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研究生:黃雅綉
研究生(外文):Huang, Ya-Hsiu
論文名稱:高齡長者使用輔助及另類療法之相關影響因素探討
論文名稱(外文):Analysis into the Factors that Influence Complementary and Alternative Therapy Use by Elderly
指導教授:邱子易邱子易引用關係
指導教授(外文):Chiu, Tzu-I
口試委員:林麗鳳張彩秀
口試委員(外文):Lin, Li-FengChang, Tsai-Hsiu
口試日期:2014-07-21
學位類別:碩士
校院名稱:中臺科技大學
系所名稱:護理系碩士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:中文
論文頁數:110
中文關鍵詞:輔助及另類療法高齡長者影響因素
外文關鍵詞:Complementary and alternative medicineeldereffect factors
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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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辜美安、張怡雅、李明和、黃志芳、陳尚志、葉月嬌(2011)‧中老年人使用輔助療法之相關因子‧台灣老年醫學暨老年學雜誌,6(1),29-42。﹝Koo, M. A., Chang,Y. Y., Lee, M. H., Huang, C. F., Chen, S. C., & Yeh,Y. C. (2011). Factors associated with the use of complementary and alternative medicine in middle-aged adults and elderly.Taiwan Geriatrics & Gerontology,6(1),29-42.﹞
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蔡甫昌、黃獻樑、陳彥元(2007)‧病患要求施行輔助療法及另類療法所涉醫學倫理問題‧台灣醫學,11(1),91-102。﹝Tsai, F.C., Huang, H.L.& Chan, Y.Y.(2007). The ethical issues arising from patient's requesting complementary and alternative medicine. Formosan Journal of Medicine,11,85-110.﹞
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1. 丁志音(2003)‧誰使用了非西醫的補充與另類療法?社會人口特質的無區隔性與健康需求的作用‧臺灣公共衛生雜誌,22(3),155-166。﹝Ting,C. Y. (2003).Who uses non-biomedical, complementary and alternative health care? sociodemographic undifferentiation and the effects of health needs. Taiwan Journal of Public Health
2. 丁志音(2003)‧誰使用了非西醫的補充與另類療法?社會人口特質的無區隔性與健康需求的作用‧臺灣公共衛生雜誌,22(3),155-166。﹝Ting,C. Y. (2003).Who uses non-biomedical, complementary and alternative health care? sociodemographic undifferentiation and the effects of health needs. Taiwan Journal of Public Health
3. 王英偉(2011)‧輔助療法在末期病人照顧上的運用‧健康世界,301,34-40。﹝Wang, I. W. (2011).Use complementary and alternative therapies in end stage patient care. Health World, 301,34-40.﹞
4. 王英偉(2011)‧輔助療法在末期病人照顧上的運用‧健康世界,301,34-40。﹝Wang, I. W. (2011).Use complementary and alternative therapies in end stage patient care. Health World, 301,34-40.﹞
5. 王宥茵、張曉雲、林宸妤(2014)‧瑜珈於老年人憂鬱及睡眠品質之系統性文獻回顧‧護理雜誌,61(1),85-92。﹝Wang, Y.Y., Chang, H.Y., &
6. 王宥茵、張曉雲、林宸妤(2014)‧瑜珈於老年人憂鬱及睡眠品質之系統性文獻回顧‧護理雜誌,61(1),85-92。﹝Wang, Y.Y., Chang, H.Y., &
7. 卓芷聿(2010)‧臨床芳療在癌症病患身心靈照護的輔助角色‧腫瘤護理雜誌,10(2),9-22。﹝Cho, C. Y. (2010).Clinical aromatherapy as a complimentary therapy of body, mind, and soul in the care of cancer patients.The Journal of Oncology Nursing,10(2),9-22.﹞
8. 卓芷聿(2010)‧臨床芳療在癌症病患身心靈照護的輔助角色‧腫瘤護理雜誌,10(2),9-22。﹝Cho, C. Y. (2010).Clinical aromatherapy as a complimentary therapy of body, mind, and soul in the care of cancer patients.The Journal of Oncology Nursing,10(2),9-22.﹞
9. 洪瑄曼、陳桂敏(2008)‧關注高齡者之身心變化‧榮總護理,25(1),1-5。doi:10.6142/VGHN.25.1.1。﹝Hung, H. M. & Chen, K. M. (2008).Concerning about the physiological and psychological characteristics of an aging population. VGH Nursing, 25(1), 1-5.﹞
10. 洪瑄曼、陳桂敏(2008)‧關注高齡者之身心變化‧榮總護理,25(1),1-5。doi:10.6142/VGHN.25.1.1。﹝Hung, H. M. & Chen, K. M. (2008).Concerning about the physiological and psychological characteristics of an aging population. VGH Nursing, 25(1), 1-5.﹞
11. 施議強、韓晴芸、曾俊傑、侯承伯(2005)‧輔助及另類醫療‧基層醫學,20(6),146-153。﹝Shih, I. J., Han, C.U., Zeng, J. J., & Hou,C. B. (2005). Complementary and alternative medicine .Primary Medical Care & Family Medicine, 20(6),146-153.﹞
12. 施議強、韓晴芸、曾俊傑、侯承伯(2005)‧輔助及另類醫療‧基層醫學,20(6),146-153。﹝Shih, I. J., Han, C.U., Zeng, J. J., & Hou,C. B. (2005). Complementary and alternative medicine .Primary Medical Care & Family Medicine, 20(6),146-153.﹞
13. 梁翠梅(2009)‧多元輔助療法在老人族群之應用‧弘光人文社會學報,11,85-110。﹝Liang, T. M. (2005). Multiple complementary therapies for the elderly. Studies in the Humanities and Social Science, 11,85-110.﹞
14. 梁翠梅(2009)‧多元輔助療法在老人族群之應用‧弘光人文社會學報,11,85-110。﹝Liang, T. M. (2005). Multiple complementary therapies for the elderly. Studies in the Humanities and Social Science, 11,85-110.﹞
15. 陳進忠、趙叔蘋、林貴福(2005)‧運動推拿對改善延遲性肌肉酸痛效果的評估‧運動生理暨體能學報,3,63-76。〔Chen, C. C., Chao, S. P., Lin, K. F. (2005).The evaluation of the effect of tui-na in decreasing delayed onset muscle soreness.Journal of Exercise Physiology and Fit-ness
 
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