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系統識別號 U0026-2201201614433600
論文名稱(中文) 發展遲緩兒童家庭族群特性概況與家庭情形及功能之探討
論文名稱(英文) Exploring the Population Characteristics of Children with Developmental Delay and Their Family Circumstances and Family Function
校院名稱 成功大學
系所名稱(中) 職能治療學系
系所名稱(英) Department of Occupational Therapy
學年度 104
學期 1
出版年 105
研究生(中文) 楊珮渝
研究生(英文) Pei-Yu Yang
學號 T76011026
學位類別 碩士
語文別 中文
論文頁數 51頁
口試委員 指導教授-林玲伊
口試委員-黃雅淑
口試委員-郭立杰
中文關鍵字 發展遲緩  新移民家庭  家庭情形  家庭功能 
英文關鍵字 developmental delay  new immigrant family  family circumstances  family function 
學科別分類
中文摘要 研究背景與目的:發展遲緩兒童(Developmental delay)的健康與發展,依靠家庭的庇護與支持。雖然國內外研究指出家庭相關的風險特性可能影響遲緩孩童的健康照護,然而過去研究多半缺乏完整性的調查且久未更新;又隨著外籍配偶組成的新移民家庭(New immigrant family)數量增加,國內研究鮮少探討新移民與台灣家庭之間的差異。因此,本研究旨在探討發展遲緩兒童家庭族群的特性、家庭情形及家庭功能,以及比較新移民與台灣家庭的差異。
研究方法:本研究共計招募152位發展遲緩兒童,受訪者包括30組新移民家庭和122組台灣家庭家長。受試者排除條件如下:(1)兒童診斷為先天疾病(如染色體異常、早產、肌肉骨骼異常、體重過輕…等)以致必定會有發展遲緩情形者;(2)主要照顧者顯示為精神異常、疾病嚴重或中文程度無法理解與填寫量表內容者。受試者需填寫基本資料調查表、照顧者負荷量表、親職壓力量表簡式版/親子互動失調分量表、家庭功能量表。使用描述性統計分析家庭族群特性概況。Pearson Correlation Coefficient、Point Biserial Correlation分析族群特性因子與問卷表現的相關性。獨立樣本T檢定、卡方檢定、Mann-Whitney U Test檢查兩組在人口學特性及家庭情形、家庭功能的差異。
結果:發展遲緩家庭照顧者壓力負荷量表平均得分為4.45(SD=3.67),未達壓力負荷。親職壓力簡式版/親子互動失調分量表平均得分為29.88(SD=8.32),未達高度親子互動失調。家庭功能量表的平均得分為94.42(SD=27.75)。結果顯示健康狀況為患病的母親則愈感負荷(r=.259, p=.001);母親的年齡越大,愈感負荷(r=.197, p=.006);父親每週照顧的天數越多,親子關係愈差(r=.283, p=.036)。收入愈高的家庭,其家庭功能愈好(r=.193, p=.017);其餘變項則未達顯著相關。比較新移民家庭與台灣家庭在照顧者壓力負荷量表、親職壓力簡式版/親子互動失調分量表、家庭功能量表的分數皆無達到顯著差異;僅照顧者壓力負荷量表接近顯著差異(p=0.055)。
結論:發展遲緩兒童家庭中的主要照顧者特性以及其所處環境、社經條件會影響家庭情形與家庭功能。研究結果顯示家庭運作產生問題的關鍵可能不在於新移民家庭,而是家庭整體的經濟條件與環境資源較為弱勢,建議相關單位投注資源的重點應放在弱勢家庭。
英文摘要 The purposes of this study were:(1) to explore the population characteristics of the families of children with developmental delay; (2) to investigate their family circumstances and family function; and (3) to compare the differences between new immigrant families and Taiwan local families. Caregivers of 152 children were recruited, including 30 new immigrant families and 122 Taiwan local families. Participants were asked to complete the demographic data, caregiver strain index, parenting stress index/short form and family function scale. The results showed that mothers in bad health condition reported more caregiver strain (p=.001), the older mothers also felt more caregiver strain (p=.006), father spent more time per week to take care of children, the poorer parent-child relationship (p=.036), Higher income families have greater family function (p=.017); However, there were no significant differences in other characteristics between the two groups. These findings indicate that some family characteristics affected family circumstances and family function. Therefore, as the role of clinicians, more attention should be attached to the collaboration with families of children with developmental delay.
論文目次 中文摘要I
英文延伸摘要III
誌謝VI
目錄VII
圖目錄X
表目錄XI
第一章、緒論1
第一節、研究動機與重要性2
第二節、研究目的4
第二章、文獻回顧5
第一節、 發展遲緩兒童5
一、簡介5
1.定義5
2.盛行率5
二、發展遲緩兒童的成因與早期療育5
第二節、 發展遲緩兒童的家庭族群特性7
一、家庭族群的特性7
1.主要照顧者與家庭的特性7
2.新移民家庭的特性7
第三節、 發展遲緩兒童的家庭情形與家庭功能9
一、發展遲緩兒童家庭情形的影響9
二、發展遲緩兒童的家庭功能10
第三章、研究方法12
第一節、研究對象12
第二節、研究工具13
第三節、研究流程15
第四節、資料收集與分析16
一、資料收集16
二、資料分析16
第四章、研究結果18
第一節、受試者基本人口學資料18
第二節、發展遲緩兒童的家庭情形20
第三節、發展遲緩兒童的各項量表分數22
第四節、各項量表分數與特性因子的相關性23
一、主要照顧者負荷分數23
二、親職壓力量表簡式版/親子互動失調分量表23
三、家庭功能量表分數23
第五章、討論24
第一節、發展遲緩兒童的家庭族群特性24
第二節、比較新移民家庭與台灣本地家庭的差異27
第三節、研究限制與建議30
第六章、結論及臨床應用31
第七章、參考文獻32
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