以社會支持觀點建置新生兒健康紀錄系統

Building An Infant Health Record System Based On The Views Of Social Support

張培廷(Pei-Ting Chang)

指導教授 ： 李宜昌 ； 張怡秋

國立中正大學/管理學院/資訊管理系醫療資訊管理研究所/碩士(2012年)

摘要

近年來少子化的趨勢，台灣的出生人口屢創新低，民國99年的出生人口更只剩下十六萬六千餘人。這些新生兒也有一定比例為出生週數小於37週或出生體重小於2500公克的早產兒。我國早產兒發生比率與世界統計數據相近，皆在10%左右。由於醫療技術與水準大幅進步，加上我國全民健康保險政策，提高早產兒就醫的可近性，降低早產兒家庭的經濟壓力，也使得早產兒的存活率日益提升。然而由於早產兒許多器官或免疫系統還未發展完全，故存活後伴隨著許多急性、慢性的健康問題，出院後亦有發展異常之可能性。因此，居家照顧的自我評估就顯得格外重要，更是其成長追蹤與發展評估的基礎。
為了讓新生兒或早產兒返家後能得到妥善的照顧，並透過社會支持協助照顧者減輕壓力，本研究建置新生兒健康紀錄系統，以利照顧者隨時記錄孩子的健康狀況。系統除了提供專業醫療人員即時追蹤、門診或衛教諮詢的相關參考資料外，並提供照顧者網路上的社會支持。本研究調查使用者使用意願與影響因素，結果顯示調查對象中有78.6%有意願使用。除此之外，網路上的社會支持程度則對親職壓力有負向的顯著影響。整體而言，社會支持在健康紀錄系統上扮演重要的影響因素。

關鍵字

健康紀錄 ； 親職壓力 ； 社會支持 ； 新生兒

並列摘要

The birth rate has been declining in recent years in Taiwan. There were around 166,000 children born in 2010 nationwide. Certain portions of them are premature, born less than 37 weeks and with body weight less than 2500 grounds. The incidence of premature delivery in Taiwan is similar to that of the world record about 10% of the population. In recent years, as health care techniques have advanced, the policy of universal health insurance in Taiwan has promoted the accessibility of preterm infants medical treatment. It has not only lowered family economic pressures, but also raised the survival rates of those infants. However, due to the fact that preterm infants are born too early, their organs have not developed completely. They suffer from acute and chronic problems after surviving. Furthermore, they experience growth abnormalities after they are discharged. Thus, homecare and self-assessment for preterm infants is very important to provide a base for growth tracking and development evaluation.
In order to provide well care for the newborns and preterm infants at home, and to reduce stress of parents or caregivers through social support, this study created an Infant Health Status Recording System (IHSRS) to help the preemie family take care of their babies. Parents or caregivers can use our system to record the infants growth data such as head circumference, weight, and heights etc. to access their baby’s health status. Furthermore, the IHSRS allows medical professionals to track babies’ status and provide related medical education or references for parents, and links parents with friends or relatives to get social supports on the internet. After the IHSRS is built, we invited parents to use the system and then investigated their willingness and the factors that influence their willingness of using the system. The survey results showed that 78.6% of the parents would use the system. In addition, online social support not only influenced their perceived usefulness of the system but also reduce the parental stresses. Overall, social support played an important role in our system.

並列關鍵字

health records ； parental stress ； social support ； infants

參考文獻

行政院衛生署國民健康局（2005）。2005年國民健康訪問調查。台北市：行政院衛生署。

行政院衛生署國民健康局（2009）。兒童健康手冊。台北市：行政院衛生署國民健康局。

吳佳瑤（2008）。早產兒母親之產後壓力、社會支持、憂鬱及其健康狀況。未出版碩士論文，高雄醫學大學護理學研究所，高雄市。

吳佳輝（2004）。社會支持對網路成癮的影響。資訊社會研究，7，173-189。

紀櫻珍、許君強、古智愷、張偉斌、劉德明、許朝程等人（2006）。兒科醫師對兒童健康手冊量表之評論。北市醫學雜誌，3（1），47-56。