研究背景：
人口高齡化導致失智者亦不斷增加。當失智照護面臨不適當的支持或支持不足的情況時，即產生未滿足需求。因此，未滿足需求的探討實為失智照護上的重要議題。本研究目的，欲探索社區中的失智者未滿足需求狀況，進一步了解失智者及其照顧者相關因素以及失智者未滿足需求對失智者生活品質之影響。
研究方法：
針對社區中的居家失智者之主要家庭照顧者進行橫斷式調查研究。收集失智症者及其照顧者基本人口學變項、失智者疾病與功能變項、照護需求、生活品質和照顧負荷等資料，有效樣本數為158人。運用描述性統計呈現失智者及照顧者資料與照護需求的分布；再使用t檢定、變異數分析探索失智者及照顧者的因素、未滿足需求與失智者生活品質中的顯著差異；最後以Pearson相關及階層迴歸分析來看未滿足需求與失智者生活品質之間的關係。
研究結果：
研究結果發現未滿足需求分布主要是記憶、日間活動、福利等項目；而失智者生活品質的顯著影響因子為失智者性別、年齡、教育程度、工具性日常活動功能、失智程度、未滿足需求數、心理及社會層面的未滿足需求占比，以及照顧者性別、照顧負荷、心理困擾未滿足需求等因素。
研究結論：
本研究透過失智者家屬進行全面性需求評估，了解失智者及其照顧者面對之身心沉重負擔。進一步檢視失智者照護需求與生活品質之關聯，若能提供適當服務減少失智者未滿足需求，降低照顧者負荷，則能有助於失智者生活品質之提升。

With the increasing aging of our society, the number of patients with Dementia (PWD) has also rapidly increased. Unmet needs occur when dementia care is faced with inadequate support. Therefore, the unmet need is an important issue in dementia care. This study aims to explore the unmet needs of PWD living in the community, to examine the association with unmet needs and PWD / caregivers (CG) characteristics. Finally, to analyze the impacts of PWD / CG factor and unmet needs on their quality of life. This study is a cross-sectional survey that explores the influence of unmet needs and quality of life of PWD. Basic demographic variables of PWD and their CG, disease and functional variables, care needs, quality of life of PWD, and care burden of CG were collected. In total, 158 persons of CG were interviewed. The most frequently reported unmet needs were memory, daily activities, and benefits. The significant predictors of the quality of life of PWD were gender, age, education, IADL, the severity of dementia, number of unmet needs, the proportion of psychological and social unmet needs of PWD, and also gender, care burden, unmet psychological distress need of CG. The CG of PWD is facing a heavy challenge on their bodies and minds. Therefore, this study further examined the relationship between care needs and quality of life through a comprehensive needs assessment of PWD. Appropriate services can be provided to decrease the unmet needs of PWD, reduce the burden of caregivers, and would be helpful to enhance the quality of life of PWD.

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