|Abstract: ||摘 要
The purpose of this study was to examine the service needs and perceived stress levels of parents of children with deaf and hearing impair and to understand their recognition and appliances of current welfare systems. The mutually-related effects between their service needs and demographic variables are also main issues in this study.
This research adopted questionnaire survey and interview techniques, targeting at parents of children under 12 years old with deaf and hearing impair in Chiayi County, Kaohsiung City, Pingtung County, and Taitung County. All of the children are approved and issued a Manual for the disabled by the authorities. With the help of self-written questionnaire and the “Perceived Stress Scale” revised by Dr. Chunlin Mar, totally 633 valid samples were obtained. And based on the purpose sampling, 20 main caregivers were chosen as interviewees. Through the result summarization and data analysis, the conclusions are as follows:
I. The families that had hearing-impaired children aged 6 to 9 and those children whose hearing were severely impaired had the most satisfaction of social welfare service needs. The caregivers that had college degree, that were separate in marital status, and that had an income less than 20,000 dollars were least satisfied with service needs.
II. The needs for social welfare services were the most important to those families of children with hearing impair aged 10 to 12 and those children with severe hearing impair. The service needs were more important to those main caregivers that were aged 41 to 50, that had educational level below high school, that were widows or widowers, and that were single mothers.
III. The families of children with hearing impair aged 3 to 6 had higher demands for social welfare services, and those main caregivers that were aged 41 to 50, that were college graduated, that were unmarried, that were widows or widowers, and that had income less than 20,000 dollars demanded most for social welfare services.
IV. The main caregivers of hearing impaired children aged 10-12 had the least perceived stress, while the main caregivers that had children with severely hearing impaired had the greatest stress. The main caregivers that were aged 41 to 50 and with educational level below junior high school had the least stress, while those that were single, that had income less than 20,000 dollars, and that were grandparents had the greatest stress.
V. A positive relationship was found between service needs of medical care, child rearing and perceived stress of parents of children with hearing impair, while the needs for education were negatively related to the stress of the main caregivers.
VI. The interview showed that the main caregivers had the greatest needs for subsidy. They felt very stressful about the hearing training and the speech therapy that their children received. Since the expense on hearing-aids and the maintenance were costly, about 60％ of the interviewees felt that the government set too restrictive conditions for receiving subsidy. They also felt that the amount of subsidy was not enough to rear children with hearing impair because the cost was tremendous.