[[alternative]]A Study on Job Stress, Social Support and Quality of Life on Indonesian Migrant Home Helpers in Taiwan

[[abstract]]台灣面臨人口快速老化，長期照護人力不足，目前已有超過21萬名居家監護工為主要照顧人力。以往的研究多著重在機構工作者工作壓力及工作表現，較少以居家監護工的社會支持與生活品質為主要探討變項，本研究即以監護工的工作壓力及社會支持程度為主軸，探討與生活品質的相關。在本研究目的有二：一、瞭解印尼籍居家監護工工作壓力、社會支持與生活品質的情形，2、探討社會支持在緩衝工作壓力對生活品質的負向衝擊之作用。本研究採橫斷式研究設計，以滾雪球方式針對台北市、新北市及基隆巿印尼籍居家監護工，由研究者以結構式問卷進行訪談，自2014年4月16日至2014年6月11日，收案樣本數185位，回收175份有效問卷。使用SPSS 22.0 for Windows統計軟體進行資料建檔與分析，資料分析方法包括： t檢定、ANOVA檢定與皮爾森相關積數，本研究採用階層迴歸分析法檢視社會支持是否具有緩衝壓力源，減少工作壓力和生活品質的負向衝擊。 本研究階層迴歸分析的結果顯示，教育程度高中以上、每日睡眠時間越多、每週與親友聯絡次數越多、憂鬱感受越低者的生活品質越好。交互作用項和社會範疇、環境範疇及全體生活品質之間的關係達統計上的顯著水準，印證研究假設社會支持可以緩衝壓力源對生活品質的負向衝擊。本研究結果有助於臨床工作人員對居家監護工社會支持的認識，並作為未來研究方向，提供外籍監護工紓解工作壓力之活動、提供相關照顧資訊及增加親友聯絡頻率等介入策略的發展與檢驗，協助改善工作壓力感受，期待能共同為居家監護工提升生活品質。[[abstract]]The population is aging in Taiwan. Aging population and its rapid growth have driven up the needs for long-term care. The demand for long-term care workers has therefore become one of the public health issues. To meet the increasing demand for work force, Taiwan has imported migrant home helpers in 1996. Currently, they have reached more than 210 thousands, making up more than 16% of care forces. The majority of those workers are from Indonesia. As important as they are, few studies have focused on their job stress, social support, and quality of life in Taiwan. The purposes of this study are two-fold, one to examine their quality of life, two to explore the role of social support in moderating negative impacts of stress on quality of life.The research was cross-sectional in design. Data were collected from a snowball sampling of Indonesian migrant home helpers in Taipei metropolitan area, using a structured questionnaire. The questionnaires were administered from April 16 to June 11, 2014. Out of 185 questionnaires administered, 175 were valid. SPSS for Windows 22.0 was used for data analysis. Independent sample t-test, pearson product-moment correlation coefficient, and hierarchical multiple regression methods were used for statistical analyses.The results from hierarchical regression analyses for the two models were significant, indicating that both social contacts and perceived benefit played the roles of moderating the impacts of stress on quality of life. The hypotheses were therefore supported. The implications from the findings in this study for practices were drawn. Results from this research can help call the attention of clinical care teams to the concept of social support. It also provided implications for job stress. The teams can consider how to assist migrant home helpers to deal with the job stress as well as to reduce the level of quality of life through the reinforcement of migrant home helpers social support and the improvement of their quality of life