衛生教育對社區老年民眾用藥安全長期成效之探討

To Explore The Long Term Effect of Health Education on Medication Safety for Community­-Dwelling Elders

吳玲瑜(Ling-Yu Wu)

指導教授 ： 莊昭華

長榮大學/健康科學學院/護理學系(所)/碩士(2014年)

https://doi.org/10.6833/CJCU.2014.00004

摘要

背景：老年人為罹患慢性病和使用多重藥物的高危險群，因此使他們擁有正確的用藥知識、態度與行為愈顯重要。衛生教育是提升民眾用藥安全知識、態度及行為的重要方法，故本研究為探討衛生教育對社區老年民眾用藥安全知識、態度及行為的長期影響。
研究目的：探討衛生教育介入對社區老年民眾用藥安全知識、態度和行為的長期成效。
研究對象：大台南地區能使用國、台語溝通的65歲（含）以上社區老年民眾，參與社區或社區機構舉辦之健康促進活動者共168人。
研究方法：本研究設計為集束隨機試驗（cluster randomized trial）。以結構式問卷對研究對象進行三次問卷調查。研究對象經集束隨機分派成實驗組與對照組各4組。實驗組於收案第一次問卷填答後，接受用藥安全衛生教育介入一次，對照組則無。
研究結果：研究對象主要為女性（75.2％）、已婚（96.7％）、65-74歲（56.9％）、教育程度以小學(含)以下（56.2％）居多。三次調查結果顯示，實驗組在知識、態度與行為的分數，均呈現增加的趨勢，其中態度分數於衛教介入前後比達顯著差異。另外在知識、態度與行為三方面，實驗組的得分差異比對照組進步多。
研究結論：衛生教育介入對社區老年民眾用藥安全整體而言是有成效的，但在知識、態度和行為等方面之影響不同。未來建議可提供老年人獲得正確用藥安全資訊的可近性管道，以降低老年民眾之健康危害。
關鍵字：衛生教育、社區老年民眾、用藥安全、長期成效

關鍵字

衛生教育 ； 社區老年民眾 ； 用藥安全 ； 長期成效

並列摘要

Background: Elders are the high risk group suffering from chronic diseases and using multiple medications. It is important for them to have the correct knowledge, attitude and behavior about medication safety. Health education is one of the effective methods to promote their knowledge, attitude and behavior. Thus, the study is to explore the long-term effect of health education on elders’ knowledge, attitude and behavior of medication safety.
Purpose: To explore the long-term effect of health education on community-dwelling elders’ knowledge, attitude and behavior about medication safety.
Subjects: 168 people who can communicate with Taiwanese and Chinese with subjects of 65 years oldor older, living in Tainan, and participating in the community health-promoting activities were recruited.
Methods: This is a cluster randomized trial study. The participants were allocated randomly into 4 control and 4 experimental groups,and accepted three times surveys with structure questionnaires.Subjects in the experimental group received the education about medication safety after the first questionnaire collected, but the subjects in the control group didn’t have one.
Result: The major participants were female (75.2%), marriage (96.7%), with 65-74 years old (56.9%), and elementary education and below (56.2%). In the experimental group, the scores of knowledge, attitude and behavior about medication safety in three surveys showed the increase trend. There was a positive significant difference in score of attitude between before and after subjects having a health education. In addition, the increased score about knowledge, attitude and behavior in the experimental group was more than the control group.
Conclusion: Overall, the health education on medication safety for community-dwelling elders was effective but the level of effect was different on knowledge, attitude and behavior. We suggest that it is essential to establish the accessible way for elders to get the correct information about medication safety. Thus, it can reduce the health hazard on old people.
Key words: health education, community-dwelling elders, medication safety, long-term effect

並列關鍵字

health education ； community-dwelling elders ； medication safety ； long-term effect

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