使用長期照顧服務對象之家庭照顧者的照顧負荷及憂鬱相關因素探討-以台北市某居家長照機構為例

Abstract

本研究旨在探討長期照顧服務對象之家庭照顧者的照顧負荷與憂鬱相關因素。採用橫斷式問卷調查法，以台北市某居家長照機構之122位家庭照顧者為樣本，使用ZARIT照顧者負荷量表與CES-D憂鬱量表進行資料收集，並透過描述性統計、變異數分析、皮爾森相關與多元迴歸進行分析。結果顯示，自覺健康狀況、經濟壓力與服務頻率與照顧負荷與憂鬱顯著相關。照顧負荷與憂鬱之間具高度正相關（R = .668， P< .001）。迴歸結果顯示，照顧負荷模型的解釋力為37.3%（調整後35.2%），憂鬱模型為57.2%（調整後49.2%），整體預測力達中至中高水準。 本研究建議提升照顧支持與心理健康介入，以降低家庭照顧者之憂鬱風險。This study explored factors associated with caregiver burden and depression among family caregivers of long-term care (LTC) users. A cross-sectional survey was conducted with 122 participants from a home-based LTC agency in Taipei, using the Zarit Burden Interview and CES-D scale. Data were analyzed using descriptive statistics, ANOVA, Pearson’s correlation, and multiple regression.Results showed significant associations between caregiver burden/depression and variables such as health status, financial stress, and service frequency. A strong correlation was found between burden and depression (r = .668, p< .001). Regression models explained 37.3% (adjusted 35.2%) of caregiver burden and 57.2% (adjusted 49.2%) of depression variance, indicating moderate to moderately high predictive power. The findings highlight the need for enhanced caregiver support and mental health interventions.