由於高齡化的時代來臨，高齡長者對於自我保健意識的覺醒，開始有健康促進及養生之概念，便會想結合不同的療法，以提升健康狀態。本研究目的為瞭解高齡長者使用輔助及另類療法之現況、自覺健康狀態及疾病因素與使用輔助及另類療法之相關性，以及使用輔助及另類療法後之自覺成效。以非實驗性研究法設計，工具為自擬問卷，以高雄市65歲以上之高齡長者為研究母群體，於衛生所、社區活動中心、社區公園及社區老人關懷據點方便取樣訪問個案，總共回收425份問卷，有效樣本數為370份，回收率為87%。本研究高齡長者以女性為多數，年齡介於以65-75歲，學歷多為不識字、識字未就學及小學者，省籍以本省閩南人為主，職業大多為無工作者為主，宗教信仰以佛教為主。使用輔助及另類療法之種類，有綜合維他命、膳食纖維、維骨力、推拿、服用中藥、貼布或膏藥、芳香療法、太極拳及氣功、按摩、整骨、遠紅外線療法等，訊息來源多來自親朋好友介紹。研究結果自覺成效與自然療法之間有顯著相關；年齡、宗教信仰、職業、自覺健康狀態、自覺成效與另類療法之間有顯著相關；年齡、學歷、省籍、職業、自覺成效與身心療法之間有顯著相關；年齡、省籍、宗教信仰、職業、自覺成效與實質身體操弄療法之間有顯著相關，年齡、學歷、省籍、宗教信仰、職業、自覺健康狀態、自覺成效與能量療法之間有顯著相關。經由上述分析結果得知了解到高齡長者認為使用輔助及另類療法是有成效，能增進自我健康狀態，所以醫護人員應增進自我對於輔助及另類療法的知識，方能協助高齡長者並給予正向概念。

Since the era of aging has come, senior citizens have become aware of self-care, and they have started to have the concept of health facilitation and preservation. They thus think of combining different treatments in order to improve their health. This investigation was aimed to understand senior citizens’ use of complementary and alternative medicine at present, the relationship between complementary and alternative medicine and factors in perceived health and illnesses, and the perceived effectiveness after taking complementary and alternative medicine. In this study, the non-experimental method was employed, and a self-established questionnaire was used as a research tool. Senior citizens over 65 years old in Kaohsiung City were regarded as the study population. convenience sampling was used for this study, interviews were conducted in public health centers, community activity centers, community parks, and community care centers for the elderly. Total 425 copies of questionnaire were retrieved, and the valid samples were 370 copies, the response rate was 87%. The findings were as follows. The majority of senior citizens were females. The age was between 65 and 75 years old. Most of them were illiterates in terms of educational background, and most of them were local Taiwanese residents. Most of them did not have a job. Their main religion was Buddhism. The complementary and alternative medicine that they took included multivitamins, dietary fiber, glucosamine, Chinese traditional massage, taking herbal medicine, patch or plaster, aromatherapy, Tai Chi and Qigong, massage, osteopathy, far infrared therapy, etc. Most of their information came from their relatives and friends. The results Perceived effectiveness was significantly correlated to natural therapies. Age, religion, occupation, perceived health, and perceived effectiveness were significantly correlated to alternative medicine. Age, educational background, ethnicity, occupation, and perceived effectiveness were significantly correlated to physical and mental therapies. Age, ethnicity, religion, occupation, and perceived effectiveness were significantly correlated to physical manipulation therapies. Age, educational background, ethnicity, religion, occupation, perceived health, and perceived effectiveness were significantly correlated to energy therapies. According to the aforementioned results, senior citizens think complementary and alternative medicine is effective, and it helps improve their health, so health care providers should develop their knowledge in complementary and alternative medicine, and they will thus be able to help senior citizens and provide them correct concepts.

目錄
中文摘要……………………………………………………Ⅰ
英文摘要……………………………………………………Ⅱ
目錄…………………………………………………………Ⅳ
表目錄………………………………………………………Ⅶ
第一章 緒論
第一節 研究背景、動機與重要性………………………………………1
第二節 研究目的…………………………………………………………3
第三節 研究問題…………………………………………………………3
第四節 研究假設…………………………………………………………4
第五節 名詞定義…………………………………………………………4
第二章 文獻查證
第一節 輔助及另類療法種類之介紹……………………………………7
第二節 輔助及另類療法之現況…………………………………………9
第三節 高齡長者使用輔助及另類療法之相關因素……………………17
第三章 研究方法
第一節 研究架構…………………………………………………………21
第二節 研究對象與抽樣方法……………………………………………21
第三節 研究工具…………………………………………………………22
第四節 資料處理方式……………………………………………………24
第五節 研究倫理…………………………………………………………24
第四章 結果與討論
第一節 高齡長者的人口學資料分析……………………………………25
第二節 高齡長者自覺健康狀態及舊有疾病分析………………………28
第三節 高齡長者使用輔助及另類療法使用種類、比例及原因………33
第四節 輔助及另類療法之自覺療效及訊息來源………………………39
第五節 人口學變項與與使用輔助及另類療法之相關性………………41
第六節 高齡長者自身疾病因素與使用輔助及另類療法之相關性……52
第七節 高齡長者自覺健康狀態與使用輔助及另類療法之相關性……56
第八節 高齡長者使用輔助及另類療法之自覺成效……………………58
第五章 討論
第一節 高齡長者使用輔助及另類療法使用現況………………………61
第二節 高齡長者使用輔助及另類療法使用原因………………………62
第三節 高齡長者使用輔助及另類療法現況與人口學資料的相關性…63
第四節 高齡長者自身疾病、自覺健康狀態及自覺成效與使用輔助及另類療法之相關性…………………………………………………….65
第六章 結論與建議
第一節 結論………………………………………………………………67
第二節 建議及研究限制…………………………………………………69
參考資料
中文文獻…………………………………………………………………71
英文文獻…………………………………………………………………78
附錄
附錄一輔助及另類療法使用之調查問卷(初稿)……………………………80
附錄二專家邀請名單…………………………………………………………85
附錄三專家效度………………………………………………………………86
附錄四家效度意見之彙整表…………………………………………………87
附錄五自覺健康型態量表內在一致性信度分析……………………………91
附錄六輔助及另類療法使用之調查問卷修訂版(正式問卷)………………92
附錄七人體試驗審議通過證明書……………………………………………90
表目錄
表4-1-1人口學資料變項分析………………………………………………27
表4-2-1高齡長者自覺健康狀態……………………………………………29
表4-2-2高齡長者自覺健康狀態分組………………………………………29
表4-2-3高齡長者過去病史分析……………………………………………30
表4-2-4高齡長者過去病史分析……………………………………………31
表4-3-1使用輔助及另類療法之原因分析…………………………………34
表4-3-2使用輔助及另類療法的種類分析…………………………………37
表4-4-1使用輔助及另類療法後之自覺成效分析…………………………39
表4-4-2使用輔助及另類療法之訊息來源分析……………………………40
表4-5-1性別與輔助及另類療法之相關分析………………………………42
表4-5-2年齡與輔助及另類療法之相關分析………………………………44
表4-5-3學歷與輔助及另類療法之相關分析………………………………46
表4-5-4省籍與輔助及另類療法之相關分析………………………………48
表4-5-5宗教信仰與輔助及另類療法之相關分析…………………………50
表4-5-6職業與輔助及另類療法之相關分析………………………………51
表4-6-1自身疾病因素與輔助及另類療法之相關分析……………………54
表4-7-1自覺健康狀態分組與輔助及另類療法之相關分析………………57
表4-8-1自覺成效與輔助及另類療法之相關分析…………………………59

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