[[alternative]]The Study on the Relationships among Stress, Leisure Coping and Health for Primary Caregivers to Schizophrenia Patients

[[abstract]]精神分裂症是精神醫學中典型的精神疾病，其家庭中的主要照顧者在長期的照顧責任下產生沉重的壓力感受，會有負向情感表徵及較低的生活滿意度指數，此不僅影響其身心健康，也影響其照顧病患的品質，因此若能瞭解主要照顧者的壓力，進而發展適當的壓力因應策略，當能保護照顧者的身心健康。本研究即從休閒效益的角度，暸解並探討精神分裂症病患主要照顧者的壓力、休閒因應信念、休閒因應策略與身心健康的可能關係，以驗證休閒在因應壓力和促進身心健康的角色。研究對象選取來自北部某醫學中心精神科日間住院病房、門診及台北縣市康復之友協會，採判斷取樣選取精神分裂症病患之主要照顧者150名，抽樣期間自96年3月至96年6月，以結構式訪談進行問卷資料之蒐集。問卷包括基本資料表、家屬壓力源量表、休閒因應信念、休閒因應策略和SF-36自覺健康問卷。研究結果顯示：照顧壓力對身心健康有顯著且負向影響、休閒因應信念對休閒因應策略有顯著且正向影響、休閒因應策略對身心健康有正向影響、休閒因應信念對照顧壓力對有顯著且負向影響、休閒因應策略對照顧壓力對有顯著且正向影響。此研究結果提供未來臨床健康促進實務和學術研究之參考。[[abstract]]Schizophrenia is a typical psychotic illness, and the primary caregivers of the patient experience heavy burden, negative emotion and poor quality of life under stress. Caring for the patient also influences the physical and mental health for primarycaregivers. Therefore, when we have a further understanding of the stress of caregivers,we can develop stress coping strategies to protect the physical and mental health for caregivers. From the perspective of the potential benefit brought by leisure activities, the purpose of the present study was to explore the leisure coping belief and strategies of caregivers as well as their relationship to their stress brought by providing care, and their physical and mental health. The study subjects contain 150 primary caregivers ofschizophrenic patients recruited from the family members of patients who were outpatients or were admitted to the day-care unit of a medical center at Taipei or from the members of National Alliance of the Mental Ill. From March to June, 2006, the data were collected by semi-structured interview. The content of questionnaireincluded basic data, stressors, leisure coping beliefs, leisure coping strategies and SF-36. The results of the study showed that the stress of care giving negatively influenced the physical and mental health, that leisure coping beliefs positively influenced leisure coping strategies, that leisure coping strategies positively influenced the physical and mental health, that leisure coping beliefs negatively influenced the stress of care giving, and that leisure coping strategies positively influenced the stressof care giving. The study results have implications for the health promotion programs of the caregivers of schizophrenic patients