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Page 1: Selected factors predicted burnout in family caregivers of …mulinet11.li.mahidol.ac.th/e-thesis/scan/9745878049.pdf ·  · 2011-06-24F.R.A.c.P., :rfiiilfisl, a.r. ... Medisine

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Copyright by Mahidol University

Page 2: Selected factors predicted burnout in family caregivers of …mulinet11.li.mahidol.ac.th/e-thesis/scan/9745878049.pdf ·  · 2011-06-24F.R.A.c.P., :rfiiilfisl, a.r. ... Medisine

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Page 8: Selected factors predicted burnout in family caregivers of …mulinet11.li.mahidol.ac.th/e-thesis/scan/9745878049.pdf ·  · 2011-06-24F.R.A.c.P., :rfiiilfisl, a.r. ... Medisine

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Ihesis Title:

Name

Degree

Ihds Supervisoryi

Factors Predisted

n

Bumout in Family Caregivers of

Masber

Date of Graduation 26I

Saev,nrn

Nursing Scienoe (Adult Nursing)

B.Ed., M.Ed. (Nursing Administration)

Rrnrvatana,B.So.(Nursing), M.S.(Ttop.Med)

Dip. in Applied Nutition.

8.8.26s7 (1994)

ABSTRACT

Ttre purpee of this dforiptive reearoh was trruofold, first to study the level of

tbumout in tarnily caregivers stroke patients in tfuee subsoales as emotiorlal

psrson aooomplishment. Seaond to identify predicniveextraustion, depersonalization

variables of three subsoales of ftom age, sex, marital status, Iength of oaring and

soaial support. Study subjects by purposive sampling, oonsisted of 80 family

Medisine Out Patient Deparrnent in Ranrathibodi

hoqgital. Burnout w6 by the guestionnaire developed by Mmlach and

Jacbon (1986), and sosial support was measured by the Personal Reowce

Questionnaire Partll Brandt and Weinert (1981).

illl

Results of the studji indicated that family caregivers of stoke patientstl

perceived emotional and depersonalization in none to low level, peroeived

personal uccornpli"hment in level. When selected variables wete entered into the

analysis to predict bumout, it was found that sociial

predictors of emotional orhaustion and accounted forsupport and sex were

15.8 7o of variance which statistical significance 1p<.01). Sex and age were

and aocounted tot 13.7o/o of varianoe whioh

. Age was a sigrnificant prediotor of person

significant predictors of

for 5.83 % of variance which was statistical sigrnifioanoe

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ri$Jonfi,{rnrr,tnfrou' i'lt fiaufiraruorir#flo Fumout syndrome) tduriftornr:firumh f;finbifi

eir lrifiourfirlo unvfirlluarnnvn{mu rfr,r rlrofi:Bs rarulqbiAer ri':1qrfiuu:.r rsuvnhanTodtriva A. o Ve' A a d ea f iynlud1tl4E fmil?dfMdldrguannu tor+rn7iqodo ilorsJidntootfiu? (Ekberg & Fo:<all 1986 :

162)

ornfroryanari.'fi,,a*h;rfiu'i'r :looaluenauofrfrirnmurvrm:qua{rhedo5.:fro.nhet A Qrr I a s | . v v. v tv

vnirftquarynrr^r blnnqualufiodqmJ::ridma.:{ilru fiosrlSuuvnnn $avnr:eitrfiufiiqmassnr

roflfirmnnvaar uasdaslfinr:quaft.hurffursuvr?aldmrurufiodafiu fio'lrrfluqooafifiensia

nr:rfiornrrv*fit**i'rulA (Maslach 1986 : 6) uacomzuanr:6n:*rmrnotr.6nuaw,lan{aoa{ntrr oQet I Q w A v. o , j , o X t^o A asnr yn luyrrluxl:{nfla [u9|,:'0ufi??vlqr[6rrJu?uilnqrJa'ln1:r]1]r0gMu1urn0flu lor [3J0qoonilo?1r.1

r#r*tiroqcd{zuabirfionr:nJdenunJa.ni.nnr.rfiruixnru 6q1q ar:*rni uanruqfirmnrdu r-l'ro

6ngs illonftilrda rflurnioilou ftrrhmuorm:lrilfi fienrffiniornfis':a dxrelh o?1rrffien?o

lunr:rfirlrgnar uncnr:dofiuleaoat ar:a.rairfiuiru qnoornlrfiuanrfiuloo#u enrafi{du radn

rdusnr:tfim:qua{tJru rhnufiorvrarcrjau fim:futdsmurursrl:vunvnnSoar:nn6o ufia

druaiauoarennlfi.rro6uo (Muldary 1983 : 4-b) unc?irdtarnlvldnunrr^rlunrtqun{rJruaoa.r

rh1finr:fruvJanrmo.r{rhuffrar dctiu,iiorlooalue'touer?rfiornrrv*iio,*i'to fifioqrnnnc

^ x u Q" "r '" "o.rldfirnr:rirutu6arrnnnrvn.nla{fiurfnuor5oS{o1nnm tunrqunrymu altul,lsl

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3

Itt{dliudquyn.ld.:or (Socia Supporr) rfluurnri.:rjxTsnnitunr:siofiru€nrxre6ero

fiudsnriruhfuoroafrqtnrn6fr.#"irnrurnv6olq qrnnr:6mtrqa.: anoqd T:ruaflq uauqordu

(Scott, Roberto and Hutton 198$ : 348-354) nu'jrnr:ldfuuxeniuaqumtdloruorrqnnnfiulu

o:auorirfienrrudrur{uffiunmrzufirgflryrnraeirdnJ:vRvrfinrrnrmr{qua{rhu mvqrnnrrdnur

fla{u.lduafilraJtnri (Maslaoh & Pine1979 : 233-237) nu'irqoarmlufrilqcnrilfifir:ratiu

eipvnldoo:.td qcfi:cgr*uotltr,rfiosrnfiueit ' r

--.-q..V yt--^2!f^..^e-t--. F----.- q w Q Qg 2). T a aaast141'lto?lqnnryqmrylj?u sJuYlulYldloru[umrLtm?qlnelil?UlrnuaoouaooAmlfffi

fia,irfior1unr:rirprtfi6oeun{sfln3Jnu unvoiorm?rgftrenrilroiErolunr:qua{rjru durfluara}1fifair,allonrefiotorutufioeffiiru arnftr:vilvnu']:Tn#Tr?rl nu'irm:6nurravnut{urfiurrilenrrl.-;-----r--.-3-. -r--.9-.- r- 4. 6l a .-,^.^-- --e --e- a .l , -t ^-t141,loEl141l'luuu 6nu tl4fuacflnBl tu:{nalnT?iilqmmtlnnlooa luattildul luilrvrilO Lnafluid'u.e--^-3a-.^^^^- d-------r,-- ^at v\ ..cu tavA -q i A u v v I

ficnfluolaltmfroenniruta{U6r{qun{:J':uffrfrrioerrurn {i{u6.td}rlaftacfimfl :]qdurioa:?fi

thur u ornil rufi a umir ura.:rp 6 {q rn {rJr ul:nuaa o 6a adeJair

,riq c.q avrnCIrmqle0il tm tunl:'rau ._ _

lunr:dntn#tiflmruHnqufio'irue6uom.mudd nrou$u?aool$trafloenndrEr

toittuJ6ftl6tt uacu:.tdliudquvntHtoru tfluuurynrtunr:6n:*r:Jo{Bdoarrfir,huroo.r'rur#roI ai, 9,r T A

?ul ufl a.rrn q rdq [ta rdu? u t:nu a 0 q|ao od8{ a.r

Try*fi ol AJ roi u om.:nre{ria

[u?6om{a'lqrSaafiua'jr orrartoriuo (stress) ramufirnaqnr:nifiqooa:j:yrfiu'jrfi

zuadatr:a6nllmo{qilt0{unn{ooa froflfiuradr:Jeclffiitunrr:Jfuftiiftaqiarhufixfi raSorfiuo v r a eA^ X a a t, A tv r arirft nrirrfio ruqmrolfi tfioftuqsroiuqilSoisi fiuo{fiunr:rJ:cfiuotrJarJqa?ff'h$fl?rrufra.:

nr:fiuwaricJ:vTcrrniiifiaqpa{qnqntiu m:dofiunrrvreriuonaqooafiotairun?uu?unro?1eJ

fdnfinfio (Lazarus & Follcnan 1984 : 150) o?lsrtoiuovnrfrru6qflqrfluzuaqrnnr:ffifir.rfrud

xnn'jtqonauacAsuaodou qnnnavfimnJfudrTorunmrzufiruo?rsJrniuor duflumrinurom.r

firJrfiuft sna'i''q.ru uurfiornefiaxtfic{r rfiuqiahJ

nrta{fi[Uov]rusrSuo6o "rl*olulsJuavrmxfin6orfiqv{qnrrfiu€ffr*oiuad{qsdo.:qe ' r T rio , a d Xo a | |

:lfiurnri.ilJ:yleJmifffiun'jro'::ruor n'l?Lru{ruer?tJroruounotllun:vurunmfiuJduuurJamqi

/

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4

oaaonal uaJhifinr:dof,u'jr 66nr:rnrfirgonrille6tronfilqinJ:vRvr6nrnmnn'irfiu duo{rtr',

uirm(context) riul qe,nafinr?cgoaruo6uo't666a q""#f,inraon1ffifrnr#namcailfiudnrutZ anrtuuu1 m:ut{tg€l?tanerielofi e drruarcda nr:rjsuffflryrn (Probtem-feused Coping) u6rv

nr:{onnfiuor:mi (Emotional-fosused Coping) ifinr:iiqooanvrHftrgrfuerarruloiero fi s i66o t. nr:umsar{orya e. nr:rnnhTosetrir g. nl*q"8onl:n::rh 4.m:u6t?.:14'lotxd,luru6o

r6au:wfiuaquvnrdsoxornqnonlurofiarhmaufixuny s. nr:tfinalnvn{fisl

rnaei.nJ:cTufiflunrarufifgenrruterSuo ldurinrrvaprnrnmnildffiura.:qflon rrir.JlJ

olrurfiavrtdiurndulu6rso?lu,rioriulu*ra{ rTrrugtunr:ruirlrgraruavfinutrnrdrudroH u:..l

ariuaquvnldscrl urnei.nJ:slsfiiyn.:orsrudorqrfludru urad{rJ:cTclafnarirdosd?u1fi{flonflrrr1ro

rzu?rgfiu cnretoi uoldo ahdnlrvRyrfinrn

rfiuqno usihoroactftJ:cTufiitdrfisrii rframrnfrqrJdr:odlq1f,{qrJa::orn.rftuqnoa niueir

fiuH olrutdomrs{onm::H unvqr.la::onrdrufurnofiaru rduurnei.::J:yTtnnifi'irfiorflufnr

(Lazarus & Folknan 1984 : 164-170)

wdzuaann?amrnJiudr rnkrflu g ffiudanrflin,nirfiluftox rSrgrnrirfido uracnr?c

q?rnril zuadndtoomflJiudnaeiN$nJ:vfivrinrnriuqsria$ra.tHadru6*r g er"ru ouiirtfrrfiilddqs

fi0.:frnrJ:'rfiunmunr:nfi1frsn$nfrahdrdusfiuertxrfruqir fisnuaaoerfia.rfiu:nn j,nnrrlfiar

m:fiuurari.nJ:cluini ftnr6anlffi6n#narnvaulunr:rH?rgrtrenruorSuo ri,r4{ufiflrpflrnvvadaomffruaTir.rflr rnsfronmu'irdato

ernveplfienrffi^tululsl (Lazams & Folkrnan 79tg :?23-2241

. frtnr:rnfirgorrtrutoisJol$i6t1rJ'r?naonrnJ:vffiuanrunr:nl'jrqnorruoioqorna'l6riu

qnirtfrffioilqfirn:l uavar:rusfiyn{ofluonrJiqnfi.:aa (Anxiety) fi:.uofr (Depresion}

(Lazarus & Folhrnan 1984 sited in Lindgrren 1990 : 470) mvfienrrufixnffuffiunr:fiooat

t#oEJWirErToEJ armianeitrir u-u*iir* ilarrflunr:mo.raanyn{arsJnlsomr:fiorqrru

re6uor *lunofror*jlerfluna*narnnncmiElofiu'yrulu uacua6iflJ:c1tl$i1unr:mfiqermH

roiuonoa{r?iu $:{driudqutrt.:doollbirfiElslra qererafifiolrunafiaenniruoy.fiild.:sruhirfis.t

r{a hm:ffiin{udfrqnooduhiffirnrnhyrful

(Lindgrren 1990 :470)

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uurGofi arfiierne+ufia ennir cr

At6tl9ff N rfi1.[0 8j1ru1 UrljilnqtJolm?

a,ta3u:vuvt?a'luTLtaunalutljuo?'ltJtfiTEJotS0:{

dradaufi .:nr:rfi onrr croi enlunwirsrud rn offiirflu

(Yee 1981 : 14 ; Duxbury 1984 : 1.13 ; Maslaoh

1986 : 3) $ncLfiudolfitiflq{um0froaldr.r1 duftnrasioqflmldsnrdrsnrEluacAqlqela{ou?h.Tiu

(dnr*rur fiuvrSna*u z52B : 42.9) d.rrrdnnloonacqailffinreiofi.:rnorda$rdrclil ousJroiuoqrn

mnhfiufihilfifrrm:ufibqvffiufl?ll.rnodu rhlfirfioonldunaflq enriliqnfi$a datf,

rfionr:nlfiu*nJasrTrsdrui$rufinloun#{qfin:ril mrera:.Jdua{sioofliltoSElorflunrunoN

oondtnrnJfu ol'noqooa"hil:vnucnrrudrr5qfi5o6'rJnam ilin;d tdnrirrfi6v6r,ra?la{m:ftJi

oiarJfi i:fln{ufr vu'fi qooa uavd.: utodax.ir

cneururfiuorramrrur:olunr:rJfirdrfiqvriotfrrfrozuarnnruoioqrnrnnret unvryrnruQonirlil{Al

o?13Jt14UAennu1u (Challenge)v - a v ut A, v Y a q ' v6a.rnr:nmuv u5ofr:f'fi fu urodoxrinfi zua1uynsfi6fiuw{r0{ (Benism positive) qoernfiuovfior

nr:r.iouqrnret $avd1m:nlhrnacnrilaulq'lilluidrodu hifra.l'lfiotlflulilsflunrnjfrrfir, Xu U ra

qcrorarurifirinovbJrfi onrjamrm:$afro uudr u tlvlutoary t oB3 : tz-r s)

atnr:$avotnr:ttaq.morfl rril rilfiEi uwir r r

-' r4 suJdttflfl (Maslach cited in McConnell "t982 :72) 'ldmkornrru6tuolnlTudgltllo{

Fr?lsJrufio uur.il uLfu S TUUU 9l'uJot?'1eJ?urr:.t r[rtun:nnilnr:fi q 60

-dl---;tAraa,veAA^.atveg:su!flMu{ 9nl3Jtfiuounnllu[:8JsMQ1n o?l8J?dnilattil [a $Jaoon{11ay9r0.3 L1,1nnqu6V n VA | 6

^ | d a ". M c,,

{rJruovffrnrruJetur.r siaurfifiootmioutyrdemr.:ir.rnrel niu :Jrorfi:uv rfluraiold'iru :Jro6aEJ

firnru uaurafiubJafivr rflufiu :strudLfluoerrurvrfraunr.irufirnodulurirurar&u1 fiarnr:rfiur

rfinria u nran:n ufitslfidr unrr{n ni auuS ara q o.nudamrxj v v'. '

:vervfidat qvfiarnr:uasornr:u6to{d{rwi z oe.ir.:du'[rl r?ufifrfluofiilNnuoio{irmrue\ qv v a v\ q q A X a Q , j

tt6|vtJlj?U tl4o?l8JulrnotdUXU tU51llUqnOAnOA.: [U:UUfldA{UA1n1:[6{q.tAVrflq [Ufl?{r?AT,iUlU

,rr'#alu rflu:vuvqoffiromr*lu,r,tdam,,nirer hieioulnrurjourin :yudqyrflu

,{n:?ilea{nrrrfioqr':rxrvrdaennr.irertu:vu#ndurav:cu#ao$dNr{aft hiarm:n{onr:

fiuolrunryfioeJuilrulfr rirhfrrfiootaif,6rrjrola.rfiquoirtunuro.rnon.r nr:trieraruriufio{ilu.nu

runv{rJratupucqflnaaaar trffifil.nVuffirqr"udu rnotflrmmulunr:drsu enqmrqrau

fiuo:g

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6 6 6q ; Vt (6nn{yn{a1Til0l tnetn?1tJt?n40nt}illQouou u]dlil1?no?u9ltJ01:ililLtnv navnla{Qcnoa.lv, .q ) a, A AlrJ (ttom." 7982: +8) 1u:va#dTJriluarnrttnua1mflHo.rfrdarfra.tq1n:vuvildait fi.rttsJduafi

(Maslach cited in McConnell 7982 : zgt tfro'jreJlilfinr:nj6suu:Ja.:ndu6uriju:Jn6lddn

ul:gdilfloro?rxmffaEnniru

ttil6tum uLi.FsftJflllr#oennrjruaanrflu g :cduda m1llrl4fiaumhu:serYu6.:' u I v : q I v av u 3:u9njlJlunAl{ IAC?VOI Jgr'r tUUqAU:vorUtJAn:$UCol{U

erAa- {ffionunafiou,niruqs qcfrovuuudrumreJdou6lyn.:or:sJni raum:aon?rllrflurAvrA;r:

qonaq{ Lte]r6tv[luuo'lu0nlrJ6nrrqd?uqonaqlvAa,Z-vrQ-- {fi fi onrurufraarvnir anlrunnr.: qsfr osuuumrrunnfiaannir url.r s rirua qilu:udu

ilrunnr.terAairu!dvtv6- ryilrJffirJrlnntj?ru]8n:vougTl acrJflcuuuolufrlltJaaua.lynrolTrJil lnvm:agl

e!rdeff rJrflu:{n€rasir ueifi nsuuuefluo'nrJril r5adorqerenqr

u u AA v - 'rlo{uff rff ur{orfir rnr: rfi ocnr ru nafi n ennir e r

uJf,unx (Maslach 1986 : 5&63) neirrfidq{udruqoroafififiyrfiHasioolrur#au, UX

?n11U0.ll,l

1. qnenmil rfluflo{utnuluiifidruriotfrrfi ocnrrrrufroufi}ilu niu rlnfinnrvrfreiaruav A z'A r d u A.]q '3 a | .'da$svn{duaqinrla fremlfisra moo?lrJrfiafir.rluqilrar qooarufifravfrenrndoudrvnl

or:run['ld6qooairuroenrilaoynraondu finavfinrrleiufra.rloornqrJa::erlunr:riruu 6.rfi

lamnovaoonrruenaninfiqnoa unvriaorilfiumado{5rruinmld (Maslach 1986 : 62-63)

U Aa i q a | 6ar Q a ;UaflQlnuuqooaflilO?ltJttonlulugnl14:0R1EJl.nnCIuAu1ill-1.ltl:.t nil6nutun'lTlnqoTlJtluou

r Vs A ;A ,|' q "- a I au I vuliruloi rfiomrn1ooafilftofiulusiln.r6niu os6orirsun{fit1nexnrnlunmdonl:nr:Jflilqnfi.t

r Yr, , jj "l . e u A A b , i-

qnauNto 6l?u9tuvtrfla3.nrn1efl0nffir6{ilnQcufiilfiil'l6lirrr?onatuTlenEnoHenool?al uJov'lu

frrnrufioui.:ounrlruti'ovf;6nfiruuaar :{oo'flfrhi165rrnr:flnnlusnvrsriusfluniahsrutfiu':noA v . q at 3 a d a - t X- | - I -- q,- -51---^--,^.-tfrafiaflhnnlutc|6|munmolat$tcilsnlslto5uoq{ qnoanqrManj:udunuff?vgaotumflJausl

nu rfranufildrfluhjsnrufiqnrmouid{ Mddary 1983: 102-1 19)

d u v 6v i , Aa, v- a---,..--A--.-,-z. alEl arqfrernrudm{uffiumsJrufiarxnhu qooaifiarepiau fiot*tnafioannhufl.r

' Aa "-ZA - v,fflqnfinfliloq*nn ninrruo{a1f}0rrpvevrnou1firfrufi.r rj:ceunr:aflnr:rhnu qnoafifiaqenn

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7

firJ:vaunr:rrb.nn irldnrrv qXx fd'ffi?or arm:mJfrrfiraoqofra.$ffrernalot.:1ft.nnfi.tdu Tonra

rfi ansianr:rfi".r''ur#ar*i',E6.nioua{ (Maslach 1 986 : 60)

3. nArd tlrr€t'r'ruucrcnrornftfiTamarfierernlnafraannrirutdnafraulfrr uvin^roraflsfrTg i A r v clu ZXA a{su u I d

tuu'llfiilfr4cfrfiflet€iaudm]{orilErltdmn r4sfirfiammrv{oilrfuldiunr:enouftrjrrflunrcrfifim:

fiosiailuJcri:r{erumnrrhnrcrrer tfrnr:rururdooqrlona6u rffrftoru166 rnsfirnrxlrsia,tAi'tba,o,

onre.rif,rnra.r qnoa6u ry'rmnuac.finflrunafiaannilradrunr:aocnrrurfluqooaeiaufisavql rfror

dnerrufimaildfrJnr:oronadvhrfluqernaiirfuu6.: uftu:l finflurfiuorufdn 6r,totaoh 1986 :

58)

4. dorunlndru:d {tilfluTaoavfio':rlnafioenniiu6.:rrjr{fieru:ardrTouranryfiru

nlruaiaunPrvn.:ar:ruoi (Maslach & Jackson 1981 : 111) nrrfinuamarr#rfiorrrunafiaennjru

frosrn'irenrTno tflunnvonauerirrfluanr:hrvrr.rd,rorufifiotldrdrgmn daru:#fidl.n{uonrnfi

fisiofiuqcfimrru5n qtiltfita uacflrrrJrfluonrfiulod.rrft.ruavrir.r f{nniourarinniourur tfrofiutft.uravfiu uacti.:fr*ruirrulunr:rirenra6#rrfuuayri.r lunr:dof,uloufiflryr,noirs1 oufrfio:ou

erfruncouTdoqctfinrudrdrglunuuornsir{ftr oufifin:ouerfru#mJhvjHryfioCIurfluar:c

d'lrirgna.rfiiorrfieJ$J:cnr:!6ur uqifienufra$r:qaj:cauenrxdrr6qtufrimn:aunirdru 6.1fi

ffll$Jvtctenygmu ud.:{u [astrninmenrrufirnarirtu.nu drrfiuqi:.renrx#rurum ua;fiorn{nioel

n'jrouTao (Maslach 1986 :60-61)

s. :cuct'tnrtunralflrTfinu qaoaffiri6.:ru:Jruruqvfioailrufiaemirenioun'jr-.^^-i-r^^u.^^^.--^- -.&-. YX v ^ | . cA X "ecr aqnnafr:Jflri6nur,n:ssrdu r4rflrn:r;fulfruanhvaunr:nlfrrurnfru enh]hJnnnfinmilfits f s V ;Nsl? 3Jo.l6nn?1{nn uncq$J:auflauU{flu (Maslach 1986 : 60)

uonornrlo{EJdurlonafr fi iilGnadontruufr a ennr.ir uu#r rnsriuaquvrudlorrufi qrnr

lfien{a.:fir.rolxnafiaenniru nrirrda ffi.:dliudqum.rdsol.rovrhulfiqeromliudrsiooruroiuor

t;1nffi (cohen & wills tesb : 44) firirftlotunr#ovrzufugfi:rnrrsroiuofifirdu fturr*lllunr:fl0.:rfuuarffonmfiuoeruoiuqldoahrrfiilrcail rirtfrnourn:nr::rn *ror#rennriruii^Xtnofr,l

ur{dril rdr4uyn{fi{flil

rrr{driudqufird-ror rfluurlris:J:c}nnififiqoleh iirhulfuooaff,nrndir.ram6i.r

shqifuonafiukarenmnh*0rlfi dulfiuri dmantrnril r{nus€ffHrhurrg nr:rienrf;

rnal:vdurJ:cen.nn:or:xni uaarnrlqonafimou:ratiuaquvnrd.:o*t acmouurrnitlumtCopyright by Mahidol University

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rirrfiu6?#6 (Maslach 1986:63) u:.tffiiuaquvndtcrufluuueis:JflTurrieirdrg fid.oqt a Q-caa a v "r io 3Yc t 4'lfrqooaarrn:n rfiantffifrnrru.lfir$fucmsJrn5uo frufrorTru[6orir.:tnJ:vfivrfinrn (Antonovsky

1982 : 189-190 ; Lazarus & Folknan 1984 : 249-251') tlCintotnnl6st,tr:{dliudqu

m{f,{oeialn:{ooa6u rfiunfiaurolorflofiuoeratoteror vriafir.ralunrrqerftJo?lrJroierooanl:J

(Cohen & Wills 1985 : 310-313) :

erlllltuxfiom.$a1m;d (i-azarus & Folkman 1984 : 249-251) uaclomu (Cohen &

Wi[s 1986 : tA46) u:.]driuflquynsftornnrnErfl{ nr:ntdfuo'nlldr'anada :hvd:.nj:voot

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uaorauoilrar rj:Jr ufil u Copyright by Mahidol University

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wfizr::r*n:nJfiriia.rfrar

nr:?{a#drflunr:dnun flq{udod?:ffihurErnrrrrrl4{iaennirumwyifi{qua{rhuT__--_-_.4__-. zlay_!y_.. , I y a Al:nuaoothaoff.tolt {i{uldthlruortaunqn'rrmJynu?::eurme.rfirfim{os fiaorrxrufioemulpl.- Ae ,t f - AA e, vtro.:rpfi {qun{rJrul:ovraoo6ooarua.lrnn.laauilrnEmo{r o.tu

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"orutufiaanniru"(Bumout) lufl o.o.tgzg rncrHguilisJTufrofra{rnnn}tnrfioenurdou

uilralurnar: Human Behavior tufl o.o.tgzo uavl6rhnrdrn*ridelfiuru"u6osiiluqoo#.1

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eioutnduvn.rh{nru fraufitq fienufrfinaecnrrurfluqoera rhtfrfidqruTur4oriuavffiouoftynraut Va ,tv o 'oio{irtnurrav{irru3nr: rfluzuafiutfiamrnorrxroritroqrnnr:rhsu Toalrailrcnrrhrrudruo l, 9 a,aw v 6v i q laa ^uinr:fudalftJfifiNfi'u6frrqoera6umnoonartugruv{tfruinr: (Maslach 1986 : 3) orrurufiou

vniruavd.:zuablfioolr.rfi6nqcgrfieronir.rryrn&'uoio{irrunu inofl?lrrrltuonrfiulqrnco,r1sJrflmrnlqjto/uatull^t 0u??ilinuua y rdfl fl :n1T

tufl o.o.tgza ldfinrnitprfififtrr[ nEiumout" a$u cornolative lndex to Nursing

and Allied Literature uavtfrcrtmnsflu'j'l €n'rsJnafioenniru rfluzuan:cmlfirfioqrnotsJroiuo

'i,zQ,aaen{mnalnd{tnoaaritunlt'lj?vflouollmr rirtrfrfioolrileiourndemd}mluuftso'nilnl q?]sJ

dufrarlq uac0?'ril6sr rfi arlunrrhmu

erlsJnau1qnrsJta{t?ljdtqla{ 1W"U"r", 1966 : 300) oTrurufioennr,irulfluofl:ldou#rv (a ja r . vl 5l c - a r v v c A "Vy .duriluzuqfrrfioalnmrrjilryrrirfi.ilq-tunrflh.nuq{rfiurrjrnfir uavorlsJr{sJu{squqcrnwirtd ?h

9sa vA v q "tl4tnofl ?]8{?dnatJ tun? [um:ill{luCopyright by Mahidol University

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Y d u .- dlv Ab^rurrac Laraufiu (Pinss & Aronson 1981)

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fiilq:uns€nralotrTafiorffi fi0mru6.:dnramfirrrda::irlrroa raft tr,rri rfioorur: rniofr.r

il:tmruorm:lftnn rnlfifirirrnrirraouiorfia.nnnrfiubj rjro6::w frosfier fiouHalurnvnrrc

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:4349)

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tOir (f"iUA a Springer 7982:'276 ; Robinson & Price 7982:635 ; Robin, et al. 1985 :

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(Binder t9B4 : 174) qrn€nnufioilnfivrNfrruinla qvfizuanftnusionrflJftJflruffrriuftnruCopyright by Mahidol University

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2.6 nr:fla.rfiur]arufia:Jaru#nurxonnlnjatl rdolarnmtbaarienudoobid q*IorulfirnruauffiaiaqejourimasrJarufioilaruutrriirnrulfrp rnm:voiulfrfrhuuJdmffisrnm hiCopyright by Mahidol University

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olvvs J o I vor:}[{rh mh fi osiafiurfl ur?alu'lu

2l nr:fl0.:ngunr:rfiurdum{urwrfiiufiinnur6anrnrgr6rlqun{'ilrer6o.:nrvei'u

uavdrarvrfiotri'{:Jruuodoulnrua$rn6.rn6rxrdauturndrufiinnnrfianrvrrjoul

2.8 n1:fl?1J€lsJtulfiriltuttavff]ra.ror'uTafiorg rftaflodunr:nfiu#rtasT:ouaool

6ooaxo.t tnnruldrnvmsu{ouacto na.:{rJruT:onaaao6aoaruaofiffiaora4 (udull6q ud.rq?:ror

2630:4rgr6frarqua{:JrutfrfrlJ:uvnuulsnaJ$arunr:inr*rtfro:t{o1v1{rJ'leffi-nJ:wnuor}n?

finaxrcasJffi:o nr{:JrulrJr^ruuWvrdriiofiornr:fio:Jnfiufr.r rhorfiTgs vnirn6urrufiruynu fr'r

uturntoFouturdrurn duau firuan

2.e nr:flatfiuqrifiMg {:Jrufibmnldiuqrifinno5hu dro.lnn.nrootr?kd

nu*rrurdaeiauuxraiorn5r mrsra{fftifierJnfi rgrfifiaquua{rJ'ruTou{oftaqjordulfrayonnurim:

fi{tll*t,tfioulrar niu rJfu:cduif,utfrwh;u rhnrlfr{:Jramrcrfluryuc do'dnn$frrftiihi

nvns

turgr6{qrn{ilruT:ennaoo6ooaamr finr:drnclnu'ir rgr6{qura&herT:ernnao6ao

aruarfinfiornnJroffiouurl,r ?r'l lr,trirad.r oo mcnfirrJrilo *rfie,qrnnrun {'ar rJ:verar uaynm

drufiur{anrr^r1fi{'rJru fiarnrnJlarfluvr{ordo..rorrn{nniauLil6ruii tuuNnerifluT:on?c$nc

arm:rfi0.:qrno':rucrielouayiujbmruarm:'hiqffurar (unrrnrfl rrfian::rri 2533 :40)

g. nrmirutrfrfi:Jfifiin{u6riud.:oruunv6i.:uro6oru {rJruT:oranaq6ooailo.r finfi

flrgnru'sruierlorflr.rdrulrnqj rfluHafiurfia{rJmlnrnrJrSr-nJrilJ:cnoufiuonr:.ffinr:finaa.rna6aaqj

rhtfrrfionr:r:Jdnrurlasuvnnvr {rihuovf,finhifiuor rflurJudou nr:fla.:fiunrrvft+ofr rp6

{qua{:Jruor:uoaifrmqfim:rufiorJnfito.:{:Jru hisiruftaSauao.:fivhhinotq auloufia{:Jru

rnnuo?rsrvXndtfir{.: rJaaulfr{rJrufr6qflqrfrrJ$fr,,rkidofrodaflrgrliinrdu rnuci'uhi{rjruldfr

fiqn::rJ travrpfi{qua{rjru.avdaujfirifioio{:huldrqnonD::,ro'r lriuaosfiyhaalrylr v6oiln

flat{rJrermnrfiubJ

qrnRr'rsto{T:ouaa0160onxor drarabfr{rhufiflrgrarvrrrdruiNnru$ns6o1a fi{a

,irfiolunr:quaqum{ rhlfirur6fiosrfir*rf,nmurvrlunr:qun{:Jru ovuriuld'irni:fifiarur?n

tuenauoirr6ur-htr dorurhlfifinr:r:Jfiuuuilasduluo:ouorirunvrprfi{qun{rJraneirurn nrlrJduuurJasr,triiifrUiuurafiourflufirrnvei'ulfrrfioonnrerisor (stressor) uncd.ll,,rnrnuausia

t. nr:r:lderuurla.mr6ilrurrhulfia r4r1frdo.:finud',errfiru{r rdu drin:srnmula'

Eiren Eirorur:firor* dtoSarlfiutadr{fi,irffiu ldr,r :nrfiu'tfirfir :orrfrfitou drtfiumrtlrf:t

n ururaurn {:Jrurflu{ur dmer:ouqrirda.rrn qovlffi ur dr fi onirlft ron u16Copyright by Mahidol University

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L7

z. nrnJderuurJa.:anrnrrrofionluenouoirtfrnnxrvaxfiuamunr:ni ririilfia{.nn{r

trfi{rirulrt+uenrrnJnaerfiat niurJft,rifrulfrrflu:cciurdurfrr rh:lr6'r rfirna€orofiaufirud.rfionar.r

iionhlfr {riruld6uqrifi nnqlutnrvro6aulm

s. nr:rdduuruJawnrunrilunnm ua:nnrirfitoramfinluo:ouoir rft ainuroauRly{

soro:aueril'li niurrPr{rhurflufirnnirenaue#'l dar6rnJT uarfiannqor{ffitnsh rhtfionouefrrdq a 5l _.-e_.._ ?/r. ,' ,t _v. q , q e, 3 v f 6lrruqn41oaqflooluo:0ilfnmo{rymarta{u[1snfuuvnrmtfisi tuglr.w{vn6EJ.lo:ouofa loetierv.,iovft*n.nurirrilfi uuorfinra3orirnr.unnfiu (skelron & Dominian 7973 : 101-102)

+. nmujduurnjo.mr.:,rrsrlriqlo rfla.rqrnda.njY:-u6e1ot6iotfmusioor:runi tirld*---r^-t-r----e-t-- A- q v I r Qg av a 'uJashJm.lffJret fuflrgnftnrhrd.rzua}[rgrffdoonr:oanqmirutfior{nr.iou fiarnr:ft.60hvA. f da Vs, cr{ rl racl eq ,A , e, f A?dn?u?qenrnil!?ot Adrmtliltfittmlaenl unqdnoritlqorfiEle (Ekberg & Foxal 1986:

162) rgrfi:nmuro6elos{rnaufrasfrfr.rnr:fn:srornunnei ovniu'hryrfrdqua{rhuaqjtuanrnii

rfiureionr:ffirgnnronrau6urJrcmrsdru6qla uanmrnlrgmrnnarilbildmrnnufib fiaannrerfluq a o el i3 -urufl41yrliro.lua 9l tail tT a:{

nuidufi6ntnrdurftJzuan:nnuomr:rSurJrur+a5{sio{ama unvenouoirfitfi^- -..--V,r, Z 4 4 9 , v | | | q e. s ? Ym:qun$J?tnlu ilnr:frm*r lun{ruffioehsoirr1 rdr.rlun::urros{r}rul:orjaoqofiurSoi.srl"ruru

46 :lu nu'im::urda.:rfluflzufiotor.flurnmvr1rari 60fr0.:rflu{doRulo{onr:rdosrSu doxurlqrA b e z 'na.:lffturiru frorarffr rharr.r uanornfift6a.:un6nnnrnrn{nhiourneioulq rnsqrn:rflu

fi.:oxoir.q (sexton & Munro 1985 : gD tuo:oufiSrfiqua{rha Muhiple sclero$s firearyin

o,iouriaurrhnrllrGuurfierutacfiuu$hJfiq:rhfiornrsrfiuelndrorndsflsr unyirfiofinrnaoro.rv,?', A- .! r t .. w w "4v a,au v .ta v q 'o:auniJdxu fuonirhl{m:ruflshornd{nil unsynn4m:rJuddrufu6frJd{orunon.r1ufiqo

(Tilden & Weinert 1987 : 616) twmumt{rJruT:onftilrdafirlooruovfra.nnqn{fiusnrru

lniaovntfrruorilni fienrrufrfinTonroir qrgrfiu n6f,:u1a 6e.toir rfioornr: fiornr:ymnrurdu

ilrordn*v rjrqfro{ r6r.nnriran (Skelton & Dominian 1973 :101-1m)

nmdrnnaramcnura{o?:rru5u:hur5dft fiurynrn6or1uda*nam{rirsi{0ft d*ru

firl:enaaaor6oaffJa{fflel rnrh{nmaficmrufia{nraonam:hurfior{nr.iau fra.rnr:finalir.r

ffinToodandrs{r fiornr:firurerh ffirrhorun.:hifioir ffinldhifiourffrlo Ekbers & Fo€u

1986 : 1G2) unwruotmrrwnu rdurJrofiruv uaubirndu doun{duhifiu:l torfnunr vnafla'triCopyright by Mahidol University

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^- F e f tr Ioil ra1ju1.t10n tou trn4flildlrl4ql rllaalm:

I

'lruidufi.uran?cvtutq{nmquad'il?uoiargr6{qua{rJrul:auaoo16oof,r.ro.rflo.r

fimdrnatla (Fitzgerald 1989 : 8b-88) v{u,hr-tamfl:J?Ja{nrqua{:huoiargr6ftirulu 29

lletnn mi$6 a nrla.rda mrdrutfiuAdrc m:gudunr:fifiorn:*rirxlu#.:or nr:nJduuuynnyr

v*fi uaum:finatdrt:aqat ruarncnJqioryrfifirurnriourfia.rlo6loqjfiunnrryurxsaGo

rJ:cdunr:nfufiil olal u6rcorsJffs{n:n1unr:r{rlqruqnnrrftnrrurfi rhlficurfiueoronr:.riqnfirra

Imn n#'r uacdu{o{ta (penson 1tg84 : 24-26')

nr:6n:*rnu'jr z 1u 3 na$n6fthtlT:fluaao6ao60Ja{ flra.:1finr:qua{:Jrur.nndu

n'jrusiriau unffion::arnr:quafiHaoianrcirrfiufi?snJ:v,irfrrtocyrfidru rhtfinr:r{rfterxaor

a.: uncb.iareflrnu,rfiryrlrgrarvnsarrmrrr[1d Fbra]rim & Nouri 1987 : tT7) d.nacirflfrnarnsmrsio'

rnfi?hbTrfiocnriltoS8jo (McCornrick & William 7979 :7470-74II ;Hodgson 1,982:22-23 ;

Evans, et al. 19Bb :41,7474)d.rilu'jrailtfinlun:auerftfirflu{rnu ffioucrfivnmuoia{rhuj..tn

n'ir{rarfu fisitfito*ornfiorlilertne{rrnnlunr:i'uururvno.rdqun (stroker 1983 : 3oO d.:nr:

rtrtiqrffi ar:a.rniqrauauodu

finu'runn{ora3orhll duau r4sfirflrezuaanarnfrflrgrarvr"runnqua{rhedner r?iu frorlfrnr:druruda

{r}rulunr:rc,fioulrar nrqruacrnsJasoroimrEmo.:{rhu uanr:qua{rl.#n#uq.r.lryrnu

flaarrckild (Brocklehursr, er al.,cited in Myco 1983 : $) fi:ttl.nu'ir e lu smcgrfi{rJruu

qurifiuoit:rr:r fiEnruerisomnqufra.$rfifrrm:inurqmunrej (oddy 1987 : b07) nn6nu1

otrufiirnr'u6:vra'jroq6rmrum:$fisuflrumm.:rgrfiffi:enra.rfiulqtunr:qua{:JrerT:ouaao6oo

dtJan nu'jrrgr6t{nr:rzufirg:lrgvrNr6'runr:{.:ufiflrgrar rurnn'jrnr:noar:rua[6.ne6uooahrfiriu

drdryvrxafifi (p<.001) i#tfi1unr:rzufirgflrym s duduu:nda nr:Erasr$ranrunr:a[snufirnu

qil nrrv{urilsrcnilflsrdnrunr:ntvirfiq#{d nr:fior,lrifinr:drqrfioufiflrgm nr:eJodrgm

aehmauoou rr6rynrruo.:dnrunrrtritiuoeh$qynrnnmu (fiqur 4yromm 2831 : n)

alnzuan:cyruftnrirrmudr rfluarnnqtri'rpr6{qua{rJruT:nuaao6oocxarffa.r

rzufirgfiunr:u:JdEliluilateirs{ufiieroeir,:rurn d'o.flfrnr:qua{rJrurflu:veru,rurdor*lumvdad, , v-.. q, e o d^ 3 q e,t r Qr, aa i r ;tuo{ msqo.$t2flfuniln?13JtFFUoil[nor?il.r.tunT'qunrdu?u d{zuaLr4ruqlnoo?'ltJ[141.iaufiil]ui4ay

qua{rJrurflunaq}flfinunrrrtunr:qua{rJrudoa$ zuaqofirufi6o nr:fru4anrnms{rher6r.r

t8

naar rhtfrar nr:ro.: {th uvqoar

Copyright by Mahidol University

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19

?6nrn1a sfiuonr uyfi o rnnir u

i6nr:ufiflrgraluacnr:fl0{fimlrunnfrauniru fro.rfrns6.u*no Touftrnnirfi

firppeuolrurnstlolorfimrnv{u oufihif;.:rn"orqochiilnu'lronrird.rqnrnvof'uTouotx

roiso qunmutfluolrue,ienr{a{.r *r*riufi.rrnerolm:?n{rnu arfl.mfonsmrildo drrirdr

ornoqjtrnrrvroiuouidtri (drruan 6uvrin#u 25?.8 :420) nr:uftJrUtariirttltffnootilroiero

Iouqffi danrtrarfiryrlrynr fiunnnmflrgmlfim*rnvufifi'flrgrar lfuoeralftJfrn*rrfuenawfr

rniaqoeraoir.:1tunr:urifltyrl 'iltfinf;u"rrruoisfirfiuarnaqtfrrfioorurorien uJdprurn]a.fldquror

Tourldewiffi r4ouofi uavoarilGorfiuludnrcot;fifrnnqara (Lazarus rgn dr.:tu fim*nn

fiuvrfnf,u 25zB : 422-425)

uuAauudvilodefi fi orrrdlir{uffi rnrrrurufra unnrirr r

uorrornnrtdrelrufiornslalftrernelr#awniraldrtletun.:u#r ftfiun,tri.:rj:vluqri{i

drdrg finren:mhsnndaqnnnlunrnJfirdnsionnue6uoiinodu 6ou:.:ariuaquvn.r

fterru(Social Support)

trad W"io 1974 cited in Tilden tgab : 199-206) tvlenrrnnuuu:{dfi1ldquyn.:

d.:nardrrflucmrf6ndxloraiafi.rvrolqqiaolrardarnraard.:or qrnmrJdrrsotudfr.n{unmil u:s

afiuaqurn.:drnruuhoonrfiu o tfio 6o

. 1. onxinler:iryrn{u Gm.ho,eng rflucnr{finaueju ftro.r ilaaofis fiouinuacnr

totd fi drulraqjlditrorn{alrauocrfi audfim firrnou:rariudquvn.:d.rermfi od o:nhtfilema

ffindr.:irsuarloo rd a,r

e. nr:frdordrlluftnsJ (socialintegration) rirtf,rlnorafiIonrarynfioffi ftdrudu

tufiqmflJvntftnldneni.r firnou,:rofiuar1uvn.:d.:omfiod a:rhtftlereraundnarnfi.:Fril ray,A.Atq.ffi n rfi amir ulum:r;ir:.:ffi ql

g. Tonralum:aualfiu-rqn€alfienrldtunadarlooadu (opporrunity for

nurr'rance) lduri nr#qoerafirrnlfirfiornoulunr:rfiu.:q uialfrenrxriaurudoqoeraSulfrft

o'ntrp.nqn d.:r,irffin hsilro.rrflufifra{nrm{qnoa6u firmnbildrtrufifiii anhtfifdnirfitor

bifiernrnnmu

+. d.:rffiilfifie*uriulttuqrueirrwirsu (Reassurance of worth) lA*i rrttfuoonlfi

ilm:tornnenriar ,^rfrwufiars.niauflo$.n,nlrvTvnofiierx durflufitlarJ$fia{aurfin1uo:ouCopyright by Mahidol University

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20

nir*av{irx.:ru firlfiiunmdsr#a.rq nhifiqeroaffinjrorun.:fi qrueir

s. u-urfir,h.r1t**n&rrfiufisniid (A sense of reliable auiance) enrruffinrduiildrurqrnnmufli? uiaroiacgrfi dgrnfinuoiavoush{oroil{.:,jr qcldiuotrdrurufiodrfiuuayrfr.r

oeh{siarfio.l firtnoenrarffinmuil rntr4oerafdmnoonruir.rer.r uavqnnrrdo

o. nr:lfiiuriftns (The obtainins of suidance) rfluenrtfio.:nr:tudrsfi:{oon

mfrrgrilonuue6soraSomuinqfl rirtfifra.nrreir:Jaoutq eiruunirorrqooafisflfiiyrruu4d,tii, ;lklamnrrrdur.r nirtfi,frfi n$*t

qrnnr:6nMrowd:.n1urup (stubbs & Rooks 1985 : 31-39) 6nuro1ru#m{u6

n'ir'luxafiuei4uvntffioru erteite6Elqtunrnhnu fiuonrnnnfioennirena$,reJruraluuo

ofirna{rJrannrinrao{rJru6mrmfia{hirdn urnnao{:.iruorq:rna,tr 11fi4 n6 nu doorrH*iirur'n'irEJd'lEJ Staff Bumout Soale fo: Health Profegsional (SBS-Hp) {oorargoiaolunrah.lrudaB Nut"ing Stress Scals (NSS),I uav{oru:,:f,fiuAqUvnrftnrufru Norbeok Sosial Supporu

Quesrionnaire (NSSQ) zuanrtdnurnu,jr rryenurafifienrlroielolunwirsrufioer ruactfihlu:rafiuaqunr.:ds oumn q yfi nr slrufi a urar.ir stunrahmush

ar:aoTo rard rnct?rhud (Larocco, House & Frence 1990 : zoz-zrg) 6nl*renre.r

ft'rv'iu6:nn'itm.lafirqurtfiteril nrrctosuoqln{lu uarqsRrwtuqooaorfin61rl zg ordw

'iruru ffi6 ou nu'iru:.lafiuarylvntdtolfizuasianr:aoonrxiqnf,$a mryfi*ueth uavnejru

oln1Tvn.:n1E] rrsihifizuntunr:nernievteiuoam{lu tudruenrxfiswolotunufirtfirifi oarrufiour.irerturu uavcnu'hifirnatqtuFslrr*nufimnrfiuh

fifuofrirrnv lureicj (chiriboga & Bailey 1986 : &t-91) dnuorrxnafiornnuremo.l

usruraluuaafiura{rJrennrin 217 Ftu unnrururatwao{rJraorq:rn*ruacdaum?il 31b ouvlu'jr vlu'Mafi'ld$-,tn-oariuarluvn.:fterruorn{CI:ronr: uacrdouirruou S.rf,,jrorurflufifia.rnr:

na.:{:Jru esftfl'treJrufioennirutunraholuri.t ,**rnurafifinrnjft.r#:siaolsJrnicrorkjd fidr:iln?ulufiimJ:v'iriu6 q yfr omu Mfia ennirutunrah{1uq{

fruo{rn:u (Lind$en 1990 : 469-483) 6nurcnr&rftJfiufrcil,jrru:.wfiuaqumro#tox

uacmrillfifiouvnirertu{}inr:qrasruq{arq doenrrunniiourniruToutfi vnl iou:.6riudqumrftnruTorut# NSso zuanr:6nurnurjr{quafitroru:{dlfuffipvn.:fitnru adhiarmroilfird'du

nlurid hiarxr:aair.:fixfiunnrnfiuqocradu mcrfi oorril lufio ennjr uld'Copyright by Mahidol University

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2L

qrufii {efisnen (2s94) dn:*rnnrnurodadunrnircu u:rariuaqunrrf,iox uacA'

o?lilprfioEnmhsna{flurnmlrvirm:tunoafiura{rJrervnin T:snunnata.rfg s ftfiodam$4flttd15'1?0aqt finuvfiNnalTfiN m:ilfl{$nflolnu nil[yntu/Ttuo: un:il:.n$pniurfiaJ

'iruru 1,410 ouioollr#aenflhEJdnu MBt {onr:ilfuxariuaquvnldlol dreluru{ou:r

eiiuequvn.rK:osmo$Erd (House) nu'irm:S:fu:.rnfiuaquzn.rftenrqrr#rwhraa{rJreruav

rfiorrhxnu fienr*rft.n{u6rnsaufiuenrrunafiounrirarfri g eiru (r= -.32fi.r -.06, p<.ob) m:

ffimaniuaqurnrrflsoruorndernnrfiouunuryrfi fionxft.rfufvn.:au fiueffilnafioel

mitelfituenrlenr*rdrr5odrnqooaaeirdniudrdrgvnrafifi (r= -.28rrdu -.14, p<.ob)

fiinora ryro'i€a::r{ pBSb) firn*rernruft.nrfi rlunr:m.:Ian[r.:driuf,tuyrrsd.:or.r uac

tn'tunnfiaen i''emwlenualwaaafiurn{r}rumin T:wrEnuraqur5 T:svrmurari:lrJ #.:fiono.:fal:nrururar$rnronrotufio drrinnurJdqnfi?m.: nrcym{anfi-Forqr druru 146 :tu {oerru.r

*fiaennt',tfioefl{ bmr iou:cariuar4uvn:drerru Toul{rmraa:rnruuracioJ:vTatriq.ouru*d

Z nirtloru uunroi unc hrfi5at Grandt & WeinArr 1981) amnr:drniryru,jr nsn:nmJ:sdr

nr:turaaafiutafrhenninlxnururnquei TtwnmuutirtJ tunenrfl&fi0 fieynilnrfloanniru

cfrunnildoufrTyruonilda qjtu:voft r:JrunaN

uncmmoernrdrrSoda4ooaaqitr*:vducir Enrxr{ruufi.:1unr:mdan fiemlfii.nfiufvrrml

fiuomrnafiournrjruis g fiu orhdniudrn"rgvn.:dfifi k= -.39, -.34, -.29, p<.00t onl.rrirfiu)

tn{dtiltdquvTlsd.:ru.rfienrerft.n{udvnsaufiuonunrfioannrirufrc s firuoehrfifudreiryrnmfifi

(r=-.36,p<.00x ryhfiu#{ g dlu)

oarf;ulfrirnr:dnurdsuNarlua4umrsdroruuarrr:ffi ootxrufia urnir uri,u drlrlraqj

m.dr mreiiuaquvn.rdror.rfi enrldenfiufmr.:arfiunr:fi ""rlu,#at*i'r

u

uonamur{dtiudquvrufinqrrufir fr.rinlqda{ifiera#l.n{ufrtr.rnr:fioorrrrnrfiou

wirutoqooa tpttniunl'&lumrdnr*r#od ar rlo{uriruarq rnfl dmurnyrf,Nrrr unffiuuu

nnrlumatflriA,rnr dsii

orel rflrnorufiirdfiwnrrufi1dnrr uan]:caunr"sfl?o{qnoa #ci,orqavfiou}i

rfiu:Jrcdunrrnlsa{qfloa rfulufrAre*muarnrhsru

qooaraarenJ:vurnro.rfiiorrir-r1nnfi#.rmrdnr arrnortfusi'rlfiaaoo#otfrranrnnr:srifirfluqil

'lddrrjqoonirorepiau (Ma.slach tr986 : 60) ornnrrdrnflflas6us{rnil (Lindgnen 1990 : aB0)

or epnno v.inhyounr:nlfiu

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22

vru'jr{qua{"rJruidfiorqfiouovfto4rrunaiioenndrufiium:aoom.rfiuqeroao{tu:afiu6 fi-dn^r:rv{qurafifiarqriauovfi odufirarmlv,6u rirtfifr narfiqvqua{:J'rurioua.: draaoo#asrir.r

,iav'tu?1LlonaileJ

rran;nerafift

nr:6n:*rsas luJdunf, ltn vrrq ndu fMaslach & Jackson 7984 : 133-13b)

l,d;or a$o anvfi onrutrafi a cnnh emtdluoaueiounPrynmrrxal rnyfirunr:norole+fluqooa1rnrrjr

qooafifiorqe.nn rrncnr:6nr*rhr,,raruranuiryrururnfifiorcpiouoyfierma+ufioepnhumnrrhia

ltfu.fu1antialrleJln (Kene, Ducete & Adler 19gb : 237-zgz; iusnar rgrfiu::4s zE29 : 62 :

h*u, drumno 2632 :47 ; :{rue6 fiu?sne$ 2534:101 ; tr?flou{r{ o6,trcUr$sni 2534:7M)

I

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adou}irfiuiNnrrilrqnshttwinrurvrufirfiro.:rnourflruavrnomu rvrorarfimvfrnr:fiprsia

:Jfi fixr{uffi {duan n fi nr:unq$r:aniirrufu {6u rirtfr rdur qianr:rfi oo,n areiounlvn.:or:runi

rlfurn(Maslach 1986:58) ?ar6a# (williams 1989 : 169) dn:flotsJrufiourar.irulurnorneruay

rnorar!'rfifiarfirrdruuinr: 3 orfiyr 6ol,rur:,na findrorualron# rnveq nu,jrrnofi6yrfir,rasio

crflxlfiaanailrutut*runnarr.',u,fluqrru d"in#ooucoronr#rrufior.ra,,rfiramj..,u6.rn jr

finfitoruastom"irr8o drulruiuntnuoq' rilodNfiufi mrxrufioennr.irdhiusnsir.rfiu drufiruqr:rrua'oufrtvnmruni rru'jrn^rota$tfiovuuucnrilrnrfiaur,nirelqsn hrnomuaeh.:fifiudrdrgvr1

dnumnfisJrfl rfluflo6'uidfrqlrufunt'ufriuom.uufiosrnirslunr:rirqurrqou,afi

amnufirfirafirfifro.:qunamfinlugnouerir dsrlnurrurnroluor:omrirrfiilldrerfixr{uonryrfi6

fto?rrl5n enre.n{rta uavorrllrfiilanrfiuled.rfirumyfiu alr?ntuorouoirfiecfid?u1finr:drrr

na6o rflufiltfn:*rurifiuld riiorfiofrflrgurdu (uraou.rri o6firgiod 2534 : sal nrindo {fioqlfiuo:ouoir rn6o{fiamaudaqvft$lrJnnfiaum.irutunmhourioun.jr{iirflulao (Maslach &

Jackson 1984 : 133-153) uav{{drfluTaorqcfrfllsJrfifiaennr.irmr.rftuo,:rrueioufirvn.roruni6.rtvA,n'jr {frd*r:arrdr (ua"tach & Jackson 1981 : 111) aaoofrorfiunr:finurfirtulvruunyeir.l

rl:vlrodtnu'ir wurumfift{ffitafiom.rnafioennfiEl tunrnhnuriatJn irilslrurafirfluTao

(fi:cejr #eJM?rq 2532:48;chiriboga & Bailey 19g6: BB;Dolann 19BT : r0) rrsi{oufi{fiu

nr:6nrq11al ulaautd q6ff'ryimri lzss+l 6n:*ro'lrtrufiour,nirunosnurund.lfioanrnrrrolnu

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firoehs*$bnq,jrfluTnoiaua z v6.te unnnru'irnEnura*auas zo.eo finaqjturnafin Aoiu

drurfrrnnrm$ndrsfluurafiurfiauCunaorffn fifitfnrdadoenrurnfito*i o*nnrrhf,elrftrnnrnlu

onouorfr

:cucnarlumdfirlfi.nu rflufl o{eni'eil6$J:ununr:nitumahto dfi avtfi*asionr:fi o

".lur#aennti'ro16 maunrlffihmdnurriibwmuufioenniru lunrlmtrorerafifiorfinvn.r

nra6nr:dsormaruorfiH vnrhqdcnrernafiaennirerludrifiiuuct?at r-s fl trasnmhnulu

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unninfirerruasrem# r-a il (Maslach 1986 : 60) fiuoirrnr (Lingiren 1990 : q79) firm€nrsJ

rntfirr*i,'otnuur.:ariuaqumr$.:onmr{qua{:Jru vr:.rir:cduoeramioufirvnmr:xoha.r{qun

{:Jru fiorrudxrdufrn.raurir.ncusnarnr:quaffhu (r= -.34 , p<.01) uocl6-lfrcrnnrfnrfi{

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27

nr:ui.ncdur.rur#oen"i''uluusiaca,Pru rnhrflubififi.ttcafuch :ca*urhunnrr :sdu

q.r Tou{t,truldrtiurnrudrnr:rh}iloovuuuto.rusJ6{n6wttac$aofiu (Maslach &Jaskson 1986)f ,i tu q -'- a u.i^ .. '- -. 1^loglluagluronarucrvuuulu":vdroir"rflu "hififimydusfi " d.]fi6a

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qz ila u#nirtJvroaouluqoarrniqnfu\druqrnru uncnr:tfrnr:uinr:rnnrenrdurdr.l eh:eq fin

mlsuu? 613 t{unna rinisrimil w^tncJ tiruau 60b nu rflurnornsiaElac b6 rnorar$.riounv

qa rdnh{0ry#tfirrrarem#a.refi.hmou nryhfi,ffaiifiocuuuftJfiu6ffirncuuu:1rJ6$ za ilarnftoanrflug o.rrfiJtcnau siaenuJcuffrunsuqofiuldfiu:.rudr:ro zailad hjmoaoufiu

nei#roeirslrn*idlfienrr.roro"ruo6.:rfunr$d?aeh.irffrtu?u 420 $u rflu$,re$refouac 31

nnrenr$$ouav es u#nirfraryafilfrrurirondasri:J:cnau ldzuariiurdurfiu#{um rnslddr{o

ryaarnntiedraahurn'iunu zs from:arufir,6orya1u#oid e ufinir*nirem#o.rrir]:vnaulraei

nudriiotifiocuuufrrnfta6ftrflruuu:?sJq.r fi n ila rnisaonrflu g o.relJ:cnaudo rprrufdneiau9t€drvn.:or:em[ z)m:aornflerrfluqooa 3)enrrudrrSodruqoera onrruftdufranirsowirhcnaufi

t fru z freir.sz ornrudrn{ufrnn'lirm.:+{rj:rn.ufi r fiu g fin -.n onrxfieafiufrnnirmsr{

rj:gnailii e fiu g ficir -.zo uudtdromi&nffu#rflutilorrmqufi 6aa$rj:nau#r g dru fi

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oltAutn0 (Cronbach 's alpha coeffisient) tunejru#'laehs,iruru 1,916 ou ldeirortrurfiuwn.:

druenrruciaufrrvnmrarnl nr:aorcnrilffiw{ona ilacmlrudrrSodruqoon .90 , .7g ,.21 sns.l

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firaehraamcfu nrj*ru:nrflurindmnrFruryrTmaNfisoruasn:r# uauffimnnrlfllfl:ilffl

'iruru bg nu laeirmu:candonrulfissroon1*rarud1 ynrfiruo,nadoudnmoor:ilnl nr:ae

orulfluqooa unscnrudrriodnrqerera .82, .60 , .80 snsJrirdu rreia.rfiaasufluoytrunr e+e

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qona [tnucffs{dlr6adruqooa .80, .54,.S2 mutire'il

fi:cm dsJroaro (25321 tujauru{oonrunafioeftnirum{r[ildu6ntuac[,0ofiurflunrut4 4ar,,A Ilvru 1fi{rfrmmrgvn.:drunrm r vhu en"odollrilruJarnvommnnru ua;1fr'{vr:rqnr'1fivn.r

mrnilula s vhu ernadoilolr**o*urdrm rirrurrJfrnJpuriltoruqnfiorunsoflsJfiorqu

vn.tnrursnal{anuou1.s?a{{vr:sqt46rf.: o vhu uftrirhtlfifirnnuurarJ:rirnr:,flrrnu 28 rlu

u v 6n net e{rrnruvndrernxrfigt.:mtrruu{olursiavesru r,neirfiu:J:vf,vrddadrta.:onauuro'lfi-Xa I o, c 'fufi60 enrueiaudrvn.raraml .92, .90 nr:aorerrurfiuqona .60 ,.zg enrildt6qdruqeroa .ob,

.gr firaom qvrn'iia:rei (2b3b) rirtrlfilunururail:yshnr:tuuoaftlarf,r.hemrin riruru 20:ru

unv 146 :ru ureiro':rrurfien1ffeirfrrurl:cfiflf6'adrsa{o:ouu1o frruorrrleiaufirynmr:runl .zg,

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lunr:i{ao{sii ffi {enirll uuu{oomrurufiouvnirutrflfiluryr6{qua{:JruT:ouaao6oo

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29

fraom.rlurnruaaunrmJrvnoudrufioeirnrrudrurrn zo fra uay{aeirnudruau s fia

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37

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38

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r.ramrvrodoudrJsJ6$1?l

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ufrr nrrir

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Copyright by Mahidol University

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rirefu) uracnr:qun{rjrendgndrerzudonjderurflufiulraqj (6ogac 6s.zs) rprfifitrfinmqua{rl.lu

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Copyright by Mahidol University

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drrnfttnr:6rn*rtuil?ctflFilflu tflunr:fin:s'nyfiuorunafiaenadrmo.w{urua v,ru,irfivtv

orrilttondrrd.rfida fiotxrufroennirufit s druoqlu:vdu6l (fi:vur fii.lmte 2532: ao) uavfi

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qnu nn$auduo.lcl?1rJframr:frrufimruuncAsflqml{rJtlraurpr6 nrrcnr:inol[onuilulma

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(McCamie, Lambert and Lambert 1987 :374) uonarnilnrnJfiri6.:runrulfrnr:u;nr#k6

monr:6osia:J:saru{rufiforou*nn'lrr{:riwn uav{lffirdu:irgm hivrnurftrailrutunr:rirsu

fifioleu (Maslach 1986 : 52) uacttonr:ariuarlulfrfiTonrarir':rarirtunu hiarm:nruriflrgurii

rfionrnnr:rJfirifi.nulfi (wolf 19Bt : zsg) Asru6i''drirlfirfimlilnqduilrrar:ruai fiola+nieror.._-q-\,lrrA16l,qjrnH,rl aJ6o?1 rJ!141,t0 Um.['l U [Un1Tvt1{11.r tuytqo

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qooao{tun{xueriorgrfi dsnejrufiraeiNdrulraqjfitfinr:qua{rJruriudo qor:uavn::urnot{rJrar

nr:qua{rJrufioudruhrfieuJduuqunrfludrulrnqj$ouny oa.7b finurucanauoirfiomrinloi

r1nfrufiu vixludrfiuunvfiunruluono::oir ftnr:trinrftlqfiulunr:qua{rJru :J:vnaffiunejruCopyright by Mahidol University

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fratir'rdrulrardoqituiufftut! t{1rrdtJr6{i?hJ ovftnr:trf;u:rafiuar4umrd.rorueiauffroqo rio

nr:firnnturj:yrvrolvruuastudrdtcryro (fi.:aom qvro-i5n::d 2b35 : 49 ; Hubbard, et al.

198'4 : 266-269; Muhlenkamp & sayles 1986 : 334-$8) du{t4rijrflurirsfiini'ennnr:6runr:

6ooiadnffuffi:.ntreronoirqfirluo:Fuorirr6cd.:oru1dd rfiodoffinnirfitunr:qrn{rJrenlu

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6r rur hfi fr orr *rfu n{uf ua nhur uo?r l nnfi o errnir uluusinsdru

amnr:?6'et#.rdnu'jr uxatiua4uvrNfirerrufiolrufii.n^iufvrr.rarfiucnrlr#aannr.her

druolrueiounPrmrsr:elnioeh.:fir.irrdidrpvn.:4fi6 (r=-.31, p<.01) aooo#adunr:6rn*rtral

fiuoinnr (Lindgren 1990 : 469-483) iifinutu{qun{rjruT:err{oi+iuru b1 nu r^nrjrm.:afil

aquvndtotfienrnrf,rur{ufvnmu fiuevnarr#ouudruefrucnrrueiou#rnmr:ainioah.firiudreirg

vrr.:afifi neirtdo {quoiirnou:tariuaquvn.:ffrorroJhinrrur:n:Jfufir uavairlfielfruomnfid

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ann:noio{fiur1umlfi druaoernruluu:wosrlrgnar dsrairulfifinncqflnrrmaunvqrnrniord

uac?iruncilonrafionrrc?nqfilufitor (cohen & wilts 1e8b : 310-3b2) ftnr#rgr6{qun{rJru

finr:frrffisnr:lfiffuernrudrelru6o arrn:nrhyfunaqnr:nioirr{donruolrufluoimllroiuo

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nro fienrr.rf;rndufffir"r''urrfiro*i'',ufiruonracioufirynmratni unvnr:aoenrruuflu

qooaorh$riudrdrgvnsafifi (r=.26, p<.05 uflv r=.30, p<.01 snsJrireiu) qrnnrtdquilNlfrCopyright by Mahidol University

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mefuflu frrrtrJ:vju nu'hrnornrfidrrurTrhrdrqvftrffsJrilfroufir.irudruflluaioufrrynrar:runl uav

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ffinfiaurfr myrfi q€nrerr#aerylirel6ruo'nmioufrrvnmr:ualtfr,ha

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:J:au16'6aunv g.2, ocjrtfiriudrdrgvnsfififi p<.or fi.rilo,.droul.lnuvmymr.rfiio:r ?ro{n^rot

rafrturJ:vrvrotvruturlonrhr rirftoqjtu:vuvfifrnr:rJfunlfruulilqrnrfu firitauoH'irrnourflrov

douflu{quatrunru'[uiru,^r,6ooqomfin1uo:ouoi'l tuor'*#r*tmuavrflu{riruuuonfiru

"l:ron[#ooo:ailoix (Friedman 1981 : szs) n6irrdorvrorarflmvfiwrurvrlufi.rouuln{u frooir

nuuon:iruunyrnrneilfr oudfiunr:quafnruuavr6enqarurfinluq:auoir rfroqnonlucr:auqir

l6u:Jru rnornr!.:ovfrrnrirfitunr:qua{rJrudru 6.lfiauJfrruvrurilfla{snanflfiruillvdrl Toufiar

oqifi:r:huktd:Jrvlrouo1firl (5ouav sot rfiatfrnrrqua{rhuaehtrdruii rnSodowir.rruorrudtr.lfir.r

nr:qua{rJrudru ffin'jrorurowirJ:v}Hrisiofi,:ormoal do#rlll{6uxrnfu il:vnolfiuvlo

urfislfurnofi'troioolxfr6nno.:qonradu unvnr:qua{rJruT:ovtaootfiooaruotfra.rn:nirfiqn::x

mrquaunruasiN urse'g.r hinr$n:ne,auauo.:enrufromr:tor{:Jrulfifir,urar tfifucireirfifiqrnCopyright by Mahidol University

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{rher rir}frfifiouo6fibi6sionr:qun{:Jrer fiollaularortataoio{:huaom ffin'jrorundqrut, q d I tD aq UD

oluoua.t n9n?t3{t?luagMuluoluflnaoo?1tJllJuqnoa [91

V ra v v 6v d r v 6 | ae c va1q [eJilo?13J6NfiUfi',nu0?13Jr]ilOeDil1UOlUm?AOfl?leJrUUqOnAAUl{SilUdln[UmN

dfi6 (r=.12,p>.0b) uavarqfrnrrruf,iifiufvnmufiuotxrufioenarirudruome.rdrtiariruqooa

oah$nftrdrdrgvn.rafifi k=.26. p<.01) 6{usnehsqtnm:6mfl?as6usirn:u (Lindgren

1990:480) flu'j1 orqrar{qundrJrufiolr.rf,endudynsauriuerllr#oennirudrunr:aon?rlr

fiuqooa oeir.rfrriudrfirgvn.rafifi uavarqhifiorrruf,iivVuffrrenrrrufiounirudruonrudrr5q

druqoera aehdriurirdrpvn.:dfifi uavnr:6rnnsa.:uildltettrunvueofiu (Maslach & Jackson

1984 : 1 33-135) nu'hqnnafifi ar apiauoufi olrundaennr.irufiiuonruejoufrrnxor:rrri rnvnr:6, , Ao a A , , ..a I e

aot€n]rJruuqfloasJ'rnn?,ll{noaflrJa'lelilln $nseJo?lilrfiuou}nlluo1uo?]r.16l'l[Tafl?uLloqauau,AA

mlqnflaililalEJrJln

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[ou aGuranrr.unhl??ul6rmilfudhfauav 13.2 aeirdniudrdcgnr{dfififi p<.m rftfrorerfia.r

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" w I aa t 4 vt Aa 4olno[unmquasrua{ tt6tvilnanir?eJn1:qunualtjau1{ n{uJ?'}qnoanil0lepJm avilo?lilaomt

qp$aunou ftJ:caunr:rfi1um:qun{6u ftnraJfudrr{ffiurmur#1f*r:6rrjrqeroadfiorepiau

(Maslach 1986 : 60) usinrrffiarTroraaoq6aoflilo{fifia.:lfinartunr#ur{anrnuru rprfi{qrun

{rJau6.:fra.r1frnr:qun{rhurflu:vust?n1u'ru 1sqfiu {1t6tu) ttvtd*orn{:jruT:ofiaaot6ao

axo$ar:xnidnJ6elurda.iltu (Rbbinson, et al. 1985 : 495) damr:ouqtndruruda

fion::ruaeh.:1nfifio 4.lrflufiq*t*rfuAt:aaqjrflurJ:vdr4n{u rgrfi {quafi oruroufiulunr:q*a

{r]ro olilaulq rartotdqun{rlaulnffioaoar hiaulotuflrguiur.rorh$dfi odu*u{rtrurvirti

o?? fi orcr?rsJ#ournr,irEldrun'naqo?lrrrfluuoernld

orel 6r1rJr:mhuruo?1sJl?rfiouudrudiuolr*rdrrSodruqooald Touaralr:nofiuruer:rru

ruiln1i?u1650uas 6,e aair$niudrdryvm.:dfi6fr p<.os risiiorotdo.lmqrnotqta6u?o.trgrfi{qrh

{rJrulrornaao6oodla{aqilurie.r{u{ftrqj dtrfluitnhsufio:oucrir r{nfi.loe.r frdxfruonrwfiu

qeroalufte,ruoioufirrrurn rfio:1eroaluo:oueritrSuriruddaqlSurnmilta{erun{ fromraon

i qs ve1fl{1ur}ron4nmquaryd'ru nr:firJfidrurfiuffiufi.:onaofioen: fra.r1frnr:qrrn{rlru6ooiafiurflu

rcucnmulu tuudacfu fiarrnnhfiom:tJm:qm{:Jrannaruaair.r rrnsfia.flfiv{avrirftaehsnn

luloryiifiarqrrrdil uavrfra.:om{rhukoraaao6aqdsra.:fr0flfit?artunr:fiu4an',*u'',u t6eloCopyright by Mahidol University

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sionr:fiotnrrvuvnndauuavqriGnaqlfiiru (qrrfrnorf H?a$?{ 2527 : zzs-zts) fir{rhufiarnr:?41oa.: rnfitfqrn{:Jrerqctfioonrxff6ndrmura.:qua{rJruldhi6rvhfior: hiarm:nrfiflrgrnrfirfio

fu {:Jruldaehsfixid 6o'irquro.:1{6ir ffa.#snr{6u fraufi uemux raruorirdtlq rfionlrurufloer

ur.ir u r'r1uem e.rdr l5o durloera

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oSfrprgisni (2534) 6nurtunen:.nail:sdrnr:fi.:fioanrnrrnolvra uncfi{aorn qvro'i6a::ri

(2635) dm*rtul^ren:lail::rirnrttuuaofiura{rJrefffn flu'fiamun1?rdeJrdl*ifierlru&lfiu6frr

nr:rfioenrrur*it* irotah.rfirierdldryvn.rafifi usiuqnsitqrnnr:6nr*rfinjru*nfinu,jl qoroafi

rfluTaorevfiorlu,#oenmiluqtn'jrqoerafiamaufr'r fislunejrnrurura:J:ydrnm tuTxnuruaamGrd (fuvur dilmrm 2532 : 47) rravturlooraorfirnrohq (Ma^slach & Jackson 1984

:133-135)

frod.'tttfioor,n nrjrudbaeir.ufluqoonfitri'nr:qunrgrffir6urJruoqjfi:iru rfianun'r

flrgrarn'u{otlo rzuftrgfiuolruroriuofirfioqrnnr:qua{:.ha qrrodauraufirftbnrnldfrLoprx

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{:Jru ovnf;u1fi'jrrgrfi{qrh{:.hulfifilrxarhrarlunxfirnruarnqcrerafiaqlnffio mcfifinurw

vnl#.:oruorfiruoddu rflu:;ooafirzufiryfiuotruo6uoluanrunr:nirdenfiu drdnr*nunrr#ror

ieruo::x rravanunr:nidorfrruor6rfrr qnhud.r6?a.rtrirloonfinr:fuf unvrfirloornf;fintos{; '6) eY u ro ^ e c, -.lu ".-. -fionoqj"luanrunr:niriulfid vhtrfru:.wriuaqurnsfitoerfit6'5rlfi:L:yavrfinmfi6 uayu6{o{2a

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fiupirnru (Lindgrren 1990 :479) tu{qua{rhaTt"r{rft nu.jrxuvnarlunr:qua{rJrufrenrru

fii.n''Tufirrmu fiuo':tlufiouwirtrfirunumioufrrmr.ror:unl fioil,r,fironrqrndnsrwn n.:

fiioru {sruo?r#unnsiNftr 1usiNil:smonr:trfrnr:qua{rJruT:ori{05.:ft1ru#,u oytdir..renrel

druna6o unvuinr:qrnr6'rrarirfiqtnrvreiou{r.:siorfiosrayaehnruo rirtfr{qun{rJruldffrLfforya

unvcnrndrurvr6oluni:qun{rJruathrfi:cninnvsiarfia.: ftriu{fitrfrnr:qua{rJruflu:vuvnarCopyright by Mahidol University

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lnu f,lilmrnJifudrtunr:qua{rhutdddu enruoi uoqrnnr:qun{r.lruanair

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ocuuufildu:urfiuuanj:stfiilrflutvduorrurufi o annirerTou:rilld fiofir*t'raiirfi ar:on:udu

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{oldldarm:n{oqnlnildeftnrirdsi rhldtriarur:nfiqrrilr:cduotilnnfiou'nireiloer-rl16

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2. ulJLnft,rfinfiapdxu1ncrata.:nrirufirac.h.r

3. tttluioenlurri,or*jlu?ta{uJduffi (Maslach Bumour Inventory) rnjalou fi:cur

f,rumlo (2532) uacm{uld:Jtfldacnrrutuurruaaunrillvlrru.ncfiunril.rfraehr eircnrilrfie.Nror

ro6o':Tosmrrirf,rnj:vfivrddar,hrairfiraurnnlunn?{uo{d6a cfruolilEiaufirynmr:runl nr:aqr

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oqjtu:vduhififi$sdueir drunr:aoemnfiuqcrnaa{tu:vdulrififi.r:seiuch druenrrudrt?odru

AwqnflaaHM:3nuq.l Copyright by Mahidol University

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2. :J:yrfiuorsrfra{nlrflTdrsrufi oro$grfi {qrn{rhutflu:cuv urnvtrinr:rirut?lfr 4

arhrrvmvfix :uffiinr:1fr{oq1n unvorrritdulfiunnvmGfl$avnr:qrn{d?u rfiofloffiii ' ; ^XFff rJrl4UO UfiUl UilolaA vnoluCopyright by Mahidol University

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ilenuan'trtlimrmnrloturyrfi{qun{:Jr#frrlq*,'n t1*d,*:r"l.orarurirdfinrrs

d u.fi o v rfi oenrru rufi a ennrir Ertuudovdruldir u

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nrr{onr:6nurnanutafunm.nndrrirg tunr:a.rfiuSrulfirindnurnnnnaficrarruf uavv A o w zr. I o

qnnninfi.tflrudrdrpasnr:qun{:Jru loer{orndn6q:ravriraurirnfin:ounqxfilo:ouoir4uGrludruilamnausomnrut6rnJreJdao:ouoir mnJ:yrfruolrrnruial rn:flqnnrta.:enoua#du

nr:qun{rha nntfreiruunirr6wntd?url46aenouohlunr:qun{rJru rqriu}ifindnurtfrfinla.rf

turia.renuroiso lr6ryo?rtJ*fiuennti''uidrfioduqrnnr:qua{rJeu nr:duvnflryra'ru6rynr:urru?

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I qrr v ulou!firunrio[:.tdliudquytr.ldlolqaqnoadu rduuui{osaua{run(Norbeck Social Suppon

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d1.1

+ fim*rusenrrfienr namsi6nr:aeroeurufiaanndruflo.rrpfi{qun{rJruT:errnaoo

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s. firn*ri6nrrulfirpoflr.rroiuoralcgrfi {qun{rJrulunr:qua{rJau^ a ?q ^a r,r 1 Z -A A a - a\,|g av "-X6. dnulc!"r tutFqryqmrdlj?u t:nFa:{au1r1^r0uuuuzuail toQlnm:?ouo5.rfl.l

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uT:rulqn:il

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ufiDl1Unfl.,|

fiiaora qvrntio::ei.ertmfir.ru6$unm.rarTan u:sariucquvnsd.:ort msotrirufiounirtmr

nenunluuoafiura{rJrararin. ivrurfinufiJirpryrivrurorasnr$nxfiilfiq dtnilulula

oraqf rinrfi sriyrurdu &nnrivrurduilfi oa, 2bg5.

fiiltiud r{uquiuor. ' Clinical epidemologry of cerebrovascular dirseas".' Tu Stroke, mir g-

33. or: Ha$vrffig q:fru romm::H ras fiHrhrd rftrp6uor, rn:nninr:. n?nrynl

'Jr4'rl.r€tr : ui:ivr rfiu5qovfuarnra{, esgO.

6umn rgr6rn:r1.:. erlldlr,iiud:un'jr$Je{eldoffi:fiu:seiuotrupfiaemjrma.n^tEnuaimful

luT:.:r'rurula?n{i5 n1{rvff{il14'l1.lo:. imenflnuftFryrunerlflidqneo,Trrisufim mol

irnyrsruadm*rfisufi erlvrurdufl mrnurnnrinurdu,zszg.

6:nr fi.r:iorffqa. olufirn{ud::nn'jrnJq{sflrqhmr: u:.tdliudquyrld.:orufir.ror:rmrm:n1u

m:q mciln$u{rh uenra.rduTafi or6.:rfi oh}nnu6n r14E. tvrurfivrufr.Frgrgr

ivttnoram:lmrrinrfiq flrr'ruunaorasd rirufi$imndu r,nnrivrurdelilfi oa, 2b32.

lHoni fisnyro.:ufr. otrudr.nffrr6'r:nn'jr.:flq{Enr$J:snr:uncnafircruflo{enrilr6urhelr{ail

ffrnrrv q'nnn'r6or1u{a*nam.rfrJroi{'do. ivr srfu 'ru6r.6qqrivr en ordsnr.nfi I

rirufio d'l?nylmumorcq# rinrfinimElrfiEl emriflmdeJe.ffiern, zsge.

t6urJ6o ud{q?rroL 'aTnio '

I:eurn:nlrgraryn{mfl{ur1na1u:yelsrfluurdu. ' l:ffi:dr.ner*r

n rrn nnr nl"mnrooy{ua,Fnrfru{ru{in. 6(tJtrnnil-rHurgu) : 1-1 0.

fisadel tqorid. olrufiruyhr#nn'jxur:.:ariuar4uvmfterru nq6m:Hnr:qm+milfiuqnunvlaa ?r vQ o J' afiiortas{:Jrufialorru6a,srft. iilenfinufriirUcUr?vru]o16tenilvn:irufiq flfl1?rtnun

6ndsr{ rjsnfiqiilurdu *nnrtvrurdgrufioa, 2b33.

nighu dnr6qn. ' 6nfir^raynrdrotrorolusurJ'lel. ' lu firoruimurnr:unvrel mir gao-ses.

flfi qulruoi, rmnnfinrr. r$vuor , Gsfir$'furufiild, zses.

ununnl uffrrn:rfl. zuanngrloryrfioiarrqfirnanr:qun{rJraT:nuaao6ooala.rlu:sun{nufiu. ivrsrfurufi.6rgry?nuroraqnl$a1fiorfio 6tlilflenulaorao{ rinrfisl

?vrurdu r,nnrivrendueJfi on, 2b33.

uraau.:ei oitrruiqni. r:qt#fiaflfunsiamrilrufiornnirutunrflhinusa{v{urua. ivrtnfiflud

rlirgrgrivrurorasnr.naritufio (arnr:orfloras#) dltlvluluaflfl:nrq? rinrfiqr

?vrurdu ruvninurdurfie'ra. 2534.

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florm qrmurn:. nr:6nprcrtrufie.nfiu6:nn'hoqfim*r nr:rarfirpflrgrnfiuota.reYr.rlotunrgua

{rhuT:ovraooFaomorflon:iunouyrfi. ?vrurfinufrJ?rgryrivrmorasnsJilrlirrfisr

drslyrmuamaqS :iilfisnylurfiu *nnfryrmdetrfrora, zogt.

fir,{uf nr.:r?uvd uac oqnai iianqa. " nrnhriffirgdroriloao6aqarJatflonriu." tu

orFomq{fr?ifl ^, nh tzg-tqo. aqaei iSuntqa, u::nnfnrr. fgryrnNf1}ror :

riouufrenr:fiwvi, zsn.

irnr o61r'rT:qri. rndnnr:i{urdodru. n?{ryilsJ14'nro? : finrflfirueidrfia, zsn.

qruoti fu?snm. anrnurofiollunrrirsuuxafiuaqurrfiroru r*r"r',ur"flben&iru1o.:

ilururmJ:sdrnr:tuuoafiura{rhuainr:rninT:snsruramdg. ivrurfurufil?rurgr

?ilurorcsnsJur:irufiq arrniqriflu'lfirosJ rirxfisriilurfiu qdrnrn:n*nnriyrarda,

2534.

rnrCIi fiiuvqa. rvrofionrriror:r#Funrmoaou mirut. rq{ryr?u.r14r.rnr : uirln{rfinrlnr:firud,

2529.

mfifi ntelnrfis. iqanru , r1fll?rorotsJdrr+aduwrfiu. n?lryrneruluoi , TNfialdqpni

aronirr, zsgt.

f,rn*nn 6uvr{ndu. " najruornr:nnfiaurar.irulu?mfinnurrrarmv?frufirlrprardrufrrflerqnqoqa .'

?nm??lilila. +1qaroru-frr.mosJ 2528) : 415-426.

fiqor{aei fi.nirir{. cnrruft.nfru6:nn'irronrruarur:ntunr:quaqun{ nmdrilldquvrrfiior uflg

qnmrnfr?ortor{rJrudrunrqfl€Gn. ?vrarfiiru6rJtrprgr?vraroraqfl.&rtfis*fiq fir?rl

nururaoraq6 rirxfiq?vrur#u ruurinurfiae$oa, zsgz.

aru6m ra4lo?rgqn. " nw\u'turn{il'luT:oraaoo6o,rrrataa.ronloqriu (cerebrovascular

Accident uio strok") .' lu nrflururnflrmrq:oraq{ 6isr a, mh 40-70. aaJiql

raqlotrgqn, u::n+rfinrr. n?{tvr}tsJ}1'tuor: : utrlvr rarfrutn:atirfrot, zsgz.

a-iad:l:v4ru:rr. afifiHn$ruilrt6qriilur$asnr:dnpr. n1tvrnso{ruer: : drfinfixdquddluaSru

?mnr:. zEzG.

fi:yut fielmtq. o':rxtudacnnr,iru?a{vlu'ltnarj:v,irnr:tu1xyletruranmfii6. ?vrenfinud

:J?rprgr?muroraq:rrur:iilfiq ffiillrulilraoraq{ rirxfioivrcndu ruurivrstfiustfioa,

2532.

qt{nor{ qril?fl. " nr:5nuroul{ st"ot " vnlumoraoHffuri .' lu ffianm-rOnfflu{,

vrthnz-zse. flNrNr?{rrrdor:duvjrwfu.lrymoililu. zuS , rfrrt{udruarfirgfifiqocra

tu rjflanm-ron{fru{,u ''ll ct

n.l5:nu]0ul?

amj:vmnrfiti-s. zszt.

Copyright by Mahidol University

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fiitu n.t:ii{u. nr:iron.rffirn{arn'Nafi6druoarufitqn{. rrryr?nilto{ruen : Lsfirnftdrarrnrri

rpninendu. zsg+.

dosiul rhpfu. umariuaqumrtdw mco?'ur6nrfirma.r{qun tunT:qunr6rnJrul:nr.ra5.:

ulordaonrtdEnnrdwfiefirn{Tduara. imenfu^rufi-FryrpirurorasnsJfiTiilfiql

dl?nnurnaoraqri rirufiqrivrurdu *nnivrandsruftoa, 2834.

Anderson, T- P. ' Principle of rehabilitation : cereblovasoular acsident." In Chlonic

health problems : Conaepts and application. st.Louis : The c.v.Mosby

Company, 1981.

Antonovsky, A. Health stress and copine. 4 rd ed. san Franoisco : Jo*sey-Bass

Rrblishers, 1982.

Brandt, P. A. and weinert, c. ' The PoR 85 A soaial support Mea,sule ." Nursino

Research. 20 (September-October 1981) : m-280.

Binder, t. M. ' Emotion koblem after Stoke .' Stroke. t6 (January- Febuary IgB4) : IT4-

7n.

Chiriboga, D. A. and Bailey, J. ' Stres and Bumout among Critical Care and Medical' Surgical Nurse: a Cornparative Study .' Critioal Care Ouarterly. (December

1986) : 84-91.

Cohen, S. and Wills, T. A. ' $tres, Sosial Support, and the Buffering Hypothesis .,

Psvchological Bulletin. 98(Febuary 1985) : 310-3b2.

Dolann, N. ' The Relationship betlveen Bumoui and Job Satisfastion in Nurses."

Joumal of Advarrced Nqrsing. 12(March 79WI :3-12.

Duxbury, M .L., et al. " Head Nurses Leadership Style with Staff Nurse Bumout and Job

Satisfastion in Neonatql Intensive Care Unit.' Nursing Research. 33(March

/April 1984) :97-101.

Ebrahim, S. and Nouri, F. ' Caring for Stroke Patients at home ." Intemal Rehabilitation

Medicine VIII. (April 1983 : 171-173).

Ekberg. J. Y., Griffith, N. & FAxall, M. J. " Spouse Bumout Syndrome." .loumal oJ

Advaned Nursino. ll(March 1986) : 101-16b.

Evans, R. L., Pomery, S., Hanmond, M. C. and Halan, E. M. " Family Resource

Questionnaire : Reliability and Validity of a Sosial Support Measure for Family

of Suoke Patients.' Pwaholqrical Report. 1985 :56:411474.Copyright by Mahidol University

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Feibel, J. H. & Spinger, C. J. " Depression and Failure to Resume Social Activities

after Stroke .' Ar$hives of Ph:rsical Medicine and Rehabilitarion. 66(June

1982) : n6-n\.Fetzgerald, G- ' Effests of Caregiving on Caregiver Spouses of Stroke Vistirns ., Axone.

10 (June 1989) :8b-88.

Hodgson, c. ' A stroke in the s'amily ." your Life and Health. (July lgg2l : ?z-23.

Hubbard, P., Muhlenkamp, A. F. and Brown, N. " The Relationship between social

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