| Summary: | 碩士 === 長庚大學 === 護理學系 === 104 === As the aging of the population, dementia has great impact on the health of the older persons who suffered from the disease and also created huge burden for family caregivers. The purpose of this study was to understand the needs for community services of older person with dementia and their family caregivers. Andersen’s health behavioral model was modified to service as the theoretical model for this study, in order to explore related factors of needs for community services. These factors include pre-disposing factors (characteristics of the persons with dementia and family caregiver); enabling factors (the knowledge of the family caregivers of the community resources; competence of family caregiver in handing behavioral problems of the patient; and family caregiver’s preparedness) and needs factors (cognitive and physical function, quality of relationship, hours of care provided, and disturbance caused by behavioral problems of family caregivers). Secondary data analysis of the pre-test of a clinical trial (N=128) on family caregiver training program was implemented. Measures including service needs, knowledge, Mini-mental state examination (MMSE), Clinical Dementia Rating Scale (CDR), family caregiver competence, and preparedness were used to measure the related factors. This study found that older persons with dementia who live alone, with higher behavioral problems, with female family caregivers, and with younger family caregivers (<45 years old), reported higher needs for community services. Those with helps from friends and relatives reported higher needs for community services. Family caregivers with more knowledge of the community resources had higher preparedness and better competence in handing behavioral problems. Higher family caregiver preparedness was found to associate with better competence in handing behavioral problems. Family caregivers had more disturbance caused by behavioral problems of the older persons reported higher need for community service. This study can provide a reference for development of community service and related policy.
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