高齡者健康識能之概念分析

Concept Analysis: Health Literacy of the Elderly

施雅玲(Ya-Ling Shih) ； 謝佳容(Chia-Jung Hsieh)

《台灣老年醫學暨老年學會雜誌》 17卷2期 (2022/05) Pp. 171-184

https://doi.org/10.29461/TGGa.202205_17(2).0006

摘要

健康識能是健康的關鍵性因素之一，當臺灣邁入高齡社會過程，擁有高健康識能的老年人，將有助於健康生活型態的維持和慢性病的控制與管理。故本文採Walker和Avant（2005）所提的概念分析步驟，將「高齡者健康識能」做概念分析，包含：確認「健康識能」概念的定義；定義性特徵；建構典型、邊緣、與相反案例；確認概念的前置因子與後果；實證性參考資料。將「高齡者健康識能」概念的定義性特徵歸納為：一、初階－功能性識能：獲得、理解、了解健康資訊；二、進階－互動性識能：自主參與、溝通、互動；三、高階－批判性識能：有效應用及決策，以維持最佳健康。期望藉由此概念分析結果，為未來高齡者建構健康識能評估工具及介入性措施與政策發展推動之參考。

關鍵字

高齡者 ； 健康識能 ； 概念分析

並列摘要

Health literacy is a key factor in the promotion of health. With Taiwan becoming an aged society, an adequate level of health awareness grows increasingly important as it helps the elderly maintain a healthy lifestyle for managing chronic diseases. The article follows the steps proposed by Walker and Avant to analyze the concept called ＂health literary of the elderly,＂ focusing on analyzing the concept, determining the defining attributes of the concept at different levels, identifying antecedents and consequences of the concept, listing relevant models, borderline and contrary cases, and describing clinical measurements and practical applications. The defining attributes of ＂healthy literacy of the elderly＂ incorporate: (1) Elementary-functional literacy: obtaining, processing, and understanding health information; (2) Intermediate-interactive literacy: autonomous participation, communication, and interaction; (3) Advanced-critical literacy: effective application and decision-making to maintain optimal health. The results of this concept analysis can be expected to provide a framework for constructing health literacy assessment tools, interventional measures, and policy development for the elderly in the future.

並列關鍵字

the elderly ； health literacy ； concept analysis