運用即時反饋系統於社區老人健康促進之成效

The Effectiveness of Applying an Interactive Response System for Geriatric Health Promotion in Communities

胡麗芳(Li-Fang Hu) ； 林器弘(Chi-Hung Lin) ； 林怡君(I-Chun Lin)

《北市醫學雜誌》 6卷6期 (2009/12) Pp. 445-454

https://doi.org/10.6200/TCMJ.2009.6.6.04

摘要

目的：傳統的衛教過程經常是單向、缺乏互動且成效有限，運用即時反饋系統輔助社區老人之衛教，以加強其健康促進的認知，也希望透過以本研究為基礎提昇未來老人衛教的效益。方法：本研究以全國人口老化最嚴重的嘉義縣老人為研究對象，運用即時反饋系統於老人衛教。本研究以準實驗設計之單組前後測的方式進行成效分析，比較85名參與者上課前、後的健康認知有無差異，並實施滿意度調查，以確立科技介入山區老人衛教是否能提高其健康認知。結果：參與者上課前、後施測結果均有顯著差異，而各項滿意度調查分數亦趨近5分，顯示科技介入有助於提升社區老人的健康認知及學習成效，且感到極為滿意。結論：採用即時反饋系統可使教學者立即掌握學員的學習狀況，並即時釋疑；互動式功能可增加學習趣味性與互動關係，相對的，比起傳統單向教學更能提升學習成效。當面對教育程度較低或對文字理解程度較低的老人而言，透過系統的功能特性，講師可以生動活潑的圖片配合口語解釋來輔助施測，老人們可以使用遙控器按押數字來完成填答，比起傳統採用紙筆測驗的方式來得簡單與即時。透過即時互動式的教學過程，讓社區老人獲得健康知識、正確健康態度與行為，進而維持良好的健康狀態。

關鍵字

社區老人 ； 老人健康促進 ； 健康促進教育 ； 健康促進認知 ； 即時反饋系統

並列摘要

Objectives: Traditional health education often lacks such interaction and, consequently, its effectiveness is limited. The current aim is to improve our understanding of health education promotion among the elderly in the community through the integration of the Interactive Response System. Methods: This method is quasi-experimental in design. Measurements were taken of the 85 elderly participants both before and after the experiment, which were then compared. Results: This comparison is related to the identification and understanding of healthcare education, and it was analyzed by conducting a satisfaction survey using the system. The results of the comparison of the measurements of healthcare education taken before and after the experiment showed significant differences. Technology intervention in health promotion education was seen to be beneficial for increasing health awareness and learning effectiveness among the elderly residents. Meanwhile, the participants had higher scores of almost 5 for every item in the satisfaction investigation, revealing that technology intervention into health education results in a significantly higher degree of satisfaction. Applying the system enables the teachers to understand their students' learning situation. The interaction function not only improves interest but also enhances the interaction between the trainer and the trainees. Conclusions: As opposed to the traditional method of teaching, the system can raise learning effectiveness. The results of this assessment can be used to motivate elderly people to learn about healthcare and to build appropriate attitudes, that will encourage improvements in their behavior. Thus, healthcare recognition that maintains the best health condition through the process of instant interactive teaching and learning will promote geriatric health.

並列關鍵字

elderly in the community ； geriatric health promotion ； health promotion education ； healthy cognition ； interactive response system