comfort in mind and body. These result indicated that we should support the caregivers according to the self-reinforcement process.