疫情下社區照顧關懷據點健康促進服務挑戰與因應－參與服務志工經驗

Challenges and Responses of Community Care of Health Promotion Services under the Epidemic-Volunteer Service Experience

黃茹筠(Ru-Yun Huang) ； 王秀燕(Hsiu-Yen Wang)

《社會發展研究學刊》 31期 (2023/03) Pp. 56-82

https://doi.org/10.6687/JSDS.202303_(31).0003

摘要

本研究旨在探索疫情期間社區照顧關懷據點健康促進服務志工提供服務所面臨挑戰、因應策略與期待。本研究為質性研究，深度訪談具有健康促進服務經驗5年以上之志工，並有參與疫情期間健康促進服務經驗者，以提供相關單位在規劃後疫情時代線上課程服務之參考。研究結果有三，第一、服務意涵，健促組志工加入據點服務原因主要是親友邀約或家人接受服務想了解以及無聊加上興趣，認為這個服務讓她覺得快樂、貢獻學習與成長以及助人助己。第二、在疫情下調整服務方式影響與挑戰，實體健康促進服務改為線上上課，志工因應策略第一階段採取問題取向及再認知取向，帶領活動過程中，遇到困難是採取情緒取向的放鬆技巧。第三、線上教學的困難是設備限制因畫面很小功能受限、每個人設備不一影響學習功效，加上科技使用技能不足等；長輩對於線上課程，最大的困難是長輩不會使用手機、LINE畫面小和不識字、無法與實體接觸。據此，本研究建議有三，第一、針對疫情下健促服務長輩遇到困難研擬解決之道。第二、線上課程來源、設計、傳送、管理極需建立一套模式，以因應後疫情所需。第三、蒐集整理志工疫情下實施的課程經驗與建議，以因應疫情及後疫情課程所需。

關鍵字

社區照顧關懷據點 ； 健康促進 ； 數位媒體學習 ； 因應策略

並列摘要

This research aims to explore the obstacles, strategies, and expectations of the health promotion service volunteers at the community care sites during COVID-19. This research is qualitative research, involved with volunteers with five years' experience or more and participated in health promotion service during the epidemic for in-depth interview. The results are to provide relevant departments references in planning online courses in the post-epidemic era. There are three results from this research. First, the meaning of the service. The main reason for the volunteers of the health promotion group volunteers to join is friend invitation, service understanding due to family members' participation, spare time, and self-interest. This service appears to make volunteers feel joyful, contributed to learning and growth, and helping others to help themselves. Second, the impacts and obstacles of adjusting service methods during the epidemic, such as converting practical health promotion services to online courses. Volunteers take problem orientation then cognitive orientation when it comes to the response of first stage strategy. While leading activities, volunteers take emotional oriented relaxation technique when facing obstacles. The challenge of online courses are equipment limitations such as limited functionality due to small screen size, learning effectiveness due to various equipment of each person, insufficient skills in technology using. When it comes to online course for elderlies, the biggest obstacles are the lack of smartphone using knowledge, small screen size of LINE, illiteracy, and the inability of practical contacts. Accordingly, there are three recommendations. First, to develop solutions of the obstacles the health promotion service group face while providing services for the elderlies. Second, to develop a method for the source, design, delivery, and management of online courses to meet the needs of the post-epidemic era. Third, to collect and organize the experiences and recommendations of the courses from volunteers during the epidemic for the courses during and after the epidemic.

並列關鍵字

community care stations ； health promotion ； e-learing ； coping strategies

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