社區長者健康識能之評估

Assessment of the Health literacy of the elderly in the community

穆淑琪(Shu-Chi Mu) ； 趙恩(En Chao) ； 陳秀珍(Shiu-Jen Chen)

《健康產業管理期刊》 5卷2期 (2021/05) Pp. 17-29

https://doi.org/10.30149/JHCI.202105_5(2).0002

摘要

隨著我國老年人口比例日增，老年人有關營養衛教資訊閱讀理解、看診模擬對話、藥袋使用指引、以及醫療文件理解簽署等層面的健康識能（health literacy）逐漸受到重視。由於老人的慢性疾病較多、因多重疾病而不只看一位醫師、不只一處看病、自行購藥服用等行為而使得醫療人員無法適當且完整的評估病人同時服用的所有藥物，加上老化造成生理功能退化、較多慢性疾病、影響服藥順從性等，在在都增加了老人用藥的複雜性及危險性，可見與健康促進相關健康識能都是刻不容緩的議題。因此，本研究主要目的是以國家衛生研究院群體健康科學研究所的健康識能研究團隊所發展出，用以評估使用華文的成年族群之健康識能程度之「健康識能評估表」來評估社區照顧關懷據點長者之健康識能現況。結果顯示1.健康識能4大部分以用藥資訊表現最佳，平均答對率為93.99%；門診對話次之，平均答對率為93.52%；醫療服務系統再次之，平均答對率為83.03%；衛教短文最差，平均答對率為82.67%。2.有服用藥物者相較有服用藥物者，在衛教短文表現上顯著較佳。未來規劃可在醫療服務系統與衛教短文之健康識能強化，共同攜手守護社區長者，並共同推動內湖區健康促進，達到守護社區、您我同心。

關鍵字

高齡國家 ； 健康識能 ； 健康識能評估表

並列摘要

As the proportion of the elderly population in our country is increasing, the health literacy of the elderly including the reading comprehension of nutrition and health education information, simulation of dialogues during medical visits, guidelines for the use of medicine, and understanding and signing of medical documents has gradually received attention. Due to the elderly has many chronic diseases, seeing more than one doctor, going to see doctors more than in one place, purchasing medicines and taking medicines by themselves making medical personnel cannot properly and completely evaluate all the medicines taken by the patient at the same time. In addition, due to aging with the deterioration of physiological function, and with more chronic diseases, and medication compliance have all increased the complexity and risk of medication for the elderly. Thus, healthawareness related to health promotion in elderly people is an urgent issue. Therefore, the main purpose of this research is to evaluate the ＂Health literacy Assessment Table＂ developed by the Health Awareness Research Team of the National Institutes of Health Group Health Sciences to assess the degree of health literacy of using Chinese-language adults by evaluating the status of health literacy of the elderly in community care bases. The results show that (i) most of the health literacy 4 performed best with medication information, with an average correct answer rate of 93.99%; outpatient dialogue followed with an average correct answer rate of 93.52%; then followed with medical service system with an average answer rate of 83.03%; the health education essay was the worst,with an average answer rate of 82.67%, (ii) those who did not take drugs had significantly better performance in health education essays than those who took drugs. These indicate that we can strengthen the health literacy in the medical service system and health education essays by working together to protect the elderly in the community, and to promote the health promotion of Neihu District, so as to protect the community, and you and I as a family.

並列關鍵字

Aged country ； Health literacy ； Health literacy Assessment Table