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71 Burden and Predictors Among Caregivers With Mental Illness in Community
究
論

文
◇
Burden and Predictors Among Caregivers With Mental Illness

in Community

Hsu, Yu-Chien1* Huang, Li-Pin2 Hsu, Min-Fang3

1Instructor, Department of Nursing, Yuanpei University of Medical Technology

2Assistant Professor, Department of Nursing, Chung-Jen College of Nursing, Health Sciences and Management
3Assistant Professor, Department of Nursing, University of Kang Ning

Abstract

Background: Mental illness is a long-term chronic disease. Most of the institutionalization mental ill people
live with their families in Taiwan. Families play a major role in providing care for their relatives with mental

illness in Chinese culture, especially the parents. Caregivers’ burden is a complex and multidimensional
construct that addresses the families perceived impacts for their caregiving tasks.

Purposes: The aim of the present study was to investigate the caregivers’ burden and determine the predict
factors.

Methods: A cross-sectional study and purposive sampling were conducted for families who take care of

mental ill people in north Taiwan. Structured questionnaires were utilized by face to face interviews to col-
lected data. All the data was analyzed by descriptive and inferential statistics with SPSS 18.0.

Results: 63.7% participants were in severe burden. The average score on family burden in each dimension,
strain was the highest (2.11±0.97), followed by dependency(1.82±0.98), family disruption (1.75±0.96), stigma

(1.52±1.16) and guilty (1.20±0.91). In logistic regression models, family burden predictors were economic

loading (OR 8.459, 95% CI 2.061 - 34.719) and problem behaviors (OR 4.534, 95% CI 1.463 -14.055).

Conclusions: Community psychiatric nurses should recognize the family burden risk factors and conduct

better nursing plan for them to avoid further negative outcomes. Health care policy and practice about re-
duce the economic loading for family and how to enhance the function of deinstitutionalization mental ill

people should be considered in more depth.

Keywords: mental illness, caregiver, burden.

健
康
Accepted for publication: March 14 , 2016
與
建
Corresponding author:Hsu,Yu-Chien
築
Address correspondence to:306,Yuanpei Street, Hsinchu, Taiwan 30015, R.O.C 雜
誌
Tel:03- 5381183 ext. 8910

E-mail:nicku@mail.ypu.edu.tw
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