資訊化校園急性淋巴性白血病個案管理模式之發展過程與接受情形之探討

目的：1.資訊化校園急性淋巴性白血病個案管理模式之發展與測試；2.以Davis（1989）科技接受模式進行校護對此資訊化個案管理模式接受情形之調查，包括對此資訊化個案管理模式之認知有用性、認知易用性、使用態度及使用意圖；並進一步檢視此四變項之間的相關性。方法：本個案管理模式發展過程參考Soon等人（2000）提出的遠距學習發展步驟，結合六位各相關領域專家共同討論、合作與修正完成此資訊化急性淋巴性白血病個案管理學習網站之建置。在使用者接受情形調查方面，則是針對56位國小校護，已自行發展之問卷進行資料之收集。結果：本研究所發展之資訊化個案管理模式包括「認識白血病」、「白血病小鬥士」、「白血病兒童照顧指引」、「個案管理藍圖」與「資源連結」五個單元。有關校護對此資訊化個案管理模式的接受情形方面具高度肯定，認知有用性為0.95分（SD=0.21；總分0-1分）、認知易用性為0.99分（SD=0.09；總分0-1分）、使用態度為0.89分（SD=0.30；總分0-1分）、使用意圖為0.94分（SD=0.24；總分0-1分）。此外，此四個變項之間的關係均呈顯著的正相關（p＜0.05）。結論：本資訊化個案管理模式是經由文獻查證、訪談以及跨領域專家共同合作發展與建置而成。而校護認為本模式有高度有用性及易用性、且持相當正向之態度與高度使用意圖。故本模式將可作為學校護理師照顧校園白血病學童很好的照顧參考依據，此外，建議未來應進一步針對此資訊化個案管理模式之實際使用情況進行後續研究。

關鍵字

學校護理師；急性淋巴性白血病；個案管理；資訊化；科技接受模式

並列摘要

Objective: 1. Development and testing of an information-based acute lymphoblastic leukemia case management model for schools 2. The Davis (1989) technology acceptance model was used to investigate school nurses' acceptance of this information-based case management model, including perceived usefulness, perceived usability, user attitude and intention of use, and further study the correlation between these four variables. Method: The long-distance learning development steps proposed by Soon et al. (2000) was referred in the development process of this case management model. This information-based acute lymphocytic leukemia case management learning website was established after discussion, cooperation and revision with six experts from relevant fields. In terms of investigation on user acceptance, self-developed questionnaires were distributed to 56 elementary school nurses to collect information. Results: The information-based case management model developed by this study included five modules: ＂understanding leukemia,＂＂leukemia fighters,＂＂guidelines for taking care of leukemia children,＂＂blueprint for case management＂ and ＂resource linkage＂. The school nurses highly accepted this information-based case management mode. Cognitive usefulness got 0.95 points (SD=0.21; total score: 0-1); cognitive usability got 0.99 points (SD=0.09; total score: 0-1); user attitude got 0.89 points (SD=0.30; total score: 0-1) and intention of use got 0.94 points (SD=0.24; total score: 0-1) In addition, the relationship between these four variables showed a significant positive correlation (p ＜ 0.05). Conclusions: This information-based case management model was developed and constructed through literature review, interview and cooperation with multidisciplinary experts. The school nurses believed that this model is highly useful and easy to use. They had a fairly positive attitude towards the model and were very willing to use it. Therefore, this model can be used as a good reference for school nurses to take care of leukemia children in schools. In addition, we suggest further research on the actual use of this information-based case management model in the future.

並列關鍵字

School nurse ； Acute lymphoblastic leukemia (ALL) ； Case management ； Information-based ； Technology acceptance mode

參考文獻

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資訊化校園急性淋巴性白血病個案管理模式之發展過程與接受情形之探討

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