Using a Focus Group Study to Explore Perceptions of Health-Promoting Self-Care in Community-Dwelling Older Adults

以焦點團體法探討社區老年人對健康促進之自我照顧的觀點

王秀紅(Hsiu-Hung Wang) ； 許敏桃(Min-Tao Hsu) ； 王瑞霞(Ruey-Hsia Wang)

《The Journal of Nursing Research》 9卷4期 (2001/09) Pp. 95-104

摘要

本研究主要目的在探討社區老年人對健康促進之自我照顧的觀點。利用焦點團體法收集老年人對於其日常生活中執行健康促進之自我照顧的經驗，並經由團體互動過程中提供其個人的觀點。二十一位高雄市金齡協會之老年人，志願參與此研究，其中包括十位男性以及十一位女性。研究對象之年齡介於67至83歲之間，平均年齡為73.5歲。焦點團體共舉辦三次，二十一位參與者三次的焦點團體均全程參加，每次焦點團體討論會的時間為2.5至3小時。三次焦點團體討論會的資料均事先獲得參與者同意全程錄音。錄音的資料經逐字稿整理後做內容分析。內容分析經由小組討論，萃取出受訪對象對健康促進之自我照顧的觀點可歸納成51個行為單元。五十一個行為單元經三人小組共同討論達一致性後歸納為五個主題，包括平衡、主動性、規則化、社會化、以及昇華。研究結果可做為有關健康促進自我照顧行為的護理知識根基，並且可提供社區衛生護理人員設計護理措施的基礎，藉以增進社區老年人健康促進之自我照顧。

關鍵字

老年人 ； 健康促進之自照顧 ； 焦點團體

並列摘要

The purpose of this study was to explore perceptions of health-promoting self-care in community-dwelling older adults. A focus group was conducted to obtain the perceptions and experiences of older adults concerning health-promoting self-care in their daily lives. Twenty-one volunteers from a Golden-Age Association in Kaohsiung City, including 10 males and 11 females, agreed to participate in this study. The mean age of the participants was 73.5 years, with ages ranging from 67 to 83. Three focus group sessions were held and 21 participants participated in all three sessions. Each focus group session lasted from 2.5 to 3 hours. The sessions were audio tape recorded and then verbatim transcripts were used for content analysis. Through a peer discussion, 51 behavioral units were extracted and categorized as five major themes including “balancing”, “initiating”, “regularizing”, “socializing”, and “sublimating”. The findings can contribute to basic nursing knowledge related to health-promoting self-care and provide the basis for designing nursing strategies to enhance health-promoting self-care for older adults in the community.

並列關鍵字

older adults ； health-promoting self-care ； focus groups

參考文獻

Boyle, J. S., Counts, M. M.(1988).Toward healthy aging: A theory for community health nursing.Public Health Nursing.5(1)

Dean, K. J.(1989).Conceptual, theoretical and methodological issues in self-care research.Social Science and Medicine.29(2)

Farquhar, J.(1992).Paths to Asian medical knowledge.Berkeley, CA:University of California Press.

Hsu, M. T.(1997).An ethnographic study of windows in Taiwan.University of Texas.

Jordan, D. K.(1972).Gods, ghosts, and ancestors: the folk religion of a Taiwanese village.Berkeley, CA:University of California Press.