另類醫學的認知、行為意向與態度之探討－以台中市海線地區民眾為例

Discussion on Cognition, Behavioral Intention and Attitude of Alternative Medicine - A Case Study of Seashore Towns in Taichung City

陳敏郎(Ming-Lang Chen)

《弘光學報》 84期 (2019/09) Pp. 41-56

https://doi.org/10.6615/HAR.201909_(84).0004

摘要

目的：另類醫學的擴展體現社會大眾對自我健康照護之認知、態度與行為意向的若干改變。在西方醫學仍為主流醫療範型的現代社會中，另類醫學普遍為民眾所認知與利用的現象，值得予以關注與了解。本研究以台中市海線某地區為例，了解影響民眾對另類醫學的認知、態度與行為意向之因素以及之間的可能關聯。方法：本研究為橫斷式研究。採便利取樣及現場發卷進行問卷調查。共發放800份問卷，有效問卷回收率為91.5%。問卷資料進行量表信度與效度分析；次數分配、平均數等描述性統計分析；卡方檢定、獨立樣本t檢定、單因子變異數分析（ANOVA）、皮爾森相關分析及複迴歸等推論性統計分析。結果：台中市海線地區民眾對於另類醫學的「認知」、「行為意向」與「態度」，分別會因為性別、婚姻狀況、自覺健康狀況、是否曾接觸及使用頻率等個人特質的不同而有顯著差異。受訪者在「認知」、「行為意向」與「態度」等構面的認知之間皆有顯著正相關。女性在「行為意向」的平均值高於男性、「資訊來源」以親朋好友、網路與電視為多數，與若干研究結果相似。結論：受訪民眾在各構面的平均得分均不及4分，顯見對於另類醫學仍有些顧慮。由於台灣社會的醫療型態與求醫行為仍維持多重取向，病人及家屬仍可能在疾病不同階段嘗試不同的治療方式，建議醫藥衛生主管機關應能正視對另類醫學的了解與管理，規劃合適及安全的利用方式與途逕，進一步保障民眾的就醫成效與安全。

關鍵字

另類醫學 ； 態度與認知 ； 行為意向 ； 台中市海線地區

並列摘要

Background: The expansion of alternative medicine embodies several changes in the public's perceptions, attitudes, and behavioral intentions regarding self-care. It deserves to understanding that in the modern society where Western medicine is still the mainstream medical paradigm, alternative medicine is widely recognized and used by the people. The purpose of this study was to understand the factors that influence people's perceptions, attitudes and behavioral intentions of alternative medicine and the possible relationships between them of seashore towns in Taichung City. Methods: This study collected data with structural questionnaire by convenience sampling method. There were 800 subjects (valid returned rate was 91.5%) invited in this study. This study performed descriptive statics, variance analysis and linear regression analysis to examine the related factors influencing the respondents' perceptions. Results: The subjects' perceptions in ＂cognition＂, ＂attitude＂ and ＂behavioral intention＂ of alternative medicine vary significantly due to gender, marital status, conscious health status, whether used and used frequency. Respondents have a significant positive correlation between the cognitive aspects of ＂cognition＂, ＂behavior intention＂ and ＂attitude＂. Conclusions: The average score of respondents in each aspect was less than 4 points. It is obvious that there is still some concern for alternative medicine. It is suggested that the medical and health authorities should be able to face up to the management of alternative medicines, plan suitable and safe ways and ways of using them, and further protect the effectiveness and safety of the public.

並列關鍵字

complementary and alternative medicine ； attitude and perception ； behavioral intention ； seashore towns in Taichung City

參考文獻

Bishop, Felicity & G. Lewith (2010). Who Uses CAM? A Narrative Review of Demographic Characteristics and Health Factors Associated with CAM Use，Evidence-Based Complementary and Alternative Medicine, 7(1): 11-28.

Chiou C.(1999).Ancillary use of complementary therapies by ESRD patients receiving hemodialysis in Taiwan， Nursing Research (Taiwan)，7:398-407.

Eisenberg, D., Davis, R., Ettner, S, et al. (1998). Trends in alternative medicine use in the United States, 1990-1997: results of a follow-up national survey， JAMA，280: 1569-75.

Eisenberg, D., Kessler, R., Foster, C., Norlock, F., et al.(1993).Unconventional Medicine in the United States: Prevalence, Costs, and Patterns of Use，New England Journal of Medicine，328:246-252.

Gard, Marja & Kring, Ann M.(2007).Sex Differences in the Time Course of Emotion，Emotion，7(2):429-437.