| Summary: | 碩士 === 國立臺北護理健康大學 === 生死與健康心理諮商系 === 105 === Purpose: The aim of this study is using the Family Relationships Index (FRI) to screen the terminally ill cancer patients' family, and to compare the family environment (FES), family general function (FES) and depression (BDI-II) to explore their Family functions. Methods: Family Functioning was assessed in 106 terminally ill cancer patients' families (178 members). The data were analysed using multiple regression and Receiver Operating Characteristic (ROC). Results: 1. FRI was significantly related to FES total score (r=0.793, p<0.01), FAD-GF (r=-0.623, p<0.01) and BDI-II (r=-0.635, p<0.01) dimensions. 2. The multiple regression model with family relationships and active recreational orientation to prediction family functioning of terminally ill cancer patients' family. And family relationships have an acceptable discrimination power AUC is 0.778，the sensitivity close to 95%, specificity close to 47%,and using to screen the family relationships unhealthy person (cut-off≦9) .Discussion: The result is different from abroad research found that the cohesion of family relationships is the main predictor, using family relationship include cohesion, expressiveness and conflict to screen distress crisis group.
Conclusion: To proportion of psychological stress crisis at 36% need to priority care of the terminally ill cancer patients' family.And using BDI-II screening, 16% of high-risk families, combined with melancholy emotional disturbance, can increase the family mood adjustment and expression of cancer; using FAD-GF can be screened, 9% Family dysfunction, can increase the ability to resolve family problems and resolve the role of life-style communication; use of BDI-II and FAD-GF co-screening, screening 2% of high-risk families, combined with emotional distress and family dysfunction .The clinical workers and health professionals can provide caring and assistance to Terminally ill cancer patients' family to rehears and to learn about the family functioning improving strategy.
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