研究生: |
王文利 Wang, Wen-Li |
---|---|
論文名稱: |
花蓮縣社區長者健康管理介入效果研究 Effects of Community Elderly Health Management Program In Hualien County |
指導教授: |
胡益進
Hu, Yih-Jin |
學位類別: |
博士 Doctor |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2017 |
畢業學年度: | 105 |
語文別: | 中文 |
論文頁數: | 144 |
中文關鍵詞: | 長者 、健康管理 、電子健康素養 |
英文關鍵詞: | elder, health management, e-health literacy |
DOI URL: | https://doi.org/10.6345/NTNU202203218 |
論文種類: | 學術論文 |
相關次數: | 點閱:279 下載:0 |
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本研究旨在探討健康管理衛生教育介入對研究對象「健康管理態度」、「健康管理自我效能」、「健康管理社會支持」之影響。研究採準實驗之實驗組、對照組前後測設計,以花蓮縣65歲以上長者為研究對象共78 人,其中實驗組31 人,對照組47 人,實驗組接受四堂健康管理衛生教育介入課程,對照組不接受任何介入。
1.實驗組研究對象在後測「健康管理態度」得分高於對照組,但未達統計上顯著差異,顯示健康管理衛生教育介入對實驗組「健康管理態度」並沒有收到預期效果,其效果可能要待長時間之觀察研究。
2.實驗組研究對象在後測「健康管理自我效能」得分高於對照組,並達統計上顯著差異,顯示健康管理衛生教育介入對實驗組「健康管理自我效能」產生改善效果。
3.實驗組研究對象在後測「健康管理社會支持」得分高於對照組,但未達統計上顯著差異,顯示健康管理衛生教育介入對實驗組「健康管理社會支持」,並沒有收到預期效果,其效果可能要待長時間之觀察研究。
4.實驗組研究對象在電子健康素養能力男性方面平均分數高於女性,以及國中以上平均分數高於國小以下教育程度,顯示男性以及高教育程度之電子健康素養能力都比較好。
根據研究結果發現,社區長者推動數位學習平板課程介入的成效佳,建議政府積極推動高齡者社會學習,可以提升電子健康素養能力。
The aim of this study was to explore the impact of health management health education on the "health management attitude", "health management self-efficacy" and "health management social support". A total of 78 subjects were enrolled in the experimental group. The experimental group consisted of 31 subjects and the control group was 47 subjects. The experimental group received four health management health education intervention courses. , The control group did not accept any intervention.
1.The subjects in the experimental group were higher than the control group in the post-test "Health management attitude", but the statistically significant difference was not statistically significant, indicating that the health management education intervention did not receive the expected effect on the experimental group "health management attitude" The effect may take a long time to observe the study.
2.The results showed that the health management self-efficacy score was higher than that of the control group, and the results showed that the health management health education intervention had improved effect on the "health management self-efficacy" of the experimental group.
3.The subjects in the experimental group were higher than the control group after the "Health Management Social Support" score, but the statistical differences were not statistically significant, indicating that health management health education intervened in the experimental group "health management social support" and did not receive the expected Effect, the effect may be a long time to observe the study.
4.The average score of the subjects in the experimental group was higher than that in the female, and the average score above the national level was higher than that of the national education. The results showed that the electronic health literacy ability of male and high education level was better.
According to the findings, it is found that the elderly people in the community are very effective in promoting the learning of the digital learning program. It is suggested that the Government should actively promote the social learning of the elderly and enhance the electronic health literacy.
一、中文文獻
于漱 (1988)。 台北市 20-60 歲居民預防性健康行為之調查研究。公共衛生, 14,391-406。
方進隆、陳玉英 (1997)。 社區介入策略對工作場所同仁健康體能的影響研究。體育學報,133-144。
王冠今、苗迺芳、陳鳳音、張玉梅、陳靜敏 (2009)。 台灣社區老人的健康行為及其相關因素研究 : 健康促進暨衛生教育雜誌。
王淑芳 (2010)。 健康行動過程路徑對青少年規律運動行為的預測效果(未出版之博士論文)。臺灣師範大學健康促進與衛生教育學系,台北市。
王璟璇、王瑞霞、林秋菊 (1998)。 門診診斷初期非胰島素依賴型糖尿病患者的自我照顧行為及其相關因素之探討。護理雜誌, 45, 60-74。
江奇霙 (2003)。 家庭支持對慢性病患遵醫囑行為的影響。
吳俐穎、陳漢瑛 (2009)。 老年人自我照顧能力與健康促進生活型態關係之研究~ 以高雄縣老人公寓爲例。生命教育與健康促進學術論文研討會論文集, 235-236。
吳英枝 (2008)。 台東縣鹿野鄉不同族群老人健康促進生活型態之研究(未出版之碩士論文)。臺東大學健康促進與休閒管理學系,台東縣。
吳書慧、曹昭懿、林桑伊、張谷州、李雪楨 (2011)。 多面向介入對不同跌倒風險老年人之跌倒預防成效。物理治療, 36,315-330。
周傳慧 (2015)。 長者親善服務現況及困境之探索性研究:以花蓮市購物商店為例(未出版之碩士論文) 。慈濟大學公共衛生學系,花蓮市。
林子雯 (2000)。 成人學生角色扮演, 社會支持與幸福感之相關研究。正修學報, 269-290。
邱文彬 (2001)。 社會支持因應效果的回顧與展望。國家科學委員會研究彙刊: 人文及社會科學, 11,311-330。
邱啟潤、仇方娟 (1995)。 老人使用藥物之初探。高雄醫學雜誌。 11,164-169。
邱啟潤、柯任桂 (2000)。健康相關的飲食與運動行爲自我效能量表信度效度之評估。護理研究, 8, 301-312。
姜逸群、呂槃、江永盛、黃雅文 (1988)。 民眾的健康意識及中老年病之預防健康行為調查。衛生教育雜誌, 9,67-81。
洪兆嘉、陳月枝、毛新春、江伯倫 (2002)。 氣喘兒童母親用藥相關因素的探討。臺灣醫學, 6,505-513。
許志成、徐祥明、徐瑱淳、石曜堂、戴東原 (2003)。 台灣地區老年人健康行為之影響因素分析。臺灣公共衛生雜誌, 22,441-452。
許錦茹 (2004)。 長期血液透析病患其飲食攝取與健康信念, 自我效能之相關性研究(未出版之碩士論文)。臺灣師範大學衛生教育學系,台北市。
湯慧娟、宋一夫 (2004)。 教練家長式領導, 團隊文化價值觀對團隊承諾之影響研究。體育學報,119-130。
黃盈翔、盧豐華 (2003)。 老年人之用藥原則。臺灣醫學, 7, 385-395。
黃淑貞、姚元青 (1999)。 大學生的健康信念, 飲食相關自我效能與飲食行為研究。師大學報: 教育類, 44,43-53。
黃獻樑、陳晶瑩、陳慶餘 (2007)。 老人運動處方之實務探討。臺灣家庭醫學研究, 5, 1-16。
詹吟菁、翁玉青、洪麗珍、黃美娜、林姿利、王銘富 (2000)。 台中縣地區居家老年失能病患之營養現狀。臺灣營養學會雜誌, 25,82-90。
鄒京甫 (2014)。 高齡競賽涉入程度、自覺健康與規律運動行為之相關研究 -以阿公阿嬤健康活力秀為例(未出版之碩士論文),國立臺灣師範大學運動休閒與餐旅管理研究所 ,台北市。
劉亮君(2016)。社區健保藥局老年人處方箋用藥適當性研究 ~以某社區健保藥局為例。嘉南藥理大學藥學系,台南市。
劉淑娟 (1999)。 罹患慢性病老人生命態度及生活滿意度之探討。護理研究,7,294-306。
劉惠瑚、陳玉敏 (2004)。 慢性病老人自我照顧之生活經驗。慈濟護理雜誌,3, 50-59。
鄭素月、賴裕和、張利中、吳齊殷 (2002)。 探討乳癌病人的症狀困擾, 自我效能, 社會支持與生活品質之關係• 新台北護理期刊, 4 (1), 9-21 。
賴秀怡 (2007)。 老人規律運動意圖之研究(未出版之碩士論文)。台灣師範大學衛生教育學系,台北市。
戴雅鳳 (2005)。 影響老人自服西藥及中草藥因素之探討(未出版之碩士論文)。臺灣大學護理學研究所,台北市。
羅淑芬、鄭麗娟、張慈惠、彭台珠 (2002)。 燒傷病患對彈
性衣穿著之知識, 健康信念, 遵從行為及其相關因素之探
討。慈濟醫學雜誌, 14, 163-172。
二、英文文獻
Allensworth, D., Lawson, E., Nicholson, L., & Wyche, J. (1997). Models of Health Behavior Change Used in Health Education Programs.
Asla, T., Williamson, K., & Mills, J. (2006). The role of information in successful aging: The case for a research focus on the oldest old. Library & Information Science Research, 28(1), 49-63.
Ayers, S. L., & Kronenfeld, J. J. (2007). Chronic illness and health-seeking information on the Internet. Health:, 11(3), 327-347.
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory: Prentice-Hall, Inc.
Bandura, A., & Walters, R. H. (1977). Social learning theory.
Berarducci, A., & Lengacher, C. (1998). Osteoporosis in perimenopausal women: Current perspectives. The American Journal of Nurse Practitioners, 2, 9-14.
Bloom, J. R. (1990). The relationship of social support and health. Social Science & Medicine, 30(5), 635-637.
Butler, J. T. (1994). Principles of health education and health promotion: Morton Publishing Company.
Callaghan, D. (2005). Healthy behaviors, self-efficacy, self-care, and basic conditioning factors in older adults. Journal of community health nursing, 22(3), 169-178.
Car, J., Lang, B., Colledge, A., Ung, C., & Majeed, A. (2011). Interventions for enhancing consumers' online health literacy. The Cochrane Library.
Chan, C. V., & Kaufman, D. R. (2011). A framework for characterizing eHealth literacy demands and barriers. Journal of medical Internet research, 13(4), e94.
Choi, N. G., & DiNitto, D. M. (2013). The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/Internet use. Journal of medical Internet research, 15(5), e93.
Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological bulletin, 98(2), 310.
Coulson, I., Strang, V., Mariño, R., & Minichiello, V. (2004). Knowledge and lifestyle behaviors of healthy older adults related to modifying the onset of vascular dementia. Archives of gerontology and geriatrics, 39(1), 43-58.
Dakof, G. A., & Taylor, S. E. (1990). Victims' perceptions of social support: what is helpful from whom? Journal of personality and social psychology, 58(1), 80.
Eng, T. R. (2001). The eHealth landscape: a terrain map of emerging information and communication technologies in health and health care: Robert Wood Johnson Foundation Princeton, NJ.
Flanagan, J., & Holmes, S. (2000). Social perceptions of cancer and their impacts: implications for nursing practice arising from the literature. Journal of Advanced Nursing, 32(3), 740-749.
Flynn, K. E., Smith, M. A., & Freese, J. (2006). When do older adults turn to the internet for health information? Findings from the Wisconsin Longitudinal Study. Journal of General Internal Medicine, 21(12), 1295-1301.
Hargittai, E. (2001). Second-level digital divide: mapping differences in people's online skills. arXiv preprint cs/0109068.
Hu, Y., & Sundar, S. S. (2009). Effects of online health sources on credibility and behavioral intentions. Communication Research.
Huang, G. J., & Penson, D. F. (2008). Internet health resources and the cancer patient. Cancer investigation, 26(2), 202-207.
Kickbusch, I., Pelikan, J., Apfel, F., & Tsouros, A. (2013). The Solid Facts. Health Literacy: Copenhagen, Denmark: WHO regional office for Europe. Retrieved from http://www.euro. who. int.
Macias, W., & McMillan, S. (2008). The return of the house call: The role of Internet-based interactivity in bringing health information home to older adults. Health communication, 23(1), 34-44.
Morowatisharifabad, M. A., Ghofranipour, F., Heidarnia, A., Ruchi, G. B., & Ehrampoush, M. H. (2006). Self-efficacy and health promotion behaviors of older adults in Iran. Social Behavior and Personality: an international journal, 34(7), 759-768.
Mõttus, R., Johnson, W., Murray, C., Wolf, M. S., Starr, J. M., & Deary, I. J. (2014). Towards understanding the links between health literacy and physical health. Health psychology, 33(2), 164.
Neter, E., & Brainin, E. (2012). eHealth literacy: extending the digital divide to the realm of health information. Journal of medical Internet research, 14(1), e19.
Norman, C., Chirrey, S., & Skinner, H. (2002). Consumer perspectives on e-Health. Skinner HA. Promoting Health through Organizational Change. San Francisco, CA: Benjamin Cummings, 315-334.
Norman, C. D., & Skinner, H. A. (2006). eHealth literacy: essential skills for consumer health in a networked world. J Med Internet Res, 8(2), e9.
Owens, L. (2006). The Relationship of Health Locus of Control, Self Efficacy, Health Literacy and Health Promoting Behaviors in Older Adults. A dissertation presented fort he doctor of philosophy decree, The University of Memphis.
Ratzan, S. C., & Parker, R. M. (2000). National Library of Medicine Current Bibliographies in Medicine: Health Literacy. NLM Pub. No. CBM 2000-1.
Schäffer, B. (2007). The digital literacy of seniors. Research in Comparative and International Education, 2(1), 29-42.
Singh, M. A. F. (2004). Exercise and aging. Clinics in geriatric medicine, 20(2), 201-221.
Sparks, L., & Nussbaum, J. F. (2008). Health literacy and cancer communication with older adults. Patient education and counseling, 71(3), 345-350.
White, R. W. (1959). Motivation reconsidered: the concept of competence. Psychological review, 66(5), 297.
Wilkins, S. T., & Navarro, F. H. (2001). Has the web really empowered health care consumers. Marketing health services, 21(3), 4-9.
Williamson, K. (1998). Discovered by chance: The role of incidental information acquisition in an ecological model of information use. Library & Information Science Research, 20(1), 23-40.
Xie, B. (2008). Older adults, health information, and the Internet. INTERACTIONS-NEW YORK-, 15(4), 44.
Xie, B. (2009). Older adults' health information wants in the Internet age: Implications for patient–provider relationships. Journal of health communication, 14(6), 510-524.
Xie, B. (2011). Effects of an eHealth literacy intervention for older adults. Journal of medical Internet research, 13(4), e90.