selected factors predicted burnout in family caregivers of...
TRANSCRIPT
&Y;
wN
OF STROKE PATIE}TIE
*$f:i:.-.
11 n.s ffil
{wr$u!rg Bd}rytu
arrtnnnwrrursr{lm$
ftrrfin?vrds $irlrune$fun.f,. ffi36
i$Bl{ g7+ss?-80&9
tntt ffi-f)
sssiS , .*
SELE TED FACIIPRS PREDIC|.IED BUgNOUT IN FAI{ILY CAREGIVERS
sJn$uilu1fllt
tln
.MMr*-g'-}ri***-.-
Copyright by Mahidol University
AA6?7ru1u1\1.t0
at:0.:
u v e A. a I ag 9r T auoa unodrTrmlul rjo?lrJllua EMul ma{fu]qryq$fl ryu?u lrnuaaottno od8Jo.r
d,4*'-'--r'-
otac,t /UL
,9r' J:; b*..,
fir.rori pafiu rAr.u., Ph.D.
onrud
rirufiqiilElrdu
rj:soas 6uyr:auri6 qr.u.,
o.er. (nr:uinr:nrfl c.nua)
rJ:cfl urnreJnr:oruqr6m enfinud
-hrcx- ry.-,n::rund qo{oanx rn.:.r.(nurua),
.tv'rvr.rJ. (01 q:fl1dsnLlqFou)
Dip. in Applied Nutrition.
n::Nmifl ?uqruivr urfinuf
v'ruuacnf,q:*nnrfinrfioarA
d1ln?fi mfiAr ul1n a rd tl4fu
rn:finr{ qritnile,r ryr.u.(nurura), M.s.
rJ:soruFrrwn::ilnr:rh:rirrndn6cn
6fa6otr#ttllvlu6l1d9n t:{il iluflT]8JlDilo
Copyright by Mahidol University
AA6?vlutuytuD
A[:0ll
flq{Elrion:rinhur uonmrufro ennirum.rrgr fi {qua{rjruT:enaaao6ooala.r
ffi rprgrn ururn oreq:roarinrfi q armifi nrm urrn a ff}arg-A:rwn 2s fturon zsgz
u 66 | |aufl?r?Ifu uqu?u
ry?au
(baor
il:soa.! 6uvr:arri6 o.u.,
o.rJ. (mflJ614,lmmY't ulula)
rJ:cfl un::sJnndou?yl u1ftiud
F6-TdvrnrilnTr q?5rnrlqq ?m.u.(]1u1u1n), M.s. 1\:5nn6 vloiouuv rm.u.(nurura),
rmamr:eouinurft^ruf rn.ru.(arq:oraqSms#aq,
Dip. in Applied NuEition.
nffrilnnflouevrulfllrufI
^h' J"i;- r.**,
fnrof paliu, l,r.u.,Ph.D.
annfl9l
rinrfierivrurda
rrnivrurduarfioa
cA..0(6,oAa-
0:rni{fl6 n{f,lt?c, M.8., B.S., F.R.C.P.,
F.R.A.c.P., :rfiiilfisl, a.r.
otuljo'6faa
ofucr$rr u6l'l 619l:' l:.1?1 utulftTl8JlDuoAVA
snfinnmautMna
Copyright by Mahidol University
ta
tu ftufifin
!
srntrfu
rhuern{hnn
atpnnenvt
*r$nieumsrfsiiwnr
il::dfi{e{u
H.nnz$rnin{ru u*ri*
13 fiTn0m$ 26m
{oeraryr*nrum ilsffirter
?nnf,unmrwrtwn, il.6. 2s37-2631 :
il*rnaftrlnorr@ilr$fmrfinndftrnrSrn, fi.fi. ffile2ss/ :
M
y*nnb*[email protected] qq,tnr{Srwl 1tn$
n.o. &3t,ih1rfu : ?rur*n'*rnnmlsrvnr
m$ilytsflmsft!rirurnft : tyrtnclid tdu s
Copyright by Mahidol University
fimfirn:rnj:snro
ivrurfivs#ofiJfift Foqeixldrfu urnlsJnlnn uasorrrJd?Ern,rfiooah.rd8 :ornnnrtor:d
uarerhu ffi{umrn"rmaln^ffifl0r :o{orde}inar:fnJ:snol duvr:anifi {druenaernor:dn:*und rp{enx oror:ei{ernrryivrrrfurufi4rqniruunir dur*uu"rnofirflu:J:vTemi snaoquemorfourlfftt'ilmrnwfoffiflurrul{u tfifiot*qnfromqmri :urvhariuarplfrirftlquri
fi{urnoraaor rrav{druoreqrnffidn:?rfinr{ qrmoiloor firiruuu,crumNlum:rhe,ierrri.rii
m?aur'|:cqnr wuuJn rrasr6'Tnirflnilururailftshoffin{rJrenronorq:rmru T:,r
tlutultfinr$fiudrpviru fi161tf;or',uarornlum:rfiu:ru:u{oryn :r$i.rrgr6{'qua{,r-l-ruT:er
raaoodaqarra.rqnvhu A'tAtfornr*rmahm:1fi{oryaoirqtunr:riri,ilu#{ii
sa?tauqnr r{nnfirfivnirsnr:6rn*dtrgrgrTvnnenura4nviru unvrfioulrindnur
nunna:.6rgru,1vri-fi ro rlvirudtdlfrenrMrurufioariuar4u unvtvlrirftlolunrnh?{Er
fruqoti ffidunanm.marnn:vqnrfiorm:o'r nomuqrnio.rner fioosldrelnafiorflu
rird.:lolunndnurqnaoxr qnnJoularniiirfionrnnui{ufi mHouucffiormror nnfiamiqn
vilu
{uvrirfirg urira'iu
Copyright by Mahidol University
;^ ^ 6fro?Yrulu?tuD
{idurJirUrUr
fl e{udqarrfi?hur uoarrnlfia grariratasyrfi {qua{rJr uI:qrnaa qrfiaodrJo{
u 66 | |
aumw{fu Lr{vl?u
v,r u1u a fl ldsne.rurriufi o 1ni:rn urura {lr,tqjy
oo{vnrtJnrenuqru?m urfu ntuf
il:vnar Ouvr:alr:ifi , fl .u., n.rJ. (mruivrrmr:lrurura)
rm:on d qo'ionx, ?yr.u. (v'r ulu1 a), ?vl.sJ. (or EFomm{ltq6ou),
Dip. in Applied Nufiition.
{ufidrr6em:fintn zs fnncr*r \.q1, zEgT
tmoou0
^v "-X av , aA a u A I v t v 6m:?AUflT{il tJ?qrFJTUfl{OtnAflntsnU0uer-JllJtl4U0UfiUlUO1U0?l8JAAilmil'l\:OT3.l6lt
6r o- G6 r ^v tn T anmaoto?lrJrljuqoon u6v€t?13Jd1r?ad?uqflflafl0{rur9lidquar$J?ul:fluaoonooffiJa{ ttay
A Q v, vfinl*lo',l18Jdl8fiTffUoilolel rl'{fi . dmunllld8JTd TVUUL?AI lun1?qttatdilXu UAVU:.rdUUdUUm{
ftoai tunrnirwuo?leJrudoennirafi.: g drua j r,n u A a v j
^o ,t traaqdsJo.ivnNlrdrjrueJlflJn1Tqr?a$IasroqlTJzuanl5nts1 Yroaunrdlj?uuonolq?nTilJ h$rulUla
flmfi:Jd qiruru B0 r1u r6onneirtd'roe.htru.ruanrvrelva{ il:vfuotrunniiaenarirsToulfiuuu
daumil fiafiiloEluJdtta{uacmfldu (Maslach & Jackson 1986) il?vfiutt?rdriudqu?Tr{
ft orToulfirruudaumsJ ul4dnrvTunid':uqonaqouft z airrTou uu:usiuailrrfiivr (Brandt &
Weiner[ 1981)
r.rnnra,i'uilil'jr rgrfi{qrn{rJrcrTroranao6aoarua.rfi:vduonrrurudour,nira frruolruI v I 6, rQ s t raA . i v o. 5 |
Ooilnyn{a'meJot uflvn1:aoo?lr.lujuqooaaH [u?vou u$Jn.::vou9r] olu€r1'13J6{1r?ad?u1_loflaaH
4 v a " - q r,'\ -v-Lu:vor=uqr fiorirfrruil:arq rflet dnrunrrdaJ?d rvuvr?altunmquaffhu unvLt:.rdliud1tuttt{
ftolu{rtualnrCIonoulrqqrrurul&,rsrou rfiarirmucrrrrrufiouudrufis s frru nu'jru:ratiu
d1.lurNfi{oilrnyr?r€t dril'nni?Nflil?i1u1uo?1il1#ouilr.itudruqlrueiau6tvrrtortxn[1fr oejNfi
riadrdrgvrxafifi b<.or) Touarmrna6lrunlrurJ:rJ:rulfiiouau 1b.B tvlfiuavolrl dterncri?N
fiur{ruruotrunaflauvniradrunrmorcnrxrfluqoroald oeir$rimirdrgvn.rdfifi (p<.01) ToEr
drrrmnafiutuetxmiflJ:rutd3ouas ts.z oltldrsJrrndrulunlrrutufiauurirudruqrrsJfir6a
druqonalfiodrffiueirdryyn{dfifi (p<.ob) Toruami:nofiursonrruurJ:rJmuld5oernv 5.83
Copyright by Mahidol University
I
1
rwsEnnxtqrnnirgtm,
r:{dth5r0mdlm' #ru*ialtenfiii*ulrnnrn:r@ lwmqew$rfru
Itmasnf,amos nnrir@irErfinrfnuilruilrffi raffitfutsrftdotl
:;.i
Copyright by Mahidol University
I
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
Copyright by Mahidol University
{
The tndirlgg {ffin to qrppst the rdciandripe among socid nrpct urd
burnelt rn tlr* mcbl rryct w a pfl#d rmllr whidt hcp peaon ro rdmstrerE frm uing EEohlcmB. tts bnEfrrni*r of &l sdry, itrsiddm fu p*rcaard nrgg#iat for fwtk adf m rffin€r#.
,1
Copyright by Mahidol University
f,nfiry
lnh
tFi
fi*0
1S
t{
| 9.l-y1n32e?d?1u
fifirmrnhsnrcr
rmfimnmrrlru
ufimisrnndsnrlr
6mrIU
ffifiqrmn-t
m:fiUlJ
:.mit r rmritranrnauvrqnfl
ornnerrrn@mnmffiitf;hrmafiu
Snqrhve'rimriiu
eufiSntrntt{u ,
sou$nnrfi{t}
rhvtnrifiorcrhslffir
fimil#?Nh
vrfr z trtsnrf,{ftf-Eruf;al
t3
Ig
II
10
12
t3
14
17
19
fiffi$+ntm{rrmrndawniru,irwulil'lrj)rt lrr f a u -
U*$nua$fuUmmn*omoutunrnficrn*mdonin{ru{il?ft rt{6rtrnrdmft rm*rniunrnluiiannlrnaqngr{rh*i*t
!, - |ffiuffiomrenfuffi
Copyright by Mahidol University
mnjru (eia)
i - oa. ^ a.unfr 3 T6afirflunr:idu
drruil:nJ:cm nrun vm:Gannrjnoho eir.r
i a "hrnro:a{eJoyrLttunTr?auAACiV?fin]:trru7ru:2ilfla{a
n1:?tfifln4?Joila
*ti q r{anme{uunvm:ofirlfluzua
zuanl:e{uvVdnurrrno.:{:Jru
firn*ilsro.:nrjx dra eir r
:cdusylrsJrufiaumiru
ff r{aliudqul4r.rdr orr.r
vv6rvrvo'orildt tfiu6:sin'ir.:fr1u:J6fiunmrfi ornrJnrfioennir u
,{amfl4odoudsJsJfiSxu
m:ofi:JfluriaV o a Q avlAQlnOtUnl:?QU
*d s aflzuanr:tdsundanuoun*
alJzuanr:idervflatduottl.tc
V rAvAolun.|:!0ugn1:lrmua,AonumrfltrflllEnuaz Q .au 3,r1 ,
fl a Kila uuY tumTvn?Q u6F.3 qa nJ
ur:ururffiJ
mot{u?n
25
z5
30
30
31
33
36
37
37
39
47
47
49
50
50
58
Copyright by Mahidol University
;9nflfi
1
2
3
4
5
6
dhBffrrtm&fi,ffiddsEiNc9,rll
{nrnr iatns ffirrfuf;'stir,r{ruurnnrfisducrnrmafiounr$u
{nu
n*@*nmu riilT,n.rnirrfiiorr$$arh
llu'l
32
34
38
38
,m
rfioar$ffi '{r${nsuflyrfi fne t-tgsr 60
Copyright by Mahidol University
ttttln
I$$t
Copyright by Mahidol University
uvrfi rod
unu'l lr6tv rnoilTqts0
EnrH rfl t,rlJr Basorr sJdr drufl a.rfl rulll
tuflopir.rizrannr:unyryrorTuTafivn.rfirunr:unilelmcnr:n unnat|etv u Xto:.Un,l:atqm,t1tu
ffis$rad?url4fio{rltrosirwrn *d.:zua1finrrirng'urncm:qua{rJruinJ:cfrm6nry{r.nrdru
T:oXuuxrflurnnf,ulfi:aosna unvdeartfr'{:J'lerfiffisr6uurda rntfi,truru{rhu,{oftfruurTriru
,fi*,{ttdtol tfiavornnrrennfurownrxr6urtrar{*.:rflueraursr.nJrufrurruru rfio{uaaiNar?t
rrauamriolfrrfioenrruumruda.:1uvnirfisir.:parfismer dwl'j'rod.#sna.:{rhudaiihidlrfirn
rJfirififio{oral::rirfu1fi ra5ofi{a*irfio1unralfffifio{or:rj:y,irfu (Tilden & weinerr 1eB7 :
fl3) ffioqooail:s6rufiuenrxr6u:J'ledafteioxriolfrrfionr:nJdsflruJa.:lu4n1efru$asffiqr unvdr
zuamffileioqooafi a qi:oufirrTo stanr yo ehr dtcr:o:Joirq ylfifr Jzuan:nnumnfi qo
T:oruaoo6aof,lloit (Corebrovascular acsident or CVA) raSa aTq{n (strotre) rflu
nr: r6url'luftruni.ofiq" tudrudu{rhuT:ensiluJ:carnftfrI{tuT:{ilu1ma ornr#rfiod,urflu
tfatJmmilaao6oomotasJotuqn Fnr u6o qodu (auiq ?qraergqa 2832:4a) qrnnr:6n1e'l
tomo{#u (Dowson 1987 sited in Pierce & Salter 1988 : 189) vru'jrrad.fluarxzor{'rJauTto
uaao6ooaruo.rrfiafiismutu t rdouraftrJ':u aortuare.rftrudaldiuntl4ngim:ruruornenrru
finr:nrr: uSodre,ar ftnrtdr:ptudr$hvryroiludr tu,trurudrJruii:aoffiq {ouac fl daer
lradaourothildtns {ouavzo iladruru6oqulo.rlfifn.: usifro.rnr:flnld'lelna6atunmmr6auln liognm fiorta.rfiorln6rfiu:fi:.rnttfinrurr (fti,h4d r{ury.r6uor tu qr: ararJ:vraig 6fiutotrvromeJ rncfiHsiud rfiurylip.ron u::rurfinr: 2b30 : 9) otnfinrma,#rnrufiyrdu:ves
rffnfiu uanqrndsJiltqu#rEi{fiFnrnrfior:Jnfii?rJ ftunr:rerfioub,tdr.rnrer mrqo :yurfi:riruI
fior:Jnfi rfior6u:heraqjuflu:vuvnaruru ftirnrrvun:nfiaudu'peiu fini:dorfiocrodaoirq nfrrxX A ; r,r
rfiarfiurfiu rnvqnl:.Jisurs r#urfiooqofru uzunnofr:unv ilaourru (qrrTnor{ U?ilr?fl 282l, :
nl-zzs) qrnots.mnr:drnein rirtfr{rhuffia,$rriolunrnJfirifrfrq{qfiJ:erir5u biarrumo
n::rhdrenurotld am:nnril?nNmuaoamuhiaru:rnj:snouorfuild orre.ruiuilaeficnruru
vnlfnnruoTanrarirnarirtunr:nu nulfribrenouoiraoa.r uavfra.:lfidrumndurfrurflu€irfrrurI a oQr,
rurryorrouylr.r yr1Ll4$lltsvrNroa*ofiqmr onouofrmneirorlft.nn ororirlfr{:Jruuunfiroon
qrnfiioil uSafiosvrurure.r:Jfu drtunr:frfrioroqjfiu{du tnHoni fi q:vo.r$fr z$2:3)
Copyright by Mahidol University
2
ovufiu'ir{rlruT:ouaaor6ooa}ro{fififrorirfiolunrrqunqup.: da-rnr:oruquadrufiu4
antrnaydrsuuFatunr:rnvrhfion:moirq orrn]:caunrxrinrnhsrusa$1{u nudrqoo#
1frnr:qua{rJruT:oraaoo6maur.niu rflu:iooaluonouorirniuad rmur rion raarurfluflruT qV I a tu. e i a v I e u raeaulouocbinr:qumiruna6a{rJru1ur5osfto{qmJ:siriil mifffitr?ffirnfiuununr:irnn nr:
rJa$ftrnrrsunrrfrauuavqrifi n,tq nmtfinr:qun:J:vft.nJ:voas6r'10 uo*rrdqernaluomue6r
fia.nJfiruynrm uftfi $aso'nsrfi,lfiotoudurflunrarnnmJqrnnr:tfrnr:qua{drudru rdr,ridru
r.i:cnauorfinusonjduarfin rfiarnnal61frrfiu{flafi:rri{{sheflum:5rn*ruunna ",*rn rrdoow Q w Gi ct 14 | llt I a I v r d raoautr,qo:ouo:? rmurnuuf,ioilfiarqesaoriouar hiarxr:nr{rirxfiqnrrsJeiNloftniufirolnJfi:imkl
mrftle,naluenaun?rdaurufirpfiunr:nJ6enunJa.rlufriqadrt$Jrn durfluzuan:uamomrrlr6u, X u v I eh A v A v |va a
Lnur:ar{!ro?'lrlJr.H{rTmn:csl uqona tfi rnomllrJro:uo
nr:fr{onafrasaqjmulfiuNnqdurormrmniuofrmnuauu'r?ulu rirlfranr^riqlq
ar:runi enrruffinoirrlurJ:uJderuhJ ernnndm*rfi.ranriliqla ar:runl otruffinna.rdan:atas,t. t 3 - | r - , tt et I d ItA A Ae{rhu1:nriaisnu'ir {a*r:afiamr:aonorrnhu 6osnr:nalir.r fior:rruffindu1 firfluarm:
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 $avnr:eitrfiufiiqmassnr
roflfirmnnvaar uasdaslfinr:quaft.hurffursuvr?aldmrurufiodafiu fio'lrrfluqooafifiensia
nr:rfiornrrv*fit**i'rulA (Maslach 1986 : 6) uacomzuanr:6n:*rmrnotr.6nuaw,lan{aoa{ntrr oQet I Q w A v. o , j , o X t^o A asnr yn luyrrluxl:{nfla [u9|,:'0ufi??vlqr[6rrJu?uilnqrJa'ln1:r]1]r0gMu1urn0flu lor [3J0qoonilo?1r.1
r#r*tiroqcd{zuabirfionr:nJdenunJa.ni.nnr.rfiruixnru 6q1q ar:*rni uanruqfirmnrdu r-l'ro
6ngs illonftilrda rflurnioilou ftrrhmuorm:lrilfi fienrffiniornfis':a dxrelh o?1rrffien?o
lunr:rfirlrgnar uncnr:dofiuleaoat ar:a.rairfiuiru qnoornlrfiuanrfiuloo#u enrafi{du radn
rdusnr:tfim:qua{tJru rhnufiorvrarcrjau fim:futdsmurursrl:vunvnnSoar:nn6o ufia
druaiauoarennlfi.rro6uo (Muldary 1983 : 4-b) unc?irdtarnlvldnunrr^rlunrtqun{rJruaoa.r
rh1finr:fruvJanrmo.r{rhuffrar dctiu,iiorlooalue'touer?rfiornrrv*iio,*i'to fifioqrnnnc
^ x u Q" "r '" "o.rldfirnr:rirutu6arrnnnrvn.nla{fiurfnuor5oS{o1nnm tunrqunrymu altul,lsl
Copyright by Mahidol University
3
Itt{dliudquyn.ld.:or (Socia Supporr) rfluurnri.:rjxTsnnitunr:siofiru€nrxre6ero
fiudsnriruhfuoroafrqtnrn6fr.#"irnrurnv6olq qrnnr:6mtrqa.: anoqd T:ruaflq uauqordu
(Scott, Roberto and Hutton 198$ : 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$fl?rrufra.:
nr:fiuwaricJ:vTcrrniiifiaqpa{qnqntiu m:dofiunrrvreriuonaqooafiotairun?uu?unro?1eJ
fdnfinfio (Lazarus & Follcnan 1984 : 150) o?lsrtoiuovnrfrru6qflqrfluzuaqrnnr:ffifir.rfrud
xnn'jtqonauacAsuaodou qnnnavfimnJfudrTorunmrzufiruo?rsJrniuor duflumrinurom.r
firJrfiuft sna'i''q.ru uurfiornefiaxtfic{r rfiuqiahJ
nrta{fi[Uov]rusrSuo6o "rl*olulsJuavrmxfin6orfiqv{qnrrfiu€ffr*oiuad{qsdo.:qe ' r T rio , a d Xo a | |
:lfiurnri.ilJ:yleJmifffiun'jro'::ruor n'l?Lru{ruer?tJroruounotllun:vurunmfiuJduuurJamqi
/
Copyright by Mahidol University
4
oaaonal uaJhifinr:dof,u'jr 66nr:rnrfirgonrille6tronfilqinJ:vRvr6nrnmnn'irfiu duo{rtr',
uirm(context) riul qe,nafinr?cgoaruo6uo't666a q""#f,inraon1ffifrnr#namcailfiudnrutZ anrtuuu1 m:ut{tg€l?tanerielofi e drruarcda nr:rjsuffflryrn (Probtem-feused Coping) u6rv
nr:{onnfiuor:mi (Emotional-fosused Coping) ifinr:iiqooanvrHftrgrfuerarruloiero fi s i66o t. nr:umsar{orya e. nr:rnnhTosetrir g. nl*q"8onl:n::rh 4.m:u6t?.:14'lotxd,luru6o
r6au:wfiuaquvnrdsoxornqnonlurofiarhmaufixuny s. nr:tfinalnvn{fisl
rnaei.nJ:cTufiflunrarufifgenrruterSuo ldurinrrvaprnrnmnildffiura.:qflon rrir.JlJ
olrurfiavrtdiurndulu6rso?lu,rioriulu*ra{ rTrrugtunr:ruirlrgraruavfinutrnrdrudroH u:..l
ariuaquvnldscrl urnei.nJ:slsfiiyn.:orsrudorqrfludru urad{rJ:cTclafnarirdosd?u1fi{flonflrrr1ro
rzu?rgfiu cnretoi uoldo ahdnlrvRyrfinrn
rfiuqno usihoroactftJ:cTufiitdrfisrii rframrnfrqrJdr:odlq1f,{qrJa::orn.rftuqnoa niueir
fiuH olrutdomrs{onm::H unvqr.la::onrdrufurnofiaru rduurnei.::J:yTtnnifi'irfiorflufnr
(Lazarus & Folknan 1984 : 164-170)
wdzuaann?amrnJiudr rnkrflu g ffiudanrflin,nirfiluftox rSrgrnrirfido uracnr?c
q?rnril zuadndtoomflJiudnaeiN$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)
Copyright by Mahidol University
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
Copyright by Mahidol University
6
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$tcilsnlslto5uoq{ qnoanqrManj:udunuff?vgaotumflJausl
nu rfranufildrfluhjsnrufiqnrmouid{ Mddary 1983: 102-1 19)
d u v 6v i , Aa, v- a---,..--A--.-,-z. alEl arqfrernrudm{uffiumsJrufiarxnhu qooaifiarepiau fiot*tnafioannhufl.r
' Aa "-ZA - v,fflqnfinfliloq*nn ninrruo{a1f}0rrpvevrnou1firfrufi.r rj:ceunr:aflnr:rhnu qnoafifiaqenn
Copyright by Mahidol University
7
firJ:vaunr:rrb.nn irldnrrv qXx fd'ffi?or arm:mJfrrfiraoqofra.$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
8i
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
alrn{noaluroiofiudroH dt:rxfiilo:auerirludruqirsl tfrrri r)nrrtdffiifiartrauravriruunirtu
nr:ufiflrgrnr 2)mfldftru:{arfuaquvn.:or:runi d.ntrlfiqeroaffinlroruftfiqareirunvrfludinsat
qooafitnfifto fioufimf,finl{rNlolfienuv1n{ ua; s)nnldfuorUreluaoluida.:{orquavnr:
utnr: fio g oei',sd'.vdrnrffiooafirirdflqiiqvoio{fiuflrgrnr uavenrlarnarurnfirfio{u dr
trad W"i"" 1974 cited in Brarrdt a W"irr"* 1981 : ijl7-280;' nrirrjr nr:ftrlfifiHr{u$ '
vndscrenirtfucroal6furmarilar,p,vnrd.rcxludruoirsl dofinr:firf;ertruf;finvitlud.rfiuuac
riu orrxlnfifioaynfiu rirtrfuorernlfioolarahlo.r frrf'jrorurffudu#wrorfiserl nr:fiTanrolfi
aurx,fruqraiadtunn6oqooradu qraaoqunr:ldfrreirrilrwnnrlfirneorlrufdnfiqrueirluqn&ar
ornfrarynftnrirrthsdu {idufierere.raulo{ioc6ffierd?uil?firuarq r}rrf dnluR'r}IdsJrd
:cslynarlunnqu6r u6rcur.rdriudquvtrrd.:nru tumnhutetenrunafioenar.huta.:rgrfi{qua{:Jru
T:nuaoordo od,.ra{ dolucnrrudal{uft vrn'irtdrurJ#finur uao.rdll4dfi t
:lq{e.6oamal
6n1ilt?uoEt141J'tU
01rJ
tl l9f
dmum1^rdsJTd
ltrrltd: O'l1.lO?'ll.l0OUAl7|.l{A,.|?lJil
V(q: O1ilfll?fl oO?lsJtUUqOOA
,c6r: Olll0?1Nd'l tTqd?Uqfl OA
:vuvnarlunrrqun
tL:{dfiuffiluYn':fi.:ou
nlfi t' uaotorrsJfisJrfiufia.rdru:J:fi 6nr*rE
Copyright by Mahidol University
9
ur6iqql hvnseinr:i6'rr
m:i{Eroft dfi iqqrJ:va*irfi o
r. 6rnn:vduollnaifioennhetfiruotruaioufirynror:m[ nraory]rrJrnuffiuqnora
unccnrildr tSod':uqo oa m.:rgr fi {q un {rh aT: ornno o 6a oaruar
' 2. fimnorr:larruTtnflo.toltl nr6t dmum?r6trJl6r :cuvnarlunr:qun{rJ,lar
unvuxeniuaquvntd.:ol.t tunrahuruonuruiioEnnrirudrunlueiaudrynmr:runl m:aqoflil.q. .6 l a9 9r f aruuqnoa Ravo?t ld1 r:ad?uqona?la{rnqtrdq$nrtrrJru l:ouaootdoeailos
4ruru6$runr:?{rr
alq tv{rl dn1unr{dilrd :vavnarlunr:qua{:Jra mym{dfiuff{uyn.drcw 6{trflrn
thurelrrtrilnafioennirepn{druourueioudrnrmr:ruoi nr:aoolrurfluqooarnvfl?rr.rdrrSqdtl
qnoa to{rp6{qua{:JruT:oilaao6aoana.:16
qar rrqronr:t{a
nr:6rn*ro5.rfi rflunr:fimnflo{arioa:#riru',oom,#aannirurnugrfi {qua{rJruT-- ----.4---..- 4 ar' 7'r f a A e,. [:ett4aoofiaodilat rirnr:frrwrrpff{quaffJ':ul:oraaao6aoarolfrrnr{rJrururfunr:qnrerfto
6osnilf^lnnr:5nurfio6fin{rheluonarqrn::}r T:rnururaarrfiud ,iruru B0 rru rhnnrfiu{ovo
rya fr u u-uaaunrild.: udrfioufiuEnrfl fi { rdauillrr oH zsgo
, t tA r llrro ^v1J:U tUllUyr0',lOllaU l0flJalflfll:?QUr
r. rfiatrfirlerarnrvrun'l?t'rururasn$flinfir rlarnvvru?o.rornu6tnJrur{oi.roiarg1fi{- - ei qug{ q | 4- q- j qe r a vv vtqunftJru mclfitilururvn$unral:vrfiuflegmr ?'r.:uhrl.t rfio}inrniruna6afr.l{rJreruavrnau
v 4v a q \lv I a I a afE? tfi rr.r{run Jrunm toa n{rJurvdnDm?r
z. r$iatfu oalrnm{nm'il ernnaldraruun ndadu uasufiltrfl e+ufio enndrsm.r
^9't l,trFqryqua,*u?u
s. rfiorfi&urmssianr:6fl:Jrnnuralunr:donnrim,nr:aau louenaunqilfi{nmq
uaorauoilrar rj:Jr ufil u Copyright by Mahidol University
10
+. rfi arflruru"mrtumd{uiia sdm$fi.ril06'elravdrrotdq fi fi enrxfirnfiuffiuomr.r
rvriio en njr erraugr fi {q rn {rJ': u
{iensJdrurh i
arel ume6.r orqr6rflqarrnfi{quua{:JruT:onaaoor6ooffiJa{ _/,
dnrunr'{ffiJrcf rar.ne6.r dmuRlrrdrJiararrgr6{qun{rJruT:erraaaor6aoaxor
urisaonrfluanrwrrvraru:ad unJtrifid dcnlrufi.rTao, rafiru raahrdauan ,/
:crrcr?artunr:qua{:hu ururufir,iruril?arr6u6oufirnfi{quoffJruT:ouaoo6oo
amtlfrnr:qun{:JraTroraaoo6oolHxo r ./
uxatiuen4uzn.rdroar railnufu nr:'lfifrrEnrildruru6oqrnrosorhma.rdsol o dru
sneJuuefiota.ihad (Weiss 1974 bited in Tllden tgBS) 6o 1)ofl$#nlerirdnyVil 2)onradret
nn6otuor*rush{1 tdu nr:tfifiaqa rh'mr: nrmriuaquzrr.:firuor:runi mrdrtlula6avnw,*ru{vrqfir
, flo{ 3)nl:unnnJdelurJ:vLrrnid.rfiultacfiu +)nrrfi-rfi'lronuo.rrfudru#rrotffsoru rnu slnr:5uf
irmr:fiqnrdrlu$uff :J:urfiuloupruu{ouxafiurquvnd.rerH drurnarinJ:vTerddrurqnoaeroir
uu:usiuavlnirfi{vr @ranat & Wefnert t987) sioru:JnsunnJfrnJTdoa 6:nr racianrqa Qsgz) ,
, " ,, t eau b, b
/
enrutufiouvniret ururufit ne!ruarnr:firJ:noufiruotrufdrrfroufr doudryrNar:rnl
aoom.rrflur;eroa ffin1ioturdlsJlh"ndufionrnorruo'iaor{aft tunr:qun{:JruT:oyaoo6osr
ffiiar nkoonLfu g dru 6a
t. orrrufrfineioudrnllar6xnl Fmotionai Exhaustion : EE) rnmudr oauffin
fiorffieiaufir 6wft rnr.rorirftlqluiln:qun{:hu
e. enrruffinaorpmruffiur{qna (Depersonalization : DP) umufil otrufrfiner*ruau
uncfi rqqofilurd{r uda {rJru tfintqua {:Jrenafi aurfl u{orqfirlnoornffi nAqla
s. orrxdrt5a*ruqooa i(Personai Aocomplishment : PA) rarurufi.: otrufdnnrerqfi
telumreJarrJnmra{eiln.r uavffirn}:vauenudi rSqtunr:qun {:Jru
)
Copyright by Mahidol University
11
udme$S$lrififlr*fo*r tsfrr.f,wal.,usssfr$ ffitkrfrslounmm t Madrctr Bumqrt Inuxrtory :
rm ud;cscn furruri ffiq)trerferrer
Copyright by Mahidol University
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
- gmsMmB?la{o?lsJrl4iiapnnhu
- nrjruarnrmor'r''u,#rgwhua, 9, I a- rpm{qua{rJruhoruaaofiooam.:fiunr:rfioronurufiounhu
---..---.d4- aer X -- fiui{ufifin:*rufi enrfu o?lsJretiucr orrrurnfiaEnnirum.rryrfi {rJrurioir- fle{#fintl.rfinrduffim?fion?1rJ,#r" iro
onrilulrEllarolsJrda p mxir u
tuJ6l[t6l{ otordvn.:6sliprfirnnrivrurduluo{nei uerfiylaSrfi u rflur{ooarnnfinrirrdsA'.Qa,,r",d^
"orutufiaanniru"(Bumout) lufl o.o.tgzg rncrHguilisJTufrofra{rnnn}tnrfioenurdou
uilralurnar: Human Behavior tufl o.o.tgzo uavl6rhnrdrn*ridelfiuru"u6osiiluqoo#.1
fiorfurcfrunr:r.6nr:uaraorfivr nld-lfic,lrnnlrs
"*lurrdr*,ni'lo" ,jrrflunrjmrnr:fifiote.r
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$u cornolative lndex to Nursing
and Allied Literature uavtfrcrtmnsflu'j'l €n'rsJnafioenniru rfluzuan:cmlfirfioqrnotsJroiuo
'i,zQ,aaen{mnalnd{tnoaaritunlt'lj?vflouollmr rirtrfrfioolrileiourndemd}mluuftso'nilnl q?]sJ
dufrarlq uac0?'ril6sr rfi arlunrrhmu
erlsJnau1qnrsJta{t?ljdtqla{ 1W"U"r", 1966 : 300) oTrurufioennr,irulfluofl:ldou#rv (a ja r . vl 5l c - a r v v c A "Vy .duriluzuqfrrfioalnmrrjilryrrirfi.ilq-tunrflh.nuq{rfiurrjrnfir uavorlsJr{sJu{squqcrnwirtd ?h
9sa vA v q "tl4tnofl ?]8{?dnatJ tun? [um:ill{luCopyright by Mahidol University
13
Y d u .- dlv Ab^rurrac Laraufiu (Pinss & Aronson 1981)
-Lfiorrrnnmusa{o?lrJrlnuoennrjru
t,aq . Ygo w s t ? Aa . ; e a 6fltuuzuaamn.lttoruFr?1ilno9Hvl1,io.l:3Jnr0u1wmm amnr:ilqawn{1unu?ga{rnJ1{ofrntlju
Aa rAu a . ztv ztAo i , a I almlu'rl.r rasflnn,l:'flrljuiJ t?ru:m:il1nm1ryflJ rymrnoo?1rJr141.r0gnru'ruacsJo?lilaourTtngnm{
it.:nrEl 6orlq ar:t$fi rfioonruffinfiritaqilrarhild ilNoilftmomrl.raulo unsxloo?lrJrncfia
6 a#u1unr:rhinuuacm:dr rfiufiisl
,u ,"
mffi rrwdnrfit (egfl : 2r-251ldrntmni.:fiardos 'Bumout : Ttre High cosr of
High Acheivemento dsrfieruTors r,hautorutuoSno{ uac3rradu tufl n.fl.1980 loe1ffio6ao
nl*rlflEJ'ir'isnarcmouo.rorildlr5odmt6u' 'ldlfronrrnnr.nmo{€r?lsJtllfiouvniremia6sr
flaru'irrflunrnhlfivrinu'urivn$mumfl1flasa{oul4rJodua.: nr:rhtfiqurardu6uru:rdrEJX V r rr a I , i qr, ; ; a | ^ , v
nrtfiunrls'jo{rourfiuhl rfiaav1fiu::qf,.rfrsnm.ruTaeirfiumarf;,rerrufirenrxororai.lrarli"td
vriaoufiinanrudaoufisnaqilunrrvra{oflilrufiauwilu ra5ofiornirdufioornnr:qfiqrdrlfruri
d$fittri ro ulfr zuanria mou uynrsnffi nn or ornftl5
fiaori (Muldaryt ggg : 1 -3) lfrertururusa{o?rrJmiio ennir u'ir rfl urJ:rngnr:nifi
trflt ^u.'rnnr:rhnunnrfiulrt
rhlfi1erna
fioonrue6uo6d{fid{zuamnmJsiaqrurrrnlunr:1fiuinr: rh1frJ:cfuGnryrtunrah{ruaqa.r
Touafl ntuunfiaennr.hurfluruarnqrnernxroiuolunrnir.nusiruu?nr: unnlnoaovo i t A tv v a e a Vr .tfiooarrutufioenniru rfiarlSudrrru?rpfiuenrxreriuorhirumvariilsorroilrvfin6ntr fr2a1fr
q, i- q r a.l 6l I o ,A v zA 6fiailinuvr6tc6ltJ luflixmuaoa{ mleJnl9qrJ ta lusilro{ella{ noo?1ilgdnflouyt [o alo€t?lrJttfl]on
€6f , v4 | ltv a A ; 4 ve a vAtmrto fllo9mtnrljnooordflflinm ilnnttdoitaofmaofnTJruuqoonfloitryflflinm ?drnlcnr, 5f q rY?- I v ^
9a- a Iqel[vttl4inuenn|lg [9n'uilaqou$m&{0u firJow]'lt tnqn?lil?Glftynitauqoqnltoit s|a.nu u:aglo
dnnhr
,irQrxinornr:romrnrurufioannr,iru uf,o{aonlu s 6ru 6o
gaQ.vtu6va'lr. druiqlo il:noudrsn{ruornr:druaffirni ot*rffinunvfiouorfi oufifioolx
A, a 6 a rr A .rretA^a u d wb9 A at?uaEflnl1uauilaTilJcr{qulqEn [nJ;u:xu {8J!fm ?dnzuo ?enn{?a erfintJolJ?ro{ttct lrruno uu
6e a a a a a o v v ttA av - a | | boalnfnutuuo:{ ?noflNtD No?'lslfiot}n$ollu{rrury0u tmflunqm{ffjsngn4ffi qnfluuastd:'u
A.aAAc,'quuAlnnn mmr ra!ilfrnilnonnrflsErruryou9aAlz siruimnru 6a daunn6u uawafrtenn rirouduu#mlqndruurn dsmnr:tflna?osCopyright by Mahidol University
L4
fiilq:uns€nralotrTafiorffi fi0mru6.:dnramfirrrda::irlrroa raft tr,rri rfioorur: rniofr.r
il:tmruorm:lftnn rnlfifirirrnrirraouiorfia.nnnrfiubj rjro6::w frosfier fiouHalurnvnrrc
arvn:mcai{fi ufl ura{orio s fi a r#r rfi u
s. drul^rqfirn:a.r lfiuri nr:dof,uldtdd dru..irer wn$r6orc$n aoon$raulq1u6o.:ar| - . avA tawa I vv a 6 a A v a
er1{1fl0uqn}il{ou u0uqqaryruFm?r1j1.rHilaw4ilil?qq zuar.tas|$acqon,l}w0$nuaoa{ ?.lo
sru 6lmanasadrractfiul,fL#.,6::qraSrtirudu Muldary 1983 :4-6 ;Randolph & price 19Bb
:4349)
6nt14qlsa.:oflu*ilot*.iitn6o nnifi{ooahiarm:nrJfirdrralfiepfiuenuroiuofirfiodu
tflu:cavtraruru (Yee 1981 : 14)
A, ,r T a v ar|Jn fi {Eua{rh u l:qrrnaoorda oaruogfiinr:rfi oonrrurufia ennir r r
rgr6{qrnffJrarT?ouaosr6oodsro{ rfluqe'onfifrauzuficgflr:orrunJderunJa.:oirs1
durfluhra*nernRmco?1ru6:.nJrams{rherT:ouaao6aodrJo.r ncirrdoT:nrnaoodaoarua.uflu
I:oi{'oir fienrrufinmraa.:nafioaqj uacfio.:1finar1unr#u4an'''* door.nfidrn,.nqod.:fin fjouA o , ^i v Vs r t rVr, ll rv
u:sefitfin (Anderson 1981 : 136) oflsJfioilnfirfiutfum:ryolduri rXcrhild r,Xel*ifro o':ralfrlo
rln66enfimr:frd:vvnuorm:rdu ndueirun nr:5r:ernffirfiuhJ olxfio:Jfrfifien
fiunr:fileiru drubrrfhiara.nmn*uflaarrJtfr uNnuqvftflaarrcftfirthidrm:oriruoonld
ram raSa'hiar*nmrhuflamrJtdry riruqoomvdrurn fro.ratrn urn l#luoutii{'*orioruRl?u, A d r d a ^ v 6 | u X i a f rr q i
[tvrrn{auoulonrflu ilmru9t9t9tfl0{?auavnu9n{1 na]illuotfiu?ffiJ rnuqntlJTsJl{ tufluyruau; N a wf^.rl 'iurulrfioqffiuavfionerilsfulafiqqirffiusuJfiuuvir rfiur6oorirqodil $r.rangnhl$as ilaonnru
({rfinm5 UrnAr?{ 2E2r :228-2291 qrno?1r.nfim:ftnrirr rirtrfirfioflrgilrhnral:snaufiq{sn
rhvilr{r.r uanirtfrotmrm:nlunmnauilfindusm slnqn.rdrel
{ilruT:oraaoo6aoano$ uanqrnevfio?rrufiorJnfi,rrPruirmrerufir fr.nruhrrrufiorlnfi
rrNdru6eloirtlfirunruo ornnr:firngmro.nin?6'ennaruvhuvru'ir {rJ':uioaaveo-zs fiornr:firu
tOir (f"iUA a Springer 7982:'276 ; Robinson & Price 7982:635 ; Robin, et al. 1985 :
49b) fioroleJisnfirra unffiu'jrfior:a.rnifiorJnfi nJ6uumJa.r.ha vrusioon&toiuoilftiou\f r a Q.ut t^va q -,
t
hiarrnrnqrruq*nnqfinmsJ?a{qupruAuqmaJulfluruu?o{fi.totJ rJ:vunfi ieso::rufitorur-1fi:ifi
oqjld tuurwuarqfiarnrrfl.:tqir rdufifleh#?enu rhiru{6u u?lcnvtr?.t raSoua.lfier
(Binder t9B4 : 174) qrn€nnufioilnfivrNfrruinla qvfizuanftnusionrflJftJflruffrriuftnruCopyright by Mahidol University
15
.UAq Xnr:rJiu6qlq nr:f,u{rJr:io (Robinson, et al. 1985 : 495)
r,rnarnTlofiaool60o6{sJo{r virlfi{rJtufienrrufinr:vrufisnru frnr:nJderuuJawrt
6o1o or:amfuunurrrqfirmru {rhu6tfifia'trfio1unr:quaqula{ biarmtrtfravquaoruroildvinnxo
eyr&fu r{nrurinnm.nvrlunr:qua{rJ': u urimanldrflu g drudNii
t. nl:druru6aqrnlufufion:J:ririn rdum:fuJmaruo'nir nr:usifireJ nr:ro6au
lrar nr:fiueira nr:inurenrilasarasotrhrnru {rhuochiaru:ffJ:cnaufio{emJ:rir{udnuoru
ror16fi$ailo fromrrluotilriecrrufioqrnryrfi {qun Teunr:mvcfi'u1frftJrerd?Erru6oqunr ras
nosrdrurudalufiorn:rufr{rJrurnsvhrashild rn5orhl6'hinq:cri nr:tfrrirftlquacdrrdtiltfrer ^ i .) q
ryil?urnon?TJ$am,r lusnrn{r
e. nr:fl o.rfiunrrc uvnn{ourwqrifi nn q
2.1 nr:q unuavtnurnl?'lrJfl valolra.:fi narisui urnriiuf,u rtu rnufiu "rndrfi
tiierfr 5nu{ Gurrufinoffir d.:ocrfioGofinnri.:uncfi?ufi{flnflo16$u oualfrfirhuarrur*ori#
acar o ufi{ uanff uo?ril;ouldd
e.z nr:flarfir.nJaodnrnu d.:rfluarnaqnr:onuta.r{rJrllTrnuaoo6oodrua{ ti*ur i .a d a t d aa a v Q?ruomqo (uliruf ?1?sriulri uasaEag a-ur?1[qn 2526 : 2471 ru'lstfn:q$ndoalm:t14.i1usi0
nmnfiurasrdur {e1fi{rJreruau6:wq.:ra5ori.:1u:nn'irslfiatar: rfiarJa.rfiunr:fifin unvquabfl
{rJr ulfi iuonr Houejuo aht rfi asil olunarfi amr ofuz.g nr:flodufia6ourns:Jrorlrari rfluntrufiorJnffiuldilaer {rjruovffrnmnu
rfiari'roqituviliaff) {ouru {osr iltcnoufiufinranornS.nniaeiauu:.:rarurumrirtfi{o6o rFAr$
qua{r}rufu.ru3urnfrrilrii'auacfr0drq niarufi.rn:voflu}ff{:J'lui?truim:frooirq Toulftnrun
{ndrflurtnfidrer
2.4 nrnlorfiurnvqnlilisur.r rfia.rorn{rJrufi{o,irfio1unr:ro6aulur hildrau
raiaa{dnninoeh.rr6uii 6Er.:eionrtfiornvqnrfin1fi.iru ryr6o;framvcfi'u1fr{rJrufiu r6u rnvair
rirvninrnrmrh e ffrr
z.E nr:ilorfiunr:fiorfia:suumr6uflanrrs 1"oufi6*aihiarxr:nn*uflaarrv
ld ryrfifio.:oaudrurlafio riranrildsarouinam{urcfiu}iudrhsrfiolfrurfuaqjraxa trl{rho6*i''
dunc 2,000-3,000 ft.fi. uavmysi'u1fi{:jru{:rriruflaarrcrflurmr rfiofrnm:{rtdruuntnlt#u
rJaanc turrufiflaa,mchioon rgrfrfra.:erouquarwci'u1v1{:.huflaarrc loernr:nouinnrvfrrfror
fiau crufleamclfrrfluoftffir
2.6 nr:fla.rfiur]arufia:Jaru#nurxonnlnjatl rdolarnmtbaarienudoobid q*IorulfirnruauffiaiaqejourimasrJarufioilaruutrriirnrulfrp rnm:voiulfrfrhuuJdmffisrnm hiCopyright by Mahidol University
L6
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
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
I
I
^- 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
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
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
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$rnronrotufio drrinnurJdqnfi?m.: nrcym{anfi-Forqr druru 146 :tu {oerru.r
*fiaennt',tfioefl{ bmr iou:cariuar4uvn:drerru Toul{rmraa:rnruuracioJ:vTatriq.ouru*d
Z nirtloru uunroi unc hrfi5at Grandt & WeinArr 1981) amnr:drniryru,jr nsn:nmJ:sdr
nr:turaaafiutafrhenninlxnururnquei TtwnmuutirtJ tunenrfl&fi0 fieynilnrfloanniru
cfrunnildoufrTyruonilda qjtu:voft r:JrunaN
uncmmoernrdrrSoda4ooaaqitr*:vducir Enrxr{ruufi.:1unr:mdan fiemlfii.nfiufvrrml
fiuomrnafiournrjruis g fiu orhdniudrn"rgvn.:dfifi k= -.39, -.34, -.29, p<.00t onl.rrirfiu)
tn{dtiltdquvTlsd.:ru.rfienrerft.n{udvnsaufiuonunrfioannrirufrc s firuoehrfifudreiryrnmfifi
(r=-.36,p<.00x ryhfiu#{ g dlu)
oarf;ulfrirnr:dnurdsuNarlua4umrsdroruuarrr:ffi ootxrufia urnir uri,u drlrlraqj
m.dr mreiiuaquvn.rdror.rfi enrldenfiufmr.:arfiunr:fi ""rlu,#at*i'r
u
uonamur{dtiudquvrufinqrrufir fr.rinlqda{ifiera#l.n{ufrtr.rnr:fioorrrrnrfiou
wirutoqooa tpttniunl'&lumrdnr*r#od ar rlo{uriruarq rnfl dmurnyrf,Nrrr unffiuuu
nnrlumatflriA,rnr dsii
orel rflrnorufiirdfiwnrrufi1dnrr uan]:caunr"sfl?o{qnoa #ci,orqavfiou}i
rfiu:Jrcdunrrnlsa{qfloa rfulufrAre*muarnrhsru
qooaraarenJ:vurnro.rfiiorrir-r1nnfi#.rmrdnr arrnortfusi'rlfiaaoo#otfrranrnnr:srifirfluqil
'lddrrjqoonirorepiau (Ma.slach tr986 : 60) ornnrrdrnflflas6us{rnil (Lindgnen 1990 : aB0)
or epnno v.inhyounr:nlfiu
Copyright by Mahidol University
22
vru'jr{qua{"rJruidfiorqfiouovfto4rrunaiioenndrufiium:aoom.rfiuqeroao{tu:afiu6 fi-dn^r:rv{qurafifiarqriauovfi odufirarmlv,6u rirtfifr narfiqvqua{:J'rurioua.: draaoo#asrir.r
,iav'tu?1LlonaileJ
rran;nerafift
nr:6n:*rsas luJdunf, ltn vrrq ndu fMaslach & Jackson 7984 : 133-13b)
l,d;or a$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
tl''lFl $rornfidrrurffiqvfi€nrtJaiaudrynmr:m[ unvfienrruquuxmnn,jrmotfl u
tnornsfiol*rffindrunr:aoenrxlfluqerna uavfrenrruffinrEumoio{irunu dro,?ra.nrq,nsird
adou}irfiuiNnrrilrqnshttwinrurvrufirfiro.:rnourflruavrnomu rvrorarfimvfrnr:fiprsia
:Jfi fixr{uffi {duan n fi nr:unq$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
v ,
r--Y-r- r e ; ,
rlu uJ[[en9t']{nu tila{a]nflq}J
Copyright by Mahidol University
23
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$J:ununr:nitumahto dfi avtfi*asionr:fi o
".lur#aennti'ro16 maunrlffihmdnurriibwmuufioenniru lunrlmtrorerafifiorfinvn.r
nra6nr:dsormaruorfiH vnrhqdcnrernafiaennirerludrifiiuuct?at r-s fl trasnmhnulu
qoarn:firuG$nf, fiw{u'irfiotrunafiaunrirulu:celuttar t fl mnuenra.r e'+ fl r'lururn t-s il
unninfirerruasrem# r-a il (Maslach 1986 : 60) fiuoirrnr (Lingiren 1990 : q79) firm€nrsJ
rntfirr*i,'otnuur.:ariuaqumr$.:onmr{qua{:Jru vr:.rir:cduoeramioufirvnmr:xoha.r{qun
{:Jru fiorrudxrdufrn.raurir.ncusnarnr:quaffhu (r= -.34 , p<.01) uocl6-lfrcrnnrfnrfi{
qun{rhurflrncuynarurulirlfifirrnrlunralfrrd?siaumlr#16$r tnr:firn*rotHmfioenmiru
m$ilurualuj:crnolmer nu'ir r^renuraffirTfisrurn t-s fl fio'n*rr#aennirulunr:rirnuqr
rrjmenuraffifinum 6-10 fluas rt #*ltJ (6ucnn ryr6r.n:W 2829 : f,:cur da+nne
ztgz) tusnsh$rnnrrfim*rro{qruc6 {ufisnil: (25s4) uncfi{nora qvrs'iiat:ri (2535) fi
6rnsrcnrlrfifioa*nirmauanuralnraaofi:na{rlnnrnin vwir:suctrathnffirifuiuhifienr*r
dr.rfiu$fiuenruttoeio r*il t fro g ffiuaah$riudrrirgvnmfi fi
neirrloualrJ*'ru,tnfiru*iruuocgrfi{qunftJruLouaaofiaoamr rflunei*rarnr:
ro.:o,nlffineiaudrmrmr:runl nrmoomrurfluqemn lnsnnaooflrudrr5o*urlooa rflw.rafru
r{io{ernons{rotuorr{aft1unr:tfinrrqun{rlru froii.,*'ttroatT:oraaoor6oof,sJ0{ dlamlfi
{rl,rufrorrufinr: fifio,irfiolunrnhfto{smJ:yirtu fio'nllnJderu$Ja$nlqrsruomilniuacooJtt
rlqenirilJnosr rm,r ft.loh usndrn.:aanqrndsntJ d.rfizuarnnnusiarpfidfihlfrrfionr:nJfienl
urJa.nnmcrlfiruluffionracgrfi frryndruuvnnvr urfirii to:ugfio uavenra+fluaqj rprfifrol
:JfufnfinrnJfrrfiornmuanJir:nar rfiaiioclfrnr:qua{rJeuT:ornaao6aonruaoldaehtfi
iltvfiilfim^r nr:r:J6an*nJa.rnachikorfluddis.nqnmtrnvqlulrtrrpfitfqua{rhurfiorenrxretiuo
runcdrilalfrrfioorrurufioEnmirtr fiar:unifiHrofr f;fin'irfiioron*a.rl$rir fiarnr:r6urhemroirt
nrglrdu rjrerrfiou rfluraSo nr:drelru6ouncm:fl0.:ft.nr:fioqnralrufioennn'iru dosrnahrdr:roqu
EvhfinrrctflSuoqnounnidtri finr:rzuficgflrpraraahd:J:cf,ilfinr{ uanorndrnru'ir u:sntiu
aquvnrd.:nar ftrfluurarisr]:clufiiiidlarulum:urfiqorrruroiuoiirfio6r fiahsionr:aocmtl
*iir*iloao ornnr:mmrnr:torn::#tiien{t*fiu fuuffnr:6rnglu*u*iit*iluffirrn
{rlreraddoa ursim:fimer""'tu*fir*i'rulroflIemnauouqarenluorfunuhq turlodudruoirqCopyright by Mahidol University
'; :, 24
4- -. q ,ana aq nffirmrn'Drsnrrfi rnnermhnmffiiru of,,ror Tuhfifrn$r
#rlfuf m.ffi Jtrnn:nhrm$rdbefi *lB
*
ffi
#'Fffir$;l'{tS
Sj
$
Copyright by Mahidol University
umfi 3AA . A au?DOltuum:',tQU
nrfiftJ#.tdrflunrti{ntfior::Bru (Descriprive Research) Iousiqryhua.rrirfiodnsr
:cdunnilnafiownhuua.:rp6{qun{rjruT:nuaoo6aoaruar druenuajaufirnr.:ararni nr:noenrrufluqerna msotrrJdtrsodnqona mcdmerorirJarernnso.r*odsfioafi tumfli1lrre1
enrunafiasutirefffr g druracUrfi {qun{rJrubofi aoo6aoam.:
rJ:nnrniitfrlunr.fimnrr{.rd dargrfi {qua{*rubnr,rnaordaoaml 4.nrr{:Jruufirnr:qn"alfiofiamrttr,lnnr:irru#of,fin{rJruranareFmat Txnururan*niud f;.:u6rfiou
fiuanemfi.:rdaufiiflol e$o rfioirnrjnfriaahsrruurqillcretsa{ (purpwive sampling) tiru"nr
80 Ttu lofismrirurnr (finr cEllrbori zszz) (unodunror.ru?n n.; onlqnuanifi drd
r. rfluqooaiia qluer:ounirrdurfiu{rJ,lu
e, rinmhfiqun{rha tdu drunafiotunnrhfioiqmJftrirfu m:rJfififiorrarw.runr
Snur nnflolriunrrvuvnn{ou uncnrflJ:urirnj:cna{rtfiu6srlo
s. Aufl?imrrirerfi atunr:idu
rniarfirrfiklunrtider;
#arfi ai{til,unr:rfiurnnarfiarynlunr:i,irrot$iifiuu:rlrdaumil + *ru6o
drufi r uuufnrffioqam.:{ilru
*tuiizu:rurir.rfi n{oryadruqooara.rnr!ffiroeh.r
dru{i s uur.riomnr*iiorn^i.to
*xtfr q ur:ricr umrniumprn.lft crru
r. ur.nnhrfinfra4a{rhu rJ:cnaudru{aqarfienfiu arq mfl xuynafrrhgdrg1T:o
uaao6ooelo.: enrrufi orJnfifi rfi onrnHasa$NtJrfidn nnr
e. uunhfin{aryadnrqneram.rnrjrmoairr il:cnauflnedoryardanrlu olrl r}trr
orflvr neild:vdumrdrnn dmunrildsnd enr$r,flrr.fiuft.,{rhu:vuunnriiqunfrher fiom:x
nrqun{rJru
---
Copyright by Mahidol University
UUIJdOUNTJ
rnnqun{rhu'
il:cnoufru{aeirme.r z fra
3.1
ne),ilrufl s {a l6tri{a t,2.3,6,8i,, 3,14,16,20
3.2
dnnu s {a lduriffs 6,10,11,
3.3
'iruru g ffo tdrriffo 4,7,g,t2,17, 79,27
v
6l[t}[l{6nn']ii
*rurnrudrnr:b -Xil]il O{1.1
z-g.*01fr!,u e'
1 0?{!o
e-g q'*old
!,u o1 €n't[o
z-g ul{016
0 ncuwr
1 9rcuuu
2 otnuu
3 oynuu
4 ocuuu
5' fiyuuu
6 octMu
26
(Maslach Bnsrout Inventory : MBI)
u:JnTos f,:vur &lmarq (z5gz) ,1ar;rMfrnmenurail:rilrm: mdulfilfidtaenrlllua Vc, .j v Atoa tqluaEjwuo€rnsmnlil ofrhltNluo'm'lttemrai tflu
q'^i| [unn.lJTc uJu9nTJr?Mo ulnfi u
(Emotional E:rtraustion Subscale :
(Depsrsonalization Subscale : DP)
(Personal Acdomplishment Subscale : PA)
mtdl'(Rating scale) TotUfi
6 -Nuasmtao€y]liltiluqofl a o.il\l r,
utoYu,
9rTiltol
r o{tld
z-g o{.:ld
r r o*.rld
v z-g o{olfi
rBo*nrqooa ffiovntorfifiu
6 ctcuuu
5 ocuuu
4 fiytMu
3 ncuuu
2 9rcttuu
1 osttuu
0 flc$uu
Copyright by Mahidol University
27
nr:ui.ncdur.rur#oen"i''uluusiaca,Pru rnhrflubififi.ttcafuch :ca*urhunnrr :sdu
q.r Tou{t,truldrtiurnrudrnr:rh}iloovuuuto.rusJ6{n6wttac$aofiu (Maslach &Jaskson 1986)f ,i tu q -'- a u.i^ .. '- -. 1^loglluagluronarucrvuuulu":vdroir"rflu "hififimydusfi " d.]fi6a
u
(osuuu) (ocrMu)
omrueiaunPrynmra,rni
nr:norertrurfr,n{ona
otl.lrirrSodoqocra
Gl6
0-6
3948
77-26
7-72
32-38
n-54
t3-30
0-31
n1Tmqilnffireriada m:flo6lou€r?ulsns$reJTen$di1r (ConsrruarValidiry)
lr&Jdunfluncuenfti (Maslach & Jackson 1981 : 6-7) lfrdfi{rruudrmqcnrrurufioenndruriruru
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
mrrtdl.n{ufriuoah.rftrftrdreirgilr.ra6ffi:vdu.0b (Maslach & Jackson 1986 : g-13) uaJtd
noooueirqnrilrfiEl.ntaluJu{onarur#auralhuluusiaser*ru loutfirhf,roj:ufinddunlloro
oltAutn0 (Cronbach 's alpha coeffisient) tunejru#'laehs,iruru 1,916 ou ldeirortrurfiuwn.:
druenrruciaufrrvnmrarnl nr:aorcnrilffiw{ona ilacmlrudrrSodruqoon .90 , .7g ,.21 sns.l
riroiu uanateirerlruriiu.:Tou1fi66nr:vroaau#r (Tqsr-retesr reliabitiry) mlroriasfialunrir
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
eu'ldeirf,ennv8vrd"t'tufiu*toni*tatufiynrdruenrrueiau6ryruar:xnl mmoonrurfluCopyright by Mahidol University
2A
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,
.90 n'naoenrrurfluqooa .89, .81 $aym?ao€nra.rdrr5od,:uqooa .87, .83
lunr:i{ao{sii ffi {enirll uuu{oomrurufiouvnirutrflfiluryr6{qua{:JruT:ouaao6oo
ffiiat druru 10 :luras B0 nu;lvndronurfiu.rl6qhft.ntvfivrddayhmff':ouureldd.:d "*ru
otueiau6rvn.:or:runl .93, .90 nrr:aorotllrfluqooa .60, .6? mvcnrudrrfqdruqcroa .a+,
.79
a. uuudou:rariuar4uvrr.:ft erx t{uuuaounrruunrinJ:vTutridruqo"^"rud 2 (The
Personal Resouroe Questionnaird : PRO 85 Part 2) slo.tttilTiloirrncttrfiiat (Brandt & Weinerr
tget) Toulfiuur6o6autxariuar{uvnsftomo.rl':ad (weiss tgz+) rnJamnJfurhrTeui:nr
rau{vnvqa (2532) {onr:frififi.rumrniuar4urn.:fi.rorufiqerna1dfu1u s frru 6a r)onrrulnffio
ryrn{u z)nr:1dfuenr:.rsirum6atufrruoirq 3)nr:uannjderuj:s}nnidrfiuunn-*u a)nr:fr-rf,jroru
rfludrur,rdtto.:fi.:ox uav s)nr:fiififrqnreirro.:oruro.r :hvnoudru{aeirnrruzsfio fififinu*(Likeft Scale) 7:ydu ftfi. qq t I raa
01 aau[uu3J19r?'1fl?u].J:ctJ'to[o1a[na
6vrit?il9t'tuan{u{5V
tm40?urv6u
o0ut1.:tfiuo'tuVA
?dnraulrs\r6u
naufl'titultuuo?uI rG e)' uJtmlo?uVrc v t;tjJtfil.to?u0u1{u.l
osttuu
outtuu
fiyt[uu
outtul.f
ovttuu
fivuuu
ocuuu
Copyright by Mahidol University
29
fraom.rlurnruaaunrmJrvnoudrufioeirnrrudrurrn zo fra uay{aeirnudruau s fia
6aa,z,to,ro,2a) nr:tfiocuuulufiorirnrildruauqynfiucrcuuuriou u&r6srmvuuum$uf;u:.:
--e.-e4ZtoZr^----i,aevfluljdquvtl{d{o}m{nnilo [ouilnc$uuer{rr9t 25-175 flsuuu ovtruuii.tmn uao$rFnrizufitt:t
nr.Tuar4uvn.rf;solxrn
m:mqiln1lrra6ado lrrfiivrunffiorou (Weinerr & Tilden 1990 : 2tz-276) vrrrq
douo?rl"rqmqntJTfl:.rdhr tur{lraqjtunarwrufrfirynrrnd nrorar!$ 16 nu rl,rrr{ru 33 flu arel
ra6u eo-zo il {ouxafiudquvn$f,{os€tomrlldraeir.:firu pno Bb Parr 2 rtau Cosr and
Reciprocity Index (cRI) fi.rrffuuwioftrdqnnmqrnuuuiou:.rdliuf,quynlfisorur#r frocuuu
nr:fufuxariuaquvnsfi.:oriftdoldnrnnr:{osa.:rodadofr.:aar h}nolrudl.rfiu6fiuurru{onr:
firfararn:nrura{u:,$dliud{utr't.lfilnru (Frofile of Mood State) qo.rulloltu{uaverilc
(McNaie,et al. 1971) tddrfirutnvfivrddurllooo PRo gb part 2 whfiil .gr uncdrfunj:yfrmd
davlmas cRI.91 niurdurfiu d.:unnn1frrfiu'jruuuio pRo Bs pafi2fienrilsffiqr*rloxafr.:
6:nr rnrdonvqa (2592') rnJarflunrnlvra uactdiunr:q:?e6touenaJo?'lilsn{snrJ
tf,our (content vatidiry) Teu{vnsqnrldvnmr:nurua 3 viru ufrrri{r.trarntr.rrfiu.:1u{rjru
orrrudu1afiqq{ 30 ru tddrf;ilrhsf,mddarlrtaooromno .as uavtun{nindnur5,rfirvrofiofl r
,iruru 10 flH Torunr:{orfi z erft, (Test-Retest) vir.rrtr z f,rjorri nu'lrnr:5ufu:tnfiuaqurt9lrrt
d.:flsrd.fi r uave,5sfi e fterer*rftn{udtuvnflJrnoeh{fifiudrftgnrtafi6 (r=.62) radrqrrniuld
rJfrrnrr*r1frr{n1q{u t*rffiamrrpdn z vnu qr}0flauo?rurror,udrrar ufinhbflflu{r.hu
otllo'uTafioq{ 100 :ra vneirotrufissldrirfimfsf,yrdda?'hso.rer?ouuto .90 nr:yroaowir
erna.rrfiarslfir,hfiudraeh.:nrjxoh.:1firnnaro.*oT"olfirirfixrhvf,vrddnthmro:auuro tdrnitu
{rhudrnruiorofdn 18 ?ruua; roo auldeirrvhfiu .83 unc.Bs qrilairdu (dororinei fisrieirrJ
eosz) tu{rhuT:orirlolurdaodrdunr 20 :1elr6ry 100 rlu tdcirrvhfiu.ga uav.92 snildrdu
(dq:rf,er toariei esgg) tu{quar6n:JruT:erwr5.:uior6aontfienmrfiugfio6m{&^hnra druru
10 rlu rtnv 100 au tddrrvhfiu .Bgunv .gg qnilrirdu (doaiur rJ4ruir.r zsg+) unclunuura
rj:y,irnr:tuuaafiurafrrjruwinduru zo nu udc 140 nu ldoirrvirfiu .gs rau .91 snildld'u
(ftaora qvrfiia::qi esgs)
tunr:6dao$.d ffidrniruuuSou:rafiunquvnrdtal htlilurpfi rfrqun{rJruLoraaoo
Fooaruas ,iruru 10 ruuas g0 mu rardrenrurfiu$fidrAsnJrvRvrddavlrmmr:ourno tvhfi:.t
.77 uaz.n orrufiduCopyright by Mahidol University
30
Ac69?Dn.trtnljT'n R?ilqoua
ff{rrirrfiunr:ffirnru4ufraryadrorurodoofr{urau uav?dnr:rfiu:ru:rx{arya-X
I
oiru
t. tornhfrarnrnirdtorhniufiqiilmf,usJut?vrurfiurfioa filrhrmirntEfiinfi utuacnde6 ooar?{vlurtlaq{T:$rurulnrrmfi:rd rfiaduqffiuacduouns{aenrrudufiotunrrindo
ila
2. e:?adoudnunxtoorprfi{qua{rJrerT:oraaoor60o6{rr0{eluJqnrne.rfifiiirirmrol{A a I v , i'
rfi o 16o nnrjrdra eh$ fra.:nr:fi rn*r
s. rfianurgrfidrJru ffidunoor:rrirlfio uavmlildrifl:tototcgrffignufionrflunriel
shoeh.r a6urufidqrJ:ca{rflunrrfrn"'r#ei uasrrnn&furfimmejxdroeh.r' c' " Toer4. mjflo{a
4.t rnrufiouots1Ffmfi r {idenhrfinornns:yrfierusar{rJ:er
4.2 urruaounrffi 2, 3, 4 rfiufrorya::nn'jrsii{rhu:aiunr:or:raornpnmel
Tou}irgrfi&huqa:lurrudamrr{bavrunr lutruiifrfra,tdolunr:eiru ffi{uoveiruulrlrafounrallfrrnfi fthuerorl tfrnaroraur:11nraounril:J:crJrnr go urfi
nr:iron#qinun
1. uanttslito':re.rfi rrac6o,lBqmio unvto.rilaryatal{rJru (o1rl mu,ror,*,fir-hudraT^^-^-^-.4'^--^.--..--.. qt,Lil i , i.t?flua0oL6t0offiJa{ ttqnrra.uiluotl,li6lu ntradu unvcirri]urruurnfl?S1u)
2. uanua.mrrrufiuacfiqHmfliouasmsfroryadruqcroa (arq *av :vavr,:nrdqm{il
ilr u uqnuq.ilfludrfi da eir #u u4vdr rfi erttut,lrn qrfl u)
e. uonuq.:Firfi du eirtaf u uacdrtfl NruusJletr5lu?ra.retyuuur[T{afiuaquvntfirer:.1
s. rhnr:irornvrf,{oqn dddr,,"'r''umeJlrnrai oreJ r}rct dmumildru?d :yuynaflu
nnqura{rJru $avffi{dfiudr.1uvr1irfi.:eru lunrniruruqrtsJmfiouul,iruuqhvfrru Toeltfiafrfi
?tom#ni:qiru?runonaEniltaq*,r|,u,flu,ffr,oau (Stepwise Mulriple Regrression)
Copyright by Mahidol University
,ffiqruanr:i{uuncnr:afiilfl ur.ra
nr:idu#.:drflum:6nurix flo{Erdod?rifiirurucynxrilfloenlrfi urangrfi {qua{rhaT ....'a' - ul:ouaohfiooclsJoit runnrt?{al uncm:oftJflur{aanhnuamrrurirdudsfi dmnuvrot{rhu
drrunrstrameilftoair.r :cdumril$fioEnnhu u:.:drilldquynrdroru enrxd{roduf:nn jr.rdrtw^l
ruj:riunr:fi oolrurufla enniru uagzunmrfl ortoudrJilfiflu
v ,ranBil:fladrdlJ?u
{ilrul:ennaao6aoarua.$fine!ruftaahs1v1nr:qmfrdruru B0 ?lu rfluryromu bz rluehfidma.rarzlgz-w il arqraFu ffi.3 fl eirfidenar:cuvr?ama.rm:rsrnhudruT:ouaoer6oo
ffiJa{ 1-276 t6ou:uactrarmrmtsuheradel 3G.g r6au dlulr,rqjfiornr?n{uswasmffiltlt
eiourn:iauac ss T:nft^ruiuJdrann#qo6a T:olurraluSouav zt.zs (snn,ld t)
Copyright by Mahidol University
32
,nx{fi 1 #ffilnol&ha (n ,'go)
e'H?lrImtau
tTrfl
trfu 52
n$l a65
35
Irnt{ffinhsrfu,
I:onnrrrnr
Lcmuumrlsirnap
lrn@
ulrileuntmigrru:.t u bs'ttulunsilrmp8t{l81'{ n $.75
11.?5
27.25
15
8.75
17
12
7
'33187
s.3
11.99
:,.na
s.e,
' 49.91
.4,alq (u)
f,tu.i
fi1f,AU.i
fil[.E,{tIJUtnnq:I}t
:Erjsrmldthu (t6au)
IT6U
cirl#is
'.i$Tl.nNtrlTr'f|Cnlnr
Copyright by Mahidol University
ffi 33
dnunrvtorndrudrarhr
nrj$rorh.rftdrfidmasarrl 16-rc fl arqmdu 40.e fl drubqjrflurnonrfishua;
81.2b dmwllildsJ:dd5ounc 66.2b hldrt.:ruiauav s0 fuuldaqjlufu 0-3,000 urnsia
rdauiaerac gs nr:6nuro{tu:cfrd?unilfimrr{a'lrac 42s enrllf,r.nfiufriu{rJrudfllrardrflu
qon{ouau+z.s fteirfidemas:cercnofi1frm:qun{rhar t-ezo r6ou ,rur,.u',*da gr r6ou fi
ouzudonJfi eudruqua{rhuiaua; 6a.zb
qoSouav 78.75 (q]:Nft 2)
.$
323i.3 | l05+3bo0
Copyright by Mahidol University
34
qtflS z dn:*nsramrjrufiraahl (n=80)
frnsnsrnmcjr.rdraeirs'iruru iauac finrcoma{nairud.loeit ,iruru vTOUAU
[il91
MU
u€r
dnluRl?rldtnd
FiI
HrarrileqI[do
u143J1U
uehtmn
01mItl rl4 e, "uJ [ovrl{'1u
flJQ1.3
Tu:n{n1T2t
{1UU1U
9tafi'l?J'tu
A0u"l
15
65
18.75
87.25
66.25
28.7
2.5
2.5
30
17.5
16.25
12.5
13.75
10
43.75
28.75
7.5
8.75
5
6.25
:vdrnr:fim*rV MsauJ[otTE]u
:J:vnru6n:n
finuar t-g
ainr.nJ a-o
aqJirgrgr
rJirgrgrori
qsrr
m:u'l
arfiAou"l
lrEfld'eior6ou(urn)
0-3,000
3,001-6,000
6,001-9.000
9,001-12,000
12,001-15,000
rs,oodutrj
53
23
2
z
24
14
13
10
1,1
I
6
7
4
35
23
31,.25
68.75
78.75
67.5
57.5
58 72.5
53 66.25
5 6.25
q.:n'jrrJirgcgrort
orrrufixr{uffu{':Jru
qu?urdqra
AfvtAaJoufl?ur.t60ltilauu
qltno?lNdyolofl{nlu 63
druriorfiwaondrfi.:nru u9a quilau0'tl,TtT/t140'1fi'n 46
yr1.3d]uu'1.3
riru{eur flouur
quam:ffudru
quadru6orlo
3 3.75
34 42.5
12 15
I 11,.25
10 1,2.5
10 12.5
2 2.5
38 47.5
22 n.5
3 3.75
17 21,.25
quaoutou? 25
55
nansilJn.l:qua
Copyright by Mahidol University
35
qrm{fi z (sia)
dnuilcm.mellfrraah.:
orq 6)
ltflEl
'Aoltaau
'i
76-73
40.9
13.5
Tn6
31
44.5
o'lruu.ltljurJlqnflu
:cuynarf inrqra{rhu 06ou)
}lflu
9ntaagld
filluuiilLutftqF5nu
Copyright by Mahidol University
36
:ydrrorrruuufioumiru
zunnr:i{Enru'jr o'nlrihfiouradruto.rrgrfi{qua{rJrerT:erranaoufiooalar firuolru
eioufrrvntor:ruailnvnr:aoemrurflurleroa drulr,teja{tu:vduhififir:vdueiriauac 61.2b my
75 qrsrtirdu drudruolaldrr64druqooadrulrnqjaqlu:ver"u6.:iaElnv 9b (snl$ g)
qnfl{fi g ',iruruiouavmmrixdraairt,ir$unqrrru:vduorunnfiannriratuusiavdru (n=80)
val:sou Fl?l il tl4uo um{'l E l
6tnilFnflyttuu
,?OUNU
frruenrueioun*rvn.ronruni
traa.'"u$Jn{Tvoljgll
:vdujrunars
:v,rrtu6l
0.16
17-26
n-54
0"6
\t210-30
sbqe
32-38:l
0!31
49
13
18
60
72
61,.25
16.25
22.5
75
4r
10
5
95
6runr:aqotrurfluqooa!raA . Iu{iln{:colj9t1
:vfiujrunnr.r
:vduqs
frrucrlrueirr5odru;oonVraAu'ou$Jn.fityoLjgtl
:vduilrunarr
:vfiuq.l.
4
76
)
Copyright by Mahidol University
37
rr:{6nir-Jduuyn{fi.:orJ
ruanr:?{emu'ir rgrfi{qrnftJretT:nuaaodaortla{ freirfideno{ffiuuunr:tr:fu:r
afiuaqunr.:dror tor-too flvuuu qrndriilfluhnd zb-rrl ncuuu osuuurqfiu 132.b ovuuu.--- ^,--d-------- - Qs c I av vlunsrir!fi u{ffiailrqnflu 14.82 ovftuu uao.:1finiu'jrrg16i[quarfthuhoranoor6oqarJar druQ ra v 9
'1
}ar!fi ov uuunr:S.rfl r:.rariudquffi d{oedau{n{q.r
olru#rurfruf:na'jrrdrur hfir nr:rfinolruna{ior rr,nirp r
Yav U v 4 q V.ffdarmenttdroduo:un.jNalel r?ro dnrlml,t6t J:a ravnarlunr:qua{:jru u:{dliu
aqumrsfuoru fr.role.rrufiaannr.irudruenrrueiau#nnrsor:run[ nr:nooerrurfluqerera $nvCI?lrJ, C t aD tr T a
drrio*:nr1ooafla{U16ryq$nryu?ur:nuaaordaoaruar Toulfiafiffirnnyririrurrueirdrnhvfivrd
rnndm{udla.:rfi Efdu (Pearson hodust Momenr Conelation Coefficient) ToudrurJ:nrfl uav
dmunrrd$:6t qndou:Ja.rlfrrfluftujrviu (Dummy Variables) riouirem# lfio.rornrfludrtAavvvva
ru:J:frfr:vdum:iou:nnnrurirgr$6(Nominalscale) (qtrn{fi4 vuyjr
ttr.ldliudqumld.:eret $fl vn^trlA 9 v ttw A t t I vil9nilfl rff{UDnUmlSJt?lUA E'n'lill U0,ll,|n?l tJA 0UA1
vn.:amxrrbrh.:iniudrdrgvngfi6 k=-.gt fi p<.01 $ou r=.25 fi p<.ob mrrurirdu) orq dnlur'tltl
dru?61 rnvrcuunaltunriqua{:Jxu hifioludxrduffuFnliln4fiatnndlspr"ruorreujoufrrilrc
orrJni aah.:finiuairdrynr{dfi A b>.ob)
nlfl trwafiilt?fioannirelefiuotmiau6'rvn.:ariloi fionlldl.nffufr1rolilrufiasl
witEjrirunr:aonflurfiuqnnaat.h{iniudrrirgvn.rafi6 (r=.go ft x.01 rr6tu r=.51 fi p<.001 snsJ
rirefu) altl drnunmds$ct :cucnarlunr:qua{rJru uavu:tariuaquvn.:frsoxhifiorrrufixr{ufuAtr'a,flunlru rufloEnnuir uffi unrraoo?tJrfluqooao eirdniudrftyvnl.:dfi 6b>.0s)
otl frotxf,xrftrfrluenurudoennriru 6ruor:rl&rSodruqnoaaeir.rfiriudrdrgvn.:
dfifi (r=-.26 fi p<.ob) rl'rd dnr.ull?rdrJ:d :cuyr?aium:qun{rhu msu:{r6triudqufixd.:orrl
lrificnud*n{u6fir.renrrurufioenni'ltrcfiu€nrilftr5odrur;eroaaehdniuairn"cgvn{dfi6 (p>.os)
Copyright by Mahidol University
38
"rt'trfi a
mamq*lr$ua*fiu{fu {&geon Produa Momont Cmelatim ceefficient)
7
+.rcusngrlnmrw{rhu .19*
1.a1q
2.tvtft
3.doilrnTrfis?d
a.Btrelh.Hrfvndooil
o.Enrxciadnm-rar*rsi
z.nr:mnrnufirn;onn
e.mrdlrfied?rlt{nen
1.00
-.11
.4$:"
1.00
-.004
.6'.05
.?fi*
.30**
.08
1.00
.16 t.m
.04 -.v2
--w -.17
-.002 -.11
-.15 .06
-.32
.10
.I7 ,,lF
- g*n
1.00
-.g1*" 1.oo
-.12 .b1*** 1.00
-.o{ .01 -.01 1.00
* p<.05
$'tfl
** p<.01 **"p<.001
rss=1fid =t
flU=0
dmlm'|nslr1rf, ldthj = o
Copyright by Mahidol University
39
r.ramrvrodoudrJsJ6$1?l
nr${El#{ti rflunr:6rn*ro?'laJf,1r,n?6ma{a1sl rr{GI flnrumfldenfl :vuvttarlunr:q
rua{rJrer nNariuaquvn.rd.:nru tunr:riuruotr.rnafiasnniremtdruntr.reioudrvn.rormal nr:
aoonurfluqonn unvolndrrFodruqncrata$gr6riqrnt$hu1:nilaao6aoffiro,rt ToEflfiafifi
iremcfnr:filuto$looaenilqqnffiru!flil{usrou (stepwirse Multiple Regr*sion) IoudruJ:
rnfl dnr.unlr6ul?6t qndourJaflfrrfrudnurJwiu ( Dummy Variables I riouircmvfdsfinrirrm
ufrr nrrir
ru:{tdriudquyrNfi.:orl unvrnrt rflufirrnhiiqn6onrfrramrnirurucnrarrvrfiaurarirer
druorrueiaun"rynror:uni louu:rafiunquvnrd.rorurflud'rrnhu:nfiqnr6ontfftaa.nmhuru
arrn:nafiursotruurjnj:.*o.oo..ru,rdrundrudruonrrueioufirvn.rar:unilffiuav 10 oeirsfi
riedreiryvnrafififi r(r,za) = 8.21, p<.01 lrflurlrorflufiruri#qnrfionr{nluamrnhurutfludu
rn"# z atn:naiur Ermre+ujflJ:rulfi ,firu{urflu$a EJav 1 b. B aah$riudr drgmrsfi 6fi F (z,T7l =
7.25,9.01
n'rfl uncalqrfludrurJ:iiqnr6onrfirarunr:rhuruenrx$rfraenarirel firunrmocrnutfluf 6 s I i a u a - ,r-r----- --d^-qnna loulrorfludru:J:u:ffiqnr6anr{raunr:rhuru arm:naGutamril$dflJmuntrutuflou
mirudrunr:nonrruflurJooalfisauav g.z oah.rfiniudrdrgvn.:afiffi F(1,78) = 7.93, p<.01
ch u ,A a v 6Bavolepuusnu.nvrqnrdanr{narunmhmurfluftrdufi z arm:nofiuternrilBdflI:?uldtfitJ6u
rfluiasacrg.z aairsftriudrdrgnsafififi FQ,n) = 6.12, p<.01
orq rfludrurJ:ududgnufionrftluei.rnrriruru oluufioernirufiruorudrrSqd?u
qooa cnsn:nafiurEloliltnj:rhruldiouns O.g ash$ritldrdrgvn.:4fiffi f(t,zg) = 5.83,
p<.05
qrnr{anr:i{Elrrao.rtfrnfiu'jr ftth{sdnnrflJrsdr6o o'lsl t}lrf ttr.idliudquvn.ldlotl
{i d'lr$rrnir1rlsoT1trvrfiamnhaldrun'nrJEiaufirvnrar:runl nrraooliltflurloon unvo?ltJ
cirrSodtrqeroald (qrrn{fi s)
Copyright by Mahidol University
nrns 5
40
(Stapwise Muhiph Regneosion) dln$mril,utiou*il?,1u,tohgdru m.rp6{6un$hubrruaanrfonfi}ran (n=80)
cnulyrfiaamirg frn?nng 92 RSchange Fctrange Brrt3vsa*rdaqftrruanlol ur.rnhnrp .100 .0Bg 8.71** -.31
ynd.rnl.
ryf$l .158 ,136 7.?,5*" .24
T.gz** .30
6.12*" .zl
.a57 5.83* -.26
nrao66fiqeng
cnr,rdthdrnpna
Ititft
a'lq
alrl
.080
.174
.092
.137
* p<.05
ttrd r4t$1= 1
** p<.01
'lflU = 0
Copyright by Mahidol University
41,
nnofiilT]u?-ra
nr:afiilnetalnnr:i{u ovafi:JflHorrueirdurff:{odrl*ii 6r :cduolilnafiaelwira ur.r
aniuar4uvn.rd.:on drrnj#fi ern#Hr{uduanhur aenrurafiaunir eflurwiacfrru
uArTgOilGNINIfiUOEJfiU'IEJ
rTrornaa o 16o onruardruoer ru
eiaufirvnsor:uni uavnr:aoaurrfh.qooadrulrarfaqj1u:vduhififi.r*piueir drDrfrruoar$rdrr5q
dnqeroaaqjlu:vduq.r dsnmnsiNfiunr:6rn*rm.:6udrn:u (tindsrren 1990 : 4i6-4g0) fr6n*.,
olrlrufioennirmoupfi{qua{rJ'luT:oriaft nrvirfiotaiafaufirnxor:e.rcriaqjtu:vdurJrunal{
nr:aoonrrutflu:lonnaqjtu:vduch uaventrudrrSoduqooaaqjtu:vdug tLtd,o't ,firos.na1n
olilrstnsir{fiuvnwr"rufurus::r.r rJ:vrnfi Tenlair.rroSarhemrtfiierru d{tush$J:cryt6rqnaa
ocfidmJrrcd$ineun{ cnauo6rtfluer:auo#rrdur oiruruarn?nluenauorireiau{reiioel
rfioqeroaluo:ouohlfiurJru rprfi{rJruiilfrnr:qun{rlaeniu6,rfiernilenn6innnlunrn]ilsi,l
rfiatfrnr:qrrari'lutudaqooaeiuhrrrrrsii,ffaqJ:vnauar6n ldfirenrndaurudaqrnasn?nluenou
oireiou#roiosr nrt#tfi qfiou1uflr:qun{rJrudrrfluroqoo*itn iriirnurerurdur urn...rnd
tunu?{EJsa.:f,noirnu drn*nrvto.rfrJrerfinr:dwrrvrrrdruironrs6o frad,luna6aluria.:nr:
in:rotilacaroioanc ae.g unsglmfienrrnHdoflunr:ffiodo finr:duauiauauzg.o 6rft2a1fr
rfi ororrrurufio ennr,irelefiuoreuiaufirvnrar:rucri :vftdrunarr
tunr:6nur#sd rfrjrrgxfi{qura{rhufia.:urafionniioufiidrui.:nru unsfiqlqoeitilrn
tunr:rn:rhfiormmr:qun{rhu $asdoflfinr:qrn{rJrurflursucr?n1u'ru teir#u = 31 tdau)
rwinr#ftotlvrElEi.:olftdnulan:o,uo*t rfluonouoifiiuruaqi:rruffinaarsou fienrxd*nfiuffi
tuuqirer€aryrfi 1n6?oafivrau*rfir.r finr:tfiema.rdrunafiaariuaqurir.r TqtnruLrirdioftnmfinlu
onouofrr6urJru rlooafitfinr:qua{rleudnrbar$6a qonunurnrm (iaEJag 4?.0 uns z7.b snil
rirefu) uracnr:qun{rjrendgndrerzudonjderurflufiulraqj (6ogac 6s.zs) rprfifitrfinmqua{rl.lu
fiarqToeraduoqitu{uflrarlj ( eirrafiu =qo.e fl) rJ*naufiu{:JrerT:oranoor6oodsJait frcnrru
douummrt$1.$tasm fio.rfiryrfiooenirunafiorhfiorn:ruoirr1 lounr:quadroflilncaroitnru
{our rlouen drufrerdilrngaanrirftnru rhlftyrfi{qua{rJ,ufionuoitro eiaurnfiu *ii.u#r undernu*iir*ilue*lotejrfi odulu:cduhiftfu:vduqir
Copyright by Mahidol University
42
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
otrutufrocnnilr ufiruoaueiaudrvnmr:xcrioqitu:vduilrunarr nmaoolerrfluqooa uacrnrnclo- ctrQ-j.vd(vv
orufir6o*:uqooaoqjlu:vor"uair (ftaora qnn'i6a:xi 2b3b : b9-60) fiifirynrmulumfralfAvA q qe
^ ^- .-i^ - - -- - -.y-- a ,. e T yufiusl{lutiln'l?[lfiJTm? $i0q0udu0{or]ilqrmnrrtmatnfiatu?CI{{rJrutiururnnlouniu
qrlnm fra$frerurr4n:sg uasfl?t$J[fiu?firgvn.timfrnaqjoraoonar uavnr:ilfi:ifutu?to{ylululaY,stavriudauzufirpfi:lonuroiuorornnr:?itruualudlu rliu nr:qua{'rJrulunrrv?nqfiuavnrrvtnfi
.
qnu nn$auduo.lcl?1rJframr:frrufimruuncAsflqml{rJtlraurpr6 nrrcnr:inol[onuilulma
rhtfrfiqr.u.nnrfiurrjrfiqy{onr:trfrnrirrl6 frenrru{ouff.:fiu1unr:rhsrufil{irru.rru6u1
(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
d.rusneiNfiurgrAifiJtru ilaurvrrflu{qun{:Jrutrf;nr:qun{rJrurfimo*nvr - z nu
{rJrurfluqonaluer:ouoirfifionrr-rfilr{u6fiuTousn.r fiolsJu{rtq$anarluEnrruffamr:tar{:JruYg--t--4 ---.- - raua Yc r aQ vt u ra a[6aah$ airumrnJfrilfrsutdqrsfllnfflunr:qun{:Jru hifing:vrflmunytriarflufrori.rdu amtn
tuorauoirooutriolruriranafiatudrunr:qua{rJru uavorautfrrird.:lq uoiftilrgrfifras
:JftLrivrurvrsitl ftnr:aroanarn.nilil::rtr ffirrhirnlx,fiu{u dorriuufrnwoir.qrfinfu niu
m:todaufftu{:jru nr:tvlorumuNd'ruu'r.r d.rzuntfrrfioorrurerSuormyfronuurafiae.nar.iru*ruQ,Av!tl4ruaH tu:uoustl
rr:lafiuaqunr.:#r0sr
zuanr:iduvnrjr rgr6{qun&.1':uT:ovaae6oeaxorfrnr:frrfiu:.lariuar.pvn.l
ftqrrueioufrNfl{ (M=132.b,s.D. = 14.82) aoqo6o.rffirnr:6rn*rmt6'qaiur :Jv1rudu effiq fr6nurtu{qunr6nrjrul:orruyr6ufiorr6aonrtfiuuildu6rur{Trdunra (M=132.49, S.D.= 18.44) ttN_^-;^fiorqufro{tJrqrndmea*,lo:ginroSorhato.r{qua{rjru rflufinur*yo?0uo5? olxfixfiudrol
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
43
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-$8) du{t4rijrflurirsfiini'ennnr:6runr:
6ooiadnffuffi:.ntreronoirqfirluo:Fuorirr6cd.:oru1dd rfiodoffinnirfitunr:qrn{rJrenlu
dnrsrilcto6odremrsd.:ollu6rvq:rauni?ri.:orfroqj rnyrh}irfiocnrSdrrlrorura$qrxeir fionr:sar.ffi.r m:arnaia.niufia ldfr.rotrunf;nranrfiulq unconrsrdrunn6ad.:fir.runsfiufi.r1uo:ouo5,l
rorSorgrfiunv#serufiret 6ldtnratfinri*rftarh.rfinr:ilfuxafiuaquvn.:fiiorru eioufr.:qo
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
fiurinoa6ul lfr 6.:d,rzun1v1rfi oonulruflouniru
u:wtiuaqumrlf;terxarrn:rnhorumlurdoenmirudruormauiou#rmr.lor:mi lou
oGurermrrruJahTr'tdiouns 10 oahdniudrdryvn{dfi# p<.or frsiL.nrdroulrlnrglfi{qufi
{rJruT:oraaoor6ooae.ro.rlvlnr:qua{rl':udrrflu:poaluenaunir unsroia?hufltfiioru6o er:au
oi:mtrytfi{qrrn{rJru d{riurg1fi{qun{rhu*ldhro'nruriasrudatunr:qua{rJru loufierurirau ,A -a \iitu", - .,O a c,a . o -. a a 6
zufienJfimqm (Saerac og.zb) ldfurirarlq fioruffin'irqooalun:auqriraulq rarlotd rflufi
r.6nr*r fftn?nqoqurlryrnroirq+inrdularri',sflufiurar unsrfttoluflrpraroh.:frfiod*rln
nr:qrn{rherldd 6rrfludofi*anoenuroiuofifioornnr:qun{rJ'lua.rld frrdu:cariuaquv,r.:
fter*rrfludrqoduuann:rvnoniltqfiuo rirtfiiooafirird.rlo fiar:a.rn[fifnrer.r ri'lulfir{crera
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
Qcaoa.t (Schaefer, et al. 1981 : 3$6) o'ne.rlrafiouutitaerPruemruejaufrrvnsar:arrrlaoa.rld
nro fienrr.rf;rndufffir"r''urrfiro*i'',ufiruonracioufirynmratni unvnr:aoenrruuflu
qooaorh$riudrdrgvnsafifi (r=.26, p<.05 uflv r=.30, p<.01 snsJrireiu) qrnnrtdquilNlfrCopyright by Mahidol University
44
mefuflu frrrtrJ:vju nu'hrnornrfidrrurTrhrdrqvftrffsJrilfroufir.irudruflluaioufrrynrar:runl uav
nr:aoenrruufluqeron6.ln'jrrnomu riio'lffiron#rfiufie.rTounr:r:JisurfiuueirradEJra.$osuuui,'-c,
omiltfifraelulirclfitaotdru (ttesr) nu'jr unourfldenra.rlrafloennr.irudruoruruoiaufirmtome.rnl
[lnvn1:aoo?ra.rrflu:.1oroaryn'jrrvlqsru oaiNfrriudrdrgvn{dfiA (r=-2.3b, dt--78 fr p<.0b u6tv-!
t=-4.06, df=39 fr p<.001) naoofro.lfiunrfinmto{tuJdurw (Maslach 1986 : s8) llu'irrnqfAa Tz j
^ i I vrafitfirrurlrfuifiqvfiocnrsJnnntmil.rluo1u€n1rJa'aufrlvntor:alrrfldl.nn mvqrnnr:6n:er?o{
inrdurud (williams t9B9 : t6g) finurnlx#oennira'lurnoraflr ucrvryleffiudfiarfiyrdru
u€nr: g arfrn nu'hnrorar$docupdaumirs,rrsrunleuiaufirnramrunl6.rn'jrrvreffru rdfin
fiicrruatro:i#trufrcrtxr#oennhEleirum:nooturfluqeroaryrrjrrinfi.lom.lro:rnivrr!.1
rnoirrufiuu:{dtiudquvn.rfuor fioerruarxrrnlunr*iruruolrunafiouur,irufrruer?'lrJ
daufrrvrrmr:$rni Toerofiuruoarrur:J::J:rul6rdrufrurfluiounv 1b.B oelNfiriudrdrgvn{dfrfrii
p<.01 fistlorqtfrots$amtr^rctil6trfluunofifior:xrfidoutrar otmjoufirynmr:rual6.rrflu
o'::rm6sattnoutflt iinulfunnrrilrilo{ru tuanrunr:niqi',o1frinrrdn:grtu:J:crilo1flu$avsirr
:Jrvtvrot rf,iofrqoonluo:oucrirr6u:hu unirfilunrrqrun{rJrudruluqjovrflurasrnornr$r
nwvcnou{l'jrrvloraf.:avtfrnrrqual6'6n'jrr}r€tn'lu dro.',n,*orr$rfieniruavrduofitiru uartq
ld flaoooufiotrueiauTaumnn'jlwomer rvrorarfir6dorfrrfioroulunr:qun{rjru drruabifr;N AQ
nr:vtruufratfluornnr:qtnamfinlu o:aunirunvnuriru nr:ffift.nfru6fir:ftffiiaoa{ frar
TllJtnt?altfinum5qmryil?u ruo{tlnrylj?ut:ofiaoomaodrJ0{ilfnfn:e{m:qu6tilln o{nofl?'t8J
ffinfiaurfr myrfi q€nrerr#aerylirel6ruo'nmioufrrvnmr:ualtfr,ha
w,{fl drmmrirureln'rrilrufraEmdradrunr:aqnrrr.uiluqeroatd Toruafiuruo'lrrunJ:
:J:au16'6aunv g.2, ocjrtfiriudrdrgvnsfififi p<.or fi.rilo,.droul.lnuvmymr.rfiio:r ?ro{n^rot
rafrturJ:vrvrotvruturlonrhr rirftoqjtu:vuvfifrnr:rJfunlfruulilqrnrfu firitauoH'irrnourflrov
douflu{quatrunru'[uiru,^r,6ooqomfin1uo:ouoi'l tuor'*#r*tmuavrflu{riruuuonfiru
"l:ron[#ooo:ailoix (Friedman 1981 : szs) n6irrdorvrorarflmvfiwrurvrlufi.rouuln{u frooir
nuuon:iruunyrnrneilfr oudfiunr:quafnruuavr6enqarurfinluq:auoir rfroqnonlucr:auqir
l6u:Jru rnornr!.:ovfrrnrirfitunr:qua{rJrudru 6.lfiauJfrruvrurilfla{snanflfiruillvdrl Toufiar
oqifi:r:huktd:Jrvlrouo1firl (5ouav sot rfiatfrnrrqua{rhuaehtrdruii rnSodowir.rruorrudtr.lfir.r
nr:qua{rJrudru ffin'jrorurowirJ:v}Hrisiofi,:ormoal do#rlll{6uxrnfu il:vnolfiuvlo
urfislfurnofi'troioolxfr6nno.:qonradu unvnr:qua{rJruT:ovtaootfiooaruotfra.rn:nirfiqn::x
mrquaunruasiN urse'g.r hinr$n:ne,auauo.:enrufromr:tor{:Jrulfifir,urar tfifucireirfifiqrnCopyright by Mahidol University
45
{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 $nseJo?lilrfiuou}nlluo1uo?]r.16l'l[Tafl?uLloqauau,AA
mlqnflaililalEJrJln
ale$?rJliurv{et fier:rmrm:n1um:rhuluenluufioennirudrunr:aoenrufluqeroaT a \lv,!, & 6 , I au . e I v
' I
[ou aGuranrr.unhl??ul6rmilfudhfauav 13.2 aeirdniudrdcgnr{dfififi p<.m rftfrorerfia.r
NmlnndrJdrodr.rfrorqraduaqjtu{uflraq,j tqo.dl fior1finr:qua{rJruT:oraaao60odiloWimo
" 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
46
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
doluRlilde.Fd hifioerarden{uffiuornrnafiouur.horfio g ftu nadhiarm:nrhuru
oarrutufioenniruv% s drul6aeir.rfiriudrdryvn.:4fifi 6>.os) aaoo6o.rfiunr:drn*rrn.ruraourd
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
d': ulu6o ms eir:Jinurornonouerh druqeroafi ri.rrflulaolinqytdiuolruinonrurfirlq oteJ
drelnada unsnhtonnfiulqornre6aryrfi rdu v(arni firioo uayfinr:ardon]duudrunnfiofiuqua
{: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
aeirsfirufi (Thoits 1.982 : 14b-1$9) 6{n1unr}rdsJ:ab.iarrur:nrirurum:rfiocrlrunnfiourar.ir#r
g 6'ru1fr
:vsvtrartunr:qua{rhu Jtriftonrruft.rfiuffiuolxnafiaelarirurfu s eirrurnv'teidlerr:n
riruruoersJtufroeJmirufi{ g frrulfi orir.rfiriudrdryvrrsfifi (p> 0b) uqneir.rqrnnr:dnprsor
fiupirnru (Lindgrren 1990 :479) tu{qua{rhaTt"r{rft nu.jrxuvnarlunr:qua{rJrufrenrru
fii.n''Tufirrmu fiuo':tlufiouwirtrfirunumioufrrmr.ror:unl fioil,r,fironrqrndnsrwn n.:
fiioru {sruo?r#unnsiNftr 1usiNil:smonr:trfrnr:qua{rJruT:ori{05.:ft1ru#,u oytdir..renrel
druna6o unvuinr:qrnr6'rrarirfiqtnrvreiou{r.:siorfiosrayaehnruo rirtfr{qun{rJruldffrLfforya
unvcnrndrurvr6oluni:qun{rJruathrfi:cninnvsiarfia.: ftriu{fitrfrnr:qua{rJruflu:vuvnarCopyright by Mahidol University
47
lnu f,lilmrnJifudrtunr:qua{rhutdddu enruoi uoqrnnr:qun{r.lruanair
dlrfi.nJ:srnolyru lru?nr:rynrn1unr:6osnl tfinr:qua{rhuua;rgrfiaahleia
tfitodth*i'ueiauffr{riotr Ei*rorr,mriitl'ruur?u1u m:ldiunr:fiorsiaornrftrarirffiua.r qcntu
tdornin:mitun'tt*..rdt6osnrw?imnosuruoontluusias#.: u#irqoo#tfinr:qun{rJ,lu
tflu:cast?flruru qvfim::jiJdrlunr:quarffrJruu,finiu m:ur?rgffi.renreitrirniuouta.:I:o uav
ar:rrnifinJ6amu:Jastas{rlroruur,.u,riu. ovnrvduffiua{rJratfioonue,suofrsiarfiafld
druqnerafitfinr:qua{rJrerrflu:vov,ru',&u da.rrnr?ryffilrvrurvrlrarlii'ldfir fior:r*re6erolum:
rlfirdr fraslfinartunr:riuufnr:rJfiri6nr:qua{rJru dNdu6.rilu'ir:suvr?artunr:qunftJrdtei
drm:nrhurenr:rfi ootru#aunr.irenfu g druld
fra,irfiolunrfi{u
t. hnra.n:nernrq*ronfuras{orou fiqsqauuuuaaunrrulilluvnsfifio'irdraiarflutt
qnumrJ€t'torai.ma$serru tfia{qrfiwudaunrrioo'nuufiaunirufirtrurutoeiroupr"rumeiou
{nll.nn
2. Nrudoumru{ororrutmfiot'nnrirmorulaunrniurd.:nr:iorfiu s gfiu lriarm:rnir
ocuuufildu:urfiuuanj:stfiilrflutvduorrurufi o annirerTou:rilld fiofir*t'raiirfi ar:on:udu
enunryfioanniraluueiacrruqnrnsfiuonr$rnrfiaennircmo.rusJdunt (Maslach & Jackson t9B6 :
e uao.flurnormrF*f, rnrh st tirirruol{#u rru'jrn{rudroe.hrdrulrar$fncaiunlrJrufiouniruii
{oldldarm:n{oqnlnildeftnrirdsi rhldtriarur:nfiqrrilr:cduotilnnfiou'nireiloer-rl16
Copyright by Mahidol University
*risau I
fl lur.tam:?a uMtc.uo Kua $us
aTlzuanr:id'rr
^^--ap-.-?-& c'. - ae a. ,A- e, v A | ,n.l??Qgj9|:.il tlJum??aqlfitn:uu t110flnB1?voufnriltnq0uutilemN6'n,|o?tildau?-..- -d 4 o 6 r 4ilm.: amilnl mmon?'ltJfluqoon mcfl?'rrdtr5od:urlona mcfinurrnlrJffefiTaflo.nlq{udo. q ;-- -.'-.Y, ^ v av ar T a T 4 q
d:: tunmmuluo'lllltl4ilaHlnflem{ 3 olu?Ja.rEut6ryquar,pJrEJl:nuaao6aqdilOit loefim*r Lu
Ae trr T ._-a^^-- _ A--- -c' I v ; ^ - i oo arnm{qua$lrul:nuaoo6aodtn{ frwrt{r-l'rumirnr:qnrorfia6qsnr*,lanr:ffn*rfin6fin{:.lruT
uanale1:mtil L:snuuaflilGufi :n+jtr6oufiurnenrfi.t6aufimrnil 2b36 siru?u g0€-lu
r6annrjlffrath.ru.tutanrctarca{qnilqrrdilffidsti6a rfluqnc,afioqjtuenouorirrdurfil{:Jru ft---v-dv- e- -- 9 er f rawa a 6ls r ^ ,'. qmitfriufroxoutum:qm{d?u toedfrrifurialfinr:druruda{:jrulum:rhfro{ffiJ:vzir{u nr:
r.lfirifionHunrunr:Swr nrtflaqir.un'rcrvnnfiau mumr:J:cftd:cn0.fln$dluAoh uav0udtfi
orr#rrrfiotunr:idu
av ZX rouqe' qnr:T{rJni.:fl ffi{afl{urruaoun1il1unnrfiu{arya:J:vnoil6tu e *ru 6a
r. urru:hrfin{a{am.:{il?u
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
orsJlflwl€roa emadrrSndnrqoerawirfiu .90, .91, .Tg qril6irdu
' 4. $1fldouo1sJurari.:rJ:vfumidnr:looanoud z rJ:vrfiunr:iufrn{dliudquyn{d.toil
air.:Touuuruoi uadlrrfiirr (Brandt & Weinerr 1981) qleJru?6qm.r'had (Weis.s 1974] rriln
losArnr uoSonvqa (z*sz, eirmrlrfiw,uaqre6a$aTomnreirfirnJ:vf,vrdddrm.rcnBuufllu
m:iduo*sii tvrrft: .n
zuam:i6'uruu'ir
r . rp6{qrh{rherT:enaaoo6aoaila{ ft qnrulffio snnir alefiwnrileiowrrsrm{orilni
oqjtu:vduhififi$sdueir drunr:aoemnfiuqcrnaa{tu:vdulrififi.r:seiuch druenrrudrt?odru
AwqnflaaHM:3nuq.l Copyright by Mahidol University
49
e. u:.:afiunquvrrtd{fliluas$,{o arm:crirrufiurilt',o"arurndrurnr,irufriuorruaiau
ftn.ronrunftdosiNfifiutirdryrn.rafifi b<.01 ) Touaumnafiuruolunj::J:ru'tdiaunc 16.8
3. tt'trl[nuat sl aur:rrire.rfiulhur uqtsJrufio uudr udrunr:aootu rfl uqooalfi
arjNfiriudrdryilNdfifi b<.01) Touarm:naGrruorrrsJuilnl:ru'lfriou av rs.T
4. alq arrur:rniruruonrutfifiaumiru,rfruourudrrFodrurloeraldaeh$riudrdryvnr
afifi (p<.os) Tosanm:na6uruorip.unj::l:eul6iauav b.B3
t' 6l "Y '9s, I dfl a tfluorruv tilnlT1tl tlj tslJTU tsiil
qrnzunm:?6uilu'jr ryrfi tilqua{:.huT:ouaa o Faqailarfi orurnnfi a enadr udruentel
eiaufirvnmr:ara[ nr:aoorrrutfluqoera uacay]rrJdrrsodruqooafio'durdr,,6o'rfir4oo#r d- A a 9t av 9e I a , q I d
:-J:vnauotfui6u1 fr.:ufi'jrryrfi{gua{:Jruhoraooofiaoam.reirulrnqj qyfi:cduolxrufios
uurudruomrueiaufrrmrsaneml Inunnaqn?lrurfluqooaaqjtu:vduhiftfis:v6:rsir druomn.- 6 r ,61 - Z , U 6 -; av vr f '
eirtSodruqooaaqjlu:vduqtriu oejr.:l:fisnsJftfrryr6{qun{rJrul:ouaao16ooaerar frfrnvor'u
erarunfiaurailreLdruenrilaiaudrurmr:runi uavnr:aoorrurflu:;oon1urydlrJunat mnyefu
6.::uSouav 38.75 $nv zs qnsJairdu unu{u'hrJq{uded:rur.tdn 6o orq nlfl myu:{dfiudqu
vn.rfitorar ffirurmriruruorrllrufioruvnirutrurshydrulfi tarm:nafiuruolruunj::J:ruld{auov
6.s, s.2 unu 10 qnrJtirdu tudrufina6aofi'mal6dru*:u*6ufi1*lddm*rtunirdru*roftil,-.,r--Y E ^', tt f a 6 ' i \yvw q
ttqou'l.3 trnqTJrFqt$quardlj?ulrouaoonoodtJo{ li]unqeJ:{€toavlo?: to5ilfnleJdu[a [L6|u€t?'u.l
drunadoariunr4uoeixrumvaa.r rd,oflorfiuua:naruurvn*urihqlsrrufiaurar;rudne'du1fi {a'i'u
6rffiorauauuyqrn,.rnnr:i6'u d{il
V tAv^q1unnilflilqnmilulua
vAq-ia,;rAoX-ae?'|ilu1ao?Tql;cuunn.ilQquflililnn:yyrusn{1 mvo?13Jt14u0u141,t]uyrnqjlunuruqryq
vn ; qu et t ' ; Ac, aa Q r o -Xua8dil?uruo{alnn'15 [un]:qltnrdil']uau'1.:e]0ru0{?rulu vrulu]tra{rJUmjlm lunl:l'?uruno o{u
t. tu:vumr?ylu1ua or:finrnJ:yffiurerSorhuyn{fi{osl unaritariuar4uvrrtfitera.r
, Yq, I a a ^v v\ | a , A ;TtroeJfl{ [149t?lrJfl?UrilAoOTo1JOT? UAVrFqrdqU6rrdll?U0U1{3JX3i.J:.][AU$O|Uo.3 [V{6]nOO?13J
j , r Qg A pr V4s , , T 6sl
rufiauvnira rnvdrulfiqooafiqrun{rJrutfflfiurncinJ:vLusuLun:auoirodxrfie.rdnunril
2. :J:yrfiuorsrfra{nlrflTdrsrufi oro$grfi {qrn{rhutflu:cuv urnvtrinr:rirut?lfr 4
arhrrvmvfix :uffiinr:1fr{oq1n unvorrritdulfiunnvmGfl$avnr:qrn{d?u rfiofloffiii ' ; ^XFff rJrl4UO UfiUl UilolaA vnoluCopyright by Mahidol University
50
ilenuan'trtlimrmnrloturyrfi{qun{:Jr#frrlq*,'n t1*d,*:r"l.orarurirdfinrrs
d u.fi o v rfi oenrru rufi a ennrir Ertuudovdruldir u
2tAo'lunlTfnl9lyrt u]u'la
nrr{onr:6nurnanutafunm.nndrrirg tunr:a.rfiuSrulfirindnurnnnnaficrarruf uavv A o w zr. I o
qnnninfi.tflrudrdrpasnr:qun{:Jru loer{orndn6q:ravriraurirnfin:ounqxfilo:ouoir4uGrludruilamnausomnrut6rnJreJdao:ouoir mnJ:yrfruolrrnruial rn:flqnnrta.:enoua#du
nr:qun{rha nntfreiruunirr6wntd?url46aenouohlunr:qun{rJru rqriu}ifindnurtfrfinla.rf
turia.renuroiso lr6ryo?rtJ*fiuennti''uidrfioduqrnnr:qua{rJeu nr:duvnflryra'ru6rynr:urru?
msrfrtr
v - 6l .av 3,t1,a0 r6tuo t$.|v [un,|rill?a u6n{qo til
r. 6n:*ru.Jianrrfienronrrunnfioennirmawgr6{qun{r.huT:onaoo6oodsro.r ffirryrfi{e. t 3 -Aquardu?uFor:o:{toucl
e. 6nurflq{u6u1fi arafr 6vrfinnqionrtrfioorreltndouildrma.:rgr6{quaftJrerniu
-r- -- 4- - 9r " t)qa tt i a v v. v o Q
:voum:?r.:1^nfl0{ry1Jxu alu?uryil Mm:qunrylflu qndn l1il?n{ryqua$hu dN$uDmtit lucnou
oirg. fin:trf, q{udsra:rfir4lur ot.'rur#m*i',araqr6{qura{rhuT:oraaoor6aoaruar
I qrr v ulou!firunrio[:.tdliudquytr.ldlolqaqnoadu rduuui{osaua{run(Norbeck Social Suppon
Questionnaire) (Norbeok, Lindsey & Carrieri t9$) rfior:Jiuutfimzuanr:dnrrfiunr:i{uer{sI
d1.1
+ fim*rusenrrfienr namsi6nr:aeroeurufiaanndruflo.rrpfi{qun{rJruT:errnaoo
rfiooanorlugrluxJqh{l niu nr:t{nejildrurnfiasuras nr:lfreir#rn*r
s. firn*ri6nrrulfirpoflr.rroiuoralcgrfi {qun{rJrulunr:qua{rJau^ a ?q ^a r,r 1 Z -A A a - a\,|g av "-X6. dnulc!"r tutFqryqmrdlj?u t:nFa:{au1r1^r0uuuuzuail toQlnm:?ouo5.rfl.l
Copyright by Mahidol University
uT:rulqn:il
Copyright by Mahidol University
52
ufiDl1Unfl.,|
fiiaora qvrntio::ei.ertmfir.ru6$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$a1fiorfio 6tlilflenulaorao{ rinrfisl
?vrurdu r,nnrivrendueJfi on, 2b33.
uraau.:ei oitrruiqni. r:qt#fiaflfunsiamrilrufiornnirutunrflhinusa{v{urua. ivrtnfiflud
rlirgrgrivrurorasnr.naritufio (arnr:orfloras#) dltlvluluaflfl:nrq? rinrfiqr
?vrurdu ruvninurdurfie'ra. 2534.
Copyright by Mahidol University
53
florm qrmurn:. nr:6nprcrtrufie.nfiu6:nn'hoqfim*r nr:rarfirpflrgrnfiuota.reYr.rlotunrgua
{rhuT:ovraooFaomorflon:iunouyrfi. ?vrurfinufrJ?rgryrivrmorasnsJilrlirrfisr
drslyrmuamaqS :iilfisnylurfiu *nnfryrmdetrfrora, zogt.
fir,{uf nr.:r?uvd uac oqnai iianqa. " nrnhriffirgdroriloao6aqarJatflonriu." tu
orFomq{fr?ifl ^, nh tzg-tqo. aqaei iSuntqa, u::nnfnrr. fgryrnNf1}ror :
riouufrenr:fiwvi, zsn.
irnr o61r'rT:qri. rndnnr:i{urdodru. n?{ryilsJ14'nro? : finrflfirueidrfia, zsn.
qruoti fu?snm. anrnurofiollunrrirsuuxafiuaqurrfiroru r*r"r',ur"flben&iru1o.:
ilururmJ:sdrnr:tuuoafiura{rhuainr:rninT:snsruramdg. ivrurfurufil?rurgr
?ilurorcsnsJur:irufiq arrniqriflu'lfirosJ rirxfisriilurfiu qdrnrn:n*nnriyrarda,
2534.
rnrCIi fiiuvqa. rvrofionrriror:r#Funrmoaou mirut. rq{ryr?u.r14r.rnr : uirln{rfinrlnr:firud,
2529.
mfifi ntelnrfis. iqanru , r1fll?rorotsJdrr+aduwrfiu. n?lryrneruluoi , TNfialdqpni
aronirr, zsgt.
f,rn*nn 6uvr{ndu. " najruornr:nnfiaurar.irulu?mfinnurrrarmv?frufirlrprardrufrrflerqnqoqa .'
?nm??lilila. +1qaroru-frr.mosJ 2528) : 415-426.
fiqor{aei fi.nirir{. cnrruft.nfru6:nn'irronrruarur:ntunr:quaqun{ nmdrilldquvrrfiior uflg
qnmrnfr?ortor{rJrudrunrqfl€Gn. ?vrarfiiru6rJtrprgr?vraroraqfl.&rtfis*fiq fir?rl
nururaoraq6 rirxfiq?vrur#u ruurinurfiae$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
54
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. ' $tres, Sosial Support, and the Buffering Hypothesis .,
Psvchological Bulletin. 98(Febuary 1985) : 310-3b2.
Dolann, N. ' The Relationship betlveen Bumoui and Job Satisfastion in Nurses."
Joumal of Advarrced Nqrsing. 12(March 79WI :3-12.
Duxbury, M .L., et al. " Head Nurses Leadership Style with Staff Nurse Bumout and Job
Satisfastion in Neonatql Intensive Care Unit.' Nursing Research. 33(March
/April 1984) :97-101.
Ebrahim, S. and Nouri, F. ' Caring for Stroke Patients at home ." Intemal Rehabilitation
Medicine VIII. (April 1983 : 171-173).
Ekberg. J. Y., Griffith, N. & FAxall, M. J. " Spouse Bumout Syndrome." .loumal oJ
Advaned Nursino. ll(March 1986) : 101-16b.
Evans, R. L., Pomery, S., Hanmond, M. C. and Halan, E. M. " Family Resource
Questionnaire : Reliability and Validity of a Sosial Support Measure for Family
of Suoke Patients.' Pwaholqrical Report. 1985 :56:411474.Copyright by Mahidol University
55
Feibel, J. H. & Spinger, C. J. " Depression and Failure to Resume Social Activities
after Stroke .' Ar$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
Support and Self-Care Prastice.s ." Nursina Research. 33 (September-Osbober
1984): 266-n0.
Keane, A., Duoette, J. and Adler, D.c. " sEess in Icu and Non-ICU Nurses .. Nursino
Researoh. 34(July-Auglusr 198b) : 291,-236.
Lar@co, J. M., House, J. s., and French, J. R. " social support, occupational strees
and Health ." Joumal of Health and Social Behavior. 2l(September 1gB0) :
202-278.
Lazarus, R. s. and Folkmen, s. stress Appraisal and coping. New york : Springer
Publishing Company, 1,984.
tindgnen, c. L. " Bumout and social supporr in Family caregivers., westem
Joumal Nursing Resegch. 12(4)1990 :469487.
Maslach, c. Rumout - The cost of carino. 2nd ed, New Jersy : prentic-Hall, 1986.
and Jackson, S. E. 'l The Measurement of Experience Bumout." Joumal of
Occupational Behavior. 2(1981) : 99-113.(a).
and Jacl<son, s. E. a Bumout in organizational settings .' Anplied social
Psvcholog.v Annuals. U.S.A. : Sage Fublicatior--, Inc., 1gg4 : 133-13b.
. and Jackson, s. E. Maslach Bumout Inventory. New york : consulting
Psychologdcal Fress, 1986.
-
and Pines, A. 1 Burnout : The Loss of Human Caring ." In A. Pines and
C. Maslach (Eds.), Experience Social Psvchologry. New york : Random
House, 1979 .
Mccamie, E. w., Lambert, v. .A, and Lamben, c. E. JR. " work stress, Hardiness, and
Bumout among Horyrtal Staff Nurses. ' Nursing Research.
3(November/December 1987) : g74-g7g.
I
Copyright by Mahidol University
56
McConnell, E. A.
and Cos-*. St.Louis : The C.V. Mosby Company, 1982.
MsCormic, G. P. and Wilhams, M. " Stroke : The Double Crisis ." American Joumal of
Nursrng. Do0((Augrusr lg7g) : 14t}-t4llMuldary, T. W.
Califomia Capisrrano pres, 1g93.
Myoo, F. . London : Harper & Rorar
Ltd.,1983.
oddy, M., Humphey, M. & uttley, D. " srrerxs upon The Relatives of Head-Injured
Patients." Frirish Jourqal Of psvchiarry. 133 (April lgg7) : b07.
Penson, J. " Helping Relative cope with cancer .' Nursing Times. IJCO( (April
1984: 24-26.)
Pierce, t. L. & Salter, J. P. ' Stroke Support Group : A Reality .' Rehabilitation.Nur"no.
l3(July-Augrusr 19BB) : 189-190.
Pine.s, A. and Aronson, E. Bumqut : From,tedium to personal growth New york : Free
Press, 1981.
Randolph, G. L., Price, J. L. and collins, J. R. " The Effects of Bumout prevention
Training on Bumout Symptoms in Nursas .' The Joumal of Continuino
Eduoation in Nursing. t7(March- April 19gb) : 43-4g.
Robinson, R. G., et al. ' Sosial Functioning Assessment in Stroke Patients.' Archives
of Physical Medicine a{,d Rehabilitation. 66(Augusr 19gb) : 4gb.
Robinson, R. G. & Price, T. R. ' Posu Stroke Depressive Disorder : A Follow-up Study of
103 Patients ." Srroke. l3(September-October 1982) : 63b.
Schaefer, C.,' Coyne, J. C. & Lazarus, R. S. 'Ttre Health Related Funstions of Sosial
support'. Joumal of Behavior"l M"dioin". 4(1981) : 391-401.
scott, J, P.,Roberto, K. A., & Hutton, J. T. , Families of Alzheimer,s victims :Family
Support to The Victims ." Joumal of American Geriatric Society, 1g86 : 348-
354.
sorton, D. L. & Munro, B. H. 'Impact of Husband's chronic Illness (copD) on the
Spouse's Life ." Researqh in Nursino and Health. 8(1g8b) : g3-90.
Skelton, M. & Dominian, J. " Psychological Strm in Wive of Patients with Myocardial
Infraction .' Eritish Medical Joumal. 2 (April 1923) : 101-103.Copyright by Mahidol University
57
snoker, R. ' Impact of Disabijity on Families of stroke clients." Joumal of
Neurosurcrical Nursing, 1b(December 1gB3) : 360-36b.
stubbs, D. c. and Rook, c. A. " The stress, social supporr, and Bumout of critical
Care Nurses : The Results of Research." Fleart & Lunq. 14(January 1g8S) : 3t-39.
Thomas, J. " supervisors Get Bumed-out, too ." Nursing Management.l3(May 7gB2) :
47-49.
Tilden, V' P' " Issues of Conceptualization and Meazurement of Sooial Support in The
Construstion of Nursing Theory ." Research in Nursino and Health. 8(1ggb) :
199-206.
and Weinert, C. " Social Support and The Chronically Ill Individual .,
Nursinq Clinic of North America. 22(September 1gB7) : 613-620.
. Springfield : M.A.G and C. Merrian
Co., 1966.
Weinerl, C. and Tilden, V. P. " Measures of Social Support Assessment of Validity.,
Nursinq Research. 39(July-Augusr 19g0) : Zt"t-276.
Williams, C. A. " Empathy and Bumout in Male and Female Helping Professionals ."
Research in Nursing & Health. 12(1989) : 169-178.
Wolf, G. A. 'Nursing Tum Over Some Causes and Solutoion.' Nursinq Outlook. 12
(November 1981) : 14-16.
Yee, B. H. 'The Dynamies and Management of Bumout ." Nursing Manaqement.
12 (November t9b1) :74-16.
Copyright by Mahidol University
FII
Copyright by Mahidol University
59
,noan$n n.
Au8
q$B
n fro nnrua"nrir#mdu
tI ' WZz
62
{fsn dliltltlri ?ffit :?e)
p fiotnnr$frtrlMmnr. Dr fiuru$hutramrunnhumvt
= 300 = 005
6,000
q 6o r-p
= 1{.05 =0.95
finnnsducnrdnftd'rftU ( a t ii,os
cifinqn (l) = 1.96
J
s${il
d fia rirmtrnnrrusds, dT,n#rld:* s %
n = (0.06x0.95)(1.96P
(0.05)2
,= 72.99 mf
Copyright by Mahidol University
60
fifitfilfl t.
nnnnd e t#sr i&r Mftn&ffirrn#u
cnr$nilarnairu&u
r?tfI
sS{
{n er 51
na
het6)crnruiadnnr M-
3aruot SD.
rnan*nesfo M.
{ff6 SD.
7.Tt
lesz
1.06
&20
lArrtr3,S r
gstr
6.gr
-ms.
-{ffi"
'p<.05 " p<.001
Copyright by Mahidol University
6L
R',rozuu?n o.
nloemilu'lu]nffde#
Frnp rry,ryr u rrlas6T:$\ urura:i m6u6
rdro rrr.',xirrufiotunr:qouiruilaaunrsl
riuu r$6{qua{rJral:ornaoo60omo.r
{nnr6'r urmrr{uvr{rfirg rniuiu rindrn*rnururm.l€rgrgdvr nrerimyraruraorasH
oilsuilyrufl1aq{T:$^rulura:rrnfurd fiolilau1qfievdn:erflq,i'udoa::ft4rurorrlu*dro
udrummyr6{qrm{rJruT:ouaoot6ooaras rfiofiuuurynrlunrmNuzuuflarfiu uayufftqerme.r
^-i_ ,--4. X e' Yq, , a av vt 6l
tufloeJuutElfirfierfiu vl5om4r lrfrnr:rirurufiargrfi{qrun{:Jru "lunr:rzuSrgfiuflrgrarldorhsnamv
dsJ 6floitaorrilirilfroqrffihu tunr:qauullrdoun'rerfroryadruqooa uilu{oolilr#oEl
rnr.iru uuu5ouxafiiaquvntfiroa.r fulfinnrrhvrJril 30 urfi nrrqouLrurdoiln'rsJiiorhifrqn
uiofio virufifin#o#ra$ora5offiraolunr:qouuuuaamrxlfi fuqlhifrr{asionrfrninr:
uqirhynr:h uavrirqailmwiruqcfi offiuqrlrufiuiq, , a
?louflilyt t14 €t?] tJ:?8JtJo
(ur.:arr{unirfi rU udndul
Copyright by Mahidol University
I
UI.E@,EIIfl
@ctutr.u-rhlurrrmr urt n fil rrrrr
rffi{,rfn&*niir*nii a fi$Sdnepm
*r+t r rnlrrlnswrthn*llr*trti*@
r.
a.@,Smr
\..'l
Copyright by Mahidol University
63
1. a'tu fl
2. $rfl
g.rssrsliiffi
e. {r}ru$cnurfiarffi,ndnr
Copyright by Mahidol University
64
froryadrurloern
9-rir{uqo'Trj:orfiauroda*xle, I nrlu ( ) unvrfix{oolrua.:1uda.r.jr.rtcn.rfiudnr*rwray{rc
( )ur8{
odO r,teh l uun
( ) rnirhu
O rr"rmu
( ) ntm:ni:il (rhur riralurhli)
( ) 3,001 - 6,000 ulvl
( ) 9,001 - 12,000 urvr
( ) lb,ooo urndubt
( ) rhsnufirm
( ) finurdn:g,r a-o
( ) 6.:n'ir:JiryrgrorS
z. vhurii urfra.:fu {rJr ulu5rucrflu
a.qun{rJrutflu:sucr?armu - fl-rdau
mwhufl rxem u rfl uoi.:h.rfl o ghl
1. o1u fl
2. $r€l
3. 6lolilml,tdeJTd
a. orfur
s. neidrqfiusio6au
6. rvffirnr:drn*r
o mEJ
O Tao
( ) vruirsl
( ) bjlft4r.:ru
O frr6'r't
( ) 5:.nr,rnr:
( ) 6u1 tril:o:n1
o0-3,ooouvl( ) 6,001 - 9,000 u17l
( ) 12,001 - 15,000 ulYl
t ll*ildriennnhfra
( ) fioailfinur t-s
( ) or4:JSrgU raia:J:ynrofienisn
( ) rjirutUisri
g. ?hu5ufio{ouqun{rJru O q1ranurdur,.C ) a v rA
.( ) ilnufl?utl4ao9{aotuauu
Copyright by Mahidol University
65
ro.rirr{rfrrnErnr}ihutlialhf,n.r (nmfifirnnnJr r h}( ) qwhotuovamiurru( ) dr*ntnftr tfa osnrhdffnu
( ) fleuorvrn rfio lhmtrnqrunrt I du1 l}rnrnf
t I njdurdofir
( ) dr${oen rJauen
( ) qunnnftnha
Copyright by Mahidol University
vaHju?O0',t1utruoUulllU
9 | ' a ' 'a a , ia,eirfiuq.t : ulruf,ourwd,lufr s fr frfi$nrro z {a rfianrilo?lilifrnuncraqnfirawiru fffrsia
mrq un {th erLouao o 60 odslol
' TrJ:orfiEruroia{ilsrluqn U) a.rturiasiiqn :ftiiiyiruil:cmornnrfio olxfdmarvhue.nnria uenrJo?lril4rJruft siahjii
U, ua ZuJrfiu?6tnr?tltuu
flac z-g er5.lvAu
roauny 1 0:.i
rdouos 2-3 ng"r
firJorrinc r #.1
A t Y, a va ' Zuilun{ nlu uJt9tutJo?l8qdntluuunuatavt'99'ilenufi{ viruficnrffinrduriuflas z-g o5.tArarAZoZ
14r.t1U0.r TrlUrJn?lN?6tnttUUUrOOUnV 1 O:itAragt'vtumufi{ virufinlxffinniuriurdauau z-3 o5,t
4 | A vA , "u u, g Yl4ri'luo{ yr]ll8Jol]8J?flntfl.tuuduo1l4ay 1 6|:.:
firJorriac e-g o*.: urJlufl{ viruficnr$finniuriudrJorrfns z-3 #{vln1ifr ueilufi{ virufiorrxf;dnniuriu4nl{u
Copyright by Mahidol University
67
ttAvtoo?13ltnu?nilFl
2,4 |?1eJe6{nfla{nlu
VrvA$Jroug6{fl
rdr.niu
ilac
2-3v
o6.l
atorouaS
1
v9R.l
AtQaunS
2-3v
Fnl
#:Jorri
as1v
oit
firJorri
av 2-3v
Erir
qn$u
wDAa4t1.AU?6{nAq IAUO
dr14U? Alnnnqmv\r{u?u
e.dufdnraruoru:.,r
am m:tfrnirqu6l
{rJ'ru
zt.tunr:qm{rJru
du rzufirgflrgmvnr
or:unitdorhla.:u
ze.duf,fin'lrqneir
ufi orn{:Jruluqriu 6ur41u1{o ul{vl^Xno?Ju
Copyright by Mahidol University
68
rhduqr
l
uur,frizuxariunpvn.rrfu or
: nrfirdounllldnr{i e d $truu ze h rfiafirmfiu:mnlurnpmr.risnil rqanlfiEnrilrfiilrluusiaufirirm.rfudnsrnffia{d?viruilnfiaarfianlo hfiriroroulogrnr€a
fio., Lnorfienr#o$m{ruqn lko nsludosfio:$trnnxfiorfiusaniu
i
ctt1411
Ito?t
arh-riLIf{
[?nt
dnu
eiau9Cfi{&nrItolgl
CrA
?nn
tau"l
eiaur llr?I1{UJ
6tlM,,o'tgJ
lr6uJt?nr
6rer
t a6
ttoruJ
,i0u'l{rgJ{
t. dufieulnffiniirhlfi
ffinaueiurlaaofia
z. ffinirannasfiortrdrfirglurrp
zg.frrdurSrnhu ol6ou
trieiruunirGaon,rqou
rn*ouridulA
323i ICopyright by Mahidol University