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研究生:官雅婷
研究生(外文):Ya-Ting Kuan
論文名稱:探討3C使用民眾對傷口照護之行動醫療需求評估調查
論文名稱(外文):The Investigation of Mobile Health Requirement Assessment in Wound Care for the 3C Users
指導教授:侯宜菁侯宜菁引用關係
指導教授(外文):I-Ching Hou
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:臨床暨社區護理研究所
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:2016
畢業學年度:104
語文別:中文
論文頁數:130
中文關鍵詞:行動醫療傷口照護需求評估
外文關鍵詞:mobile healthwound carerequirement assessment
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隨資通訊科技快速發展,許多研究發現行動醫療能提升個案傷口照護及管理能力,改善傷口癒後,及減輕醫療成本。本研究目的為:1. 調查3C使用民眾傷口照護知識、態度、行為及行動醫療照護服務需求之關係。2. 調查影響3C使用民眾傷口照護知識、態度、行為及行動醫療照護服務需求之因素。3. 運用行動醫療照護服務於3C使用民眾傷口照護之需求評估。本研究採結構式問卷調查法,對象為國內大型社群網站361位3C產品使用者。統計方法為t檢定、單因子變異數分析、皮爾森相關及多元廻歸分析進行檢定。
本研究結果發現:
1. 3C產品使用者曾有被教導傷口照護經驗(p<0.01)及有子女(p<0.05)者其對傷口照護知識較好。
2. 3C產品使用者曾有被教導傷口照護經驗(p<0.001)其傷口照護態度較好。
3. 3C產品使用者曾有被教導傷口照護經驗(p<0.001)、有子女者(p<0,05)以及使用智慧型手機年數長者(p<0.05)其傷口照護行為較好。
4. 3C產品使用者的傷口照護知識、態度與行動醫療照護服務需求呈正相關。
5. 對於行動醫療照護服務需求中,3C產品使用者對行動醫療照護裝置協助如何照護及評估傷口會感到有興趣,期望易於使用並且對於傷口復原有所幫助。
本研究結果可作為未來傷口照護提供者及政策制定者的重要參考,以及開發傷口照護資訊科技之依據。
With the rapid development of ICT technology, many studies had shown that using proper mobile technology could enhance people's wound care and management capacity, increase the wounded and the main caregivers' satisfaction and reduce health care spending costs. Therefore, the purposes of this study were to 1) investigate 3C users’ cognition, attitude, behavior, mobile health care requirement and the correlations toward wound care among them, 2) investigate 3C users’ cognition, attitude, behavior, mobile health care requirement and explore influencing factors, 3) investigate 3C users’ requirement assessment for mobile health in wound care. The researcher conducted this cross-sectional and purposive sampling study. Three hundred and sixty one 3C users were enrolled from one social networking site in Taiwan. The statistical procedures such as mean, standard deviation, t-test, one-way ANOVA, Pearson correlation and multiple regression analysis were applied in data managements.
The results showed that:
1) The 3C users who had been taught the wound care knowledge (p<0.01), having children (p<0.05) had significant difference on the wound care knowledge .
2) The 3C users who had been taught the wound care knowledge (p<0.001) had significant difference on the wound care attitude.
3) The 3C users who had been taught the wound care knowledge (p<0.001), having children(p<0.05) and using the smartphone for longer time(p<0.05) had significant difference on the wound care behavior.
4) The 3C users’ knowledge and attitude toward wound care were significant positively correlated with mobile health care requirements.
5) For moble health care requirements, the 3C users had interested on using mobile health care device to faciliate the wound care, wound assessment and wound healing.
Our results can serve as the important reference for health care providers and policy makers to increase knowledge of mobile health in wound care for general public.
目錄
誌謝
中文摘要 i
英文摘要 ii
目錄 iv
圖目錄 vii
表目錄 viii
第一章 前言 1
第一節 研究背景與動機 1
第二節 研究目的 3
第三節 研究重要性 4
第二章 文獻探討 6
第一節 傷口照護 6
第二節 行動醫療 18
第三章 研究方法 24
第ㄧ節 研究架構 25
第二節 研究問題 26
第三節 研究假設 27
第四節 名詞解釋 28
第五節 研究設計 30
第六節 研究場域與對象 31
第七節 研究工具與信效度檢定 33
第八節 研究步驟 38
第九節 資料處理及分析方法 41
第十節 研究對象權益保護 42
第四章 研究結果 43
第一節 3C使用民眾個人基本屬性資料 44
第二節 3C使用民眾傷口照護知識分析結果 51
第三節 3C使用民眾傷口照護態度分析結果 57
第四節 3C使用民眾傷口照護行為分析結果 61
第五節 3C使用民眾傷口照護行動醫療照護服務需求分析結果 69
第六節 3C使用民眾傷口照護知識、態度、行為及行動醫療照護服務需求之影響因素分析結果 73
第七節 3C使用民眾傷口照護知識、態度、行為及行動醫療照護服務需求
之相關性研究分析結果 84
第五章 討論 85
第一節 3C使用民眾傷口照護知識結果探討 85
第二節 3C使用民眾傷口照護態度結果探討 86
第三節 3C使用民眾傷口照護行為結果探討 87
第四節 3C使用民眾傷口照護行動醫療照護服務需求結果探討 87
第五節 3C使用民眾傷口照護知識、態度、行為及行動醫療照護服務需求
之影響因素結果探討 89
第六節 3C使用民眾傷口照護知識、態度、行為及行動醫療照護服務需求
之相關性結果探討 92
第六章 結論與建議 93
第一節 結論 93
第二節 建議與限制 95
參考文獻 98
中文部分 98
英文部分 102
附錄
附錄一 國立陽明大學人體研究暨倫理委員會同意人體研究證明書 113
附錄二 研究問卷內容專家效度名單 114
附錄三 行動醫療運用於3C使用民眾之傷口照護調查問卷 115

圖目錄
圖1 歷年我國經常上網人口成長情況 18
圖2 行動醫療服務典型架構圖 19
圖3 全球2013年智慧型手機銷量至終端用戶操作系統 23
圖4 研究架構圖 25
圖5 研究流程圖 39
圖6 研究步驟甘特圖 40

表目錄
表3-5-1 研究問卷之內容效度值(Content Validity Index) 37
表3-5-2 研究問卷之內在一致性(Cronbach’s Alpha值) 37
表4-1-1 社會人口學變項分佈情形 45
表4-1-2 傷口與疾病變項分佈情形 48
表4-1-3 3C產品使用變項分佈情形 50
表4-2-1 傷口種類知識 53
表4-2-2 傷口評估知識 53
表4-2-3 傷口處置知識 53
表4-2-4 傷口照護知識各面向得分情形摘要表 53
表4-2-5 傷口照護知識各題得分情形摘要表 54
表4-2-6 是否清楚如何觀察傷口外觀有無紅腫、疼痛或異常分泌物 54
表4-2-7 擦挫傷傷口圖片辨識 54
表4-2-8 壓瘡(褥瘡)傷口圖片辨識 55
表4-2-9 糖尿病足潰瘍圖片辨識 55
表4-2-10 3C使用民眾認為促進傷口癒合因素 55
表4-2-11 3C使用民眾認為傷口感染可能情形 56
表4-2-12 3C使用民眾傷口照護知識常態Q-Q圖 56
表4-3-1 傷口照護態度各題得分情形 59
表4-3-2 傷口照護態度各面向得分情形摘要表 59
表4-3-3 傷口照護態度各題得分情形摘要表 60
表4-3-4 3C使用民眾傷口照護態度常態Q-Q圖 60
表4-4-1 傷口照護行為各面向得分情形摘要表 63
表4-4-2 傷口照護行為各題得分情形摘要表 63
表4-4-3 傷口換藥經驗分佈情形 64
表4-4-4 求助於醫院傷口類型分佈情形 64
表4-4-5 上次需要換藥的傷口之受傷原因分佈情形 65
表4-4-6 傷口數量分佈情形 65
表4-4-7 傷口外觀分佈情形 65
表4-4-8 上次換藥的傷口種類 66
表4-4-9 上次換藥傷口部位 66
表4-4-10 消毒方式分佈情形 67
表4-4-11 傷口敷料分佈情形 67
表4-4-12 應就醫傷口類型分佈情形 67
表4-4-13 3C使用民眾傷口照護行為常態Q-Q圖 68
表4-5-1 行動醫療照護服務各題得分情形 70
表4-5-2 行動醫療照護服務各題得分情形摘要表 71
表4-5-3 行動醫療照護服務之期待 71
表4-5-4 3C使用民眾傷口照護行動醫療照護服務需求常態Q-Q圖 72
表4-6-1 社會人口學變項與傷口照護知識、態度及行為 76
表4-6-2 社會人口學變項與行動醫療傷口照護服務需求 78
表4-6-3 傷口與疾病變項和傷口照護知識、態度及行為 80
表4-6-4 傷口與疾病變項和行動醫療照護服務需求 81
表4-6-5 3C產品使用變項與傷口照護知識、態度及行為 82
表4-6-6 3C產品使用變項和行動醫療照護服務需求 82
表4-6-7 傷口照護知識、態度及行為對行動醫療照護服務需求之多元迴歸分析摘要表 83
表4-6-8 傷口照護知識、態度、行為及行動醫療服務需求皮爾森相關係數 84
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