花蓮縣社區長者健康管理介入效果研究

Effects of Community Elderly Health Management Program In Hualien County

王文利(Wang Wen-Li)

指導教授 ： 胡益進

國立臺灣師範大學/教育學院/健康促進與衛生教育學系/博士(2017年)

https://doi.org/10.6345/NTNU202203218

摘要

本研究旨在探討健康管理衛生教育介入對研究對象「健康管理態度」、「健康管理自我效能」、「健康管理社會支持」之影響。研究採準實驗之實驗組、對照組前後測設計，以花蓮縣65歲以上長者為研究對象共78 人，其中實驗組31 人，對照組47 人，實驗組接受四堂健康管理衛生教育介入課程，對照組不接受任何介入。
1.實驗組研究對象在後測「健康管理態度」得分高於對照組，但未達統計上顯著差異，顯示健康管理衛生教育介入對實驗組「健康管理態度」並沒有收到預期效果，其效果可能要待長時間之觀察研究。
2.實驗組研究對象在後測「健康管理自我效能」得分高於對照組，並達統計上顯著差異，顯示健康管理衛生教育介入對實驗組「健康管理自我效能」產生改善效果。
3.實驗組研究對象在後測「健康管理社會支持」得分高於對照組，但未達統計上顯著差異，顯示健康管理衛生教育介入對實驗組「健康管理社會支持」，並沒有收到預期效果，其效果可能要待長時間之觀察研究。
4.實驗組研究對象在電子健康素養能力男性方面平均分數高於女性，以及國中以上平均分數高於國小以下教育程度，顯示男性以及高教育程度之電子健康素養能力都比較好。
根據研究結果發現，社區長者推動數位學習平板課程介入的成效佳，建議政府積極推動高齡者社會學習，可以提升電子健康素養能力。

關鍵字

長者 ； 健康管理 ； 電子健康素養

並列摘要

The aim of this study was to explore the impact of health management health education on the "health management attitude", "health management self-efficacy" and "health management social support". A total of 78 subjects were enrolled in the experimental group. The experimental group consisted of 31 subjects and the control group was 47 subjects. The experimental group received four health management health education intervention courses. , The control group did not accept any intervention.
1.The subjects in the experimental group were higher than the control group in the post-test "Health management attitude", but the statistically significant difference was not statistically significant, indicating that the health management education intervention did not receive the expected effect on the experimental group "health management attitude" The effect may take a long time to observe the study.
2.The results showed that the health management self-efficacy score was higher than that of the control group, and the results showed that the health management health education intervention had improved effect on the "health management self-efficacy" of the experimental group.
3.The subjects in the experimental group were higher than the control group after the "Health Management Social Support" score, but the statistical differences were not statistically significant, indicating that health management health education intervened in the experimental group "health management social support" and did not receive the expected Effect, the effect may be a long time to observe the study.
4.The average score of the subjects in the experimental group was higher than that in the female, and the average score above the national level was higher than that of the national education. The results showed that the electronic health literacy ability of male and high education level was better.
According to the findings, it is found that the elderly people in the community are very effective in promoting the learning of the digital learning program. It is suggested that the Government should actively promote the social learning of the elderly and enhance the electronic health literacy.

並列關鍵字

elder ； health management ； e-health literacy

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