题名

老年族群的健康識能槪念分析

并列篇名

Concept Analysis: Health Literacy Among Older Adults

DOI

10.6142/VGHN.201809_35(3).0006

作者

曾靖容(Ching-Jung Tseng)；廖妙淯(Maio-Yu Liao)；林秀縵(Hsiu-Man Lin)

关键词

健康識能 ； 概念分析 ； 老年族群 ； health literacy ； concept analysis ； older adults

期刊名称

榮總護理

卷期/出版年月

35卷3期（2018 / 09 / 01）

页次

269 - 277

内容语文

繁體中文
中文摘要

人口快速老化，高齡社會面臨的醫療照護挑戰，除失智、失能之後續長期照顧服務外，防止健康、亞健康長者走入不適當的健康行為，亦是重要的議題，而發展健康識能為必要的行動策略之一；老年人健康識能技能普遍偏低，且目前國內針對健康識能用在老年族群的概念文獻較為缺乏，亦無發展老人健康識能評估工具，故本文應用Walker及Avant概念分析的步驟進行健康識能概念分析，分析比較概念屬性的相同點與相異點，加以整合後，其定義性特徵為：（一）是一組具有層級區別的技能，用以獲取、理解、評價、應用健康訊息或知識；（二）此技能會因環境因素、個人因素、情境因素的影響而有所變動；（三）目的是用以增強健康行為動機與執行健康決策能力。但其場域為老年族群，處在身、心、社會功能退化的狀態，又因個人一般識讀能力的狀態不同，其健康識能的技能樣態更為複雜化，影響老年族群對健康知識的了解、慢性病照護與自我管理、健康照護與預防服務的可近性、健康消費支出多寡等健康行為與決策結果。期待經由健康識能概念的澄清，有助於未來建置老年人相關評估工具與發展有效的介入方案。
英文摘要

Rapid population aging has resulted in challenges for the medical care of older adults, including follow-up long-term care services for dementia and incapacitation and prevention of inappropriate health behaviors among healthy and subhealthy older adults. Health development is a critical topic, and health literacy is a necessary strategy. The health literacy of older adults is generally low, and related conceptual studies and assessment tools are lacking. Therefore, this study applied the concept analysis process provided by Walker and Avant to verify definitions; identify defining attributes, antecedents, and consequences; and provide examples of model, borderline, and contrary cases. This concept analysis provides clarification and facilitates the establishment of related assessment tools and effective intervention programs for older adults.
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 林季緯、何青蓉、黃茹意、王維典(2016)。健康識能的概念發展與實務應用。台灣家庭醫學雜誌，26(2)，65-76。
    連結：
  2. 蔡慈儀、李守義、蔡憶文、郭耿南(2010)。中文健康識能評估表的發展與測試。醫學教育，24(2)，32-46。
    連結：
  3. Abrams, M. A., Kurtz-Rossi, S., Riffenburgh, A., & Savage, B. A. (2014) Building health literate organizations: A guidebook to achieving organizational change. Retrieved from https://www.unitypoint.org/filesimages/Literacy/Health%20Literacy%20Guidebook.pdf
  4. Baker, D.W.(2006).The meaning and the measure of health literacy.Journal General Internal Medicine,21(8),878-883.
  5. Centers for Disease Control and Prevention(2009).Improving health literacy for older adults: Expert panel report 2009.Atlanta:U.S. Department of Health and Human Services.
  6. Chesser, A.K.,Keene, W. N.,Smothers, K.,Rogers, N.(2016).Health literacy and older adults: A systematic review.Gerontology and Geriatric Medicine,15,1-13.
  7. deWit, L.,Fenenga, C.,Giammarchi, C.,diFuria, L.,Hutter, I.,deWinter, A.,Meijering, L.(2017).Community-based initiatives improving critical health literacy: A systematic review and meta-synthesis of qualitative evidence.BMC Public Health,18(1),1-11.
  8. Duong, T.V.,Aringazina, A.,Baisunova, G.,Nurjanah, P.,Pham, T.V.,Pham, K. M., Chang, P. W.(2017).Measuring health literacy in Asia: Validation of the HLSEU-Q47 survey tool in six Asian countries.Journal of Epidemiology,27(2),80-86.
  9. Lee, S. D.,Tsai, T. I.,Tsai, Y. W.,Kuo, K. N.(2010).Health literacy, health status, and healthcare utilization of Taiwanese adults: Results from a national survey.BMC Public Health,10,614-622.
  10. Lee, S. Y.,Bender, D. E.,Ruiz, R. E.,Cho, Y. I.(2006).Development of an easy ‐ to ‐ use Spanish health literacy test.Health Services Research,41(4 Pt 1),1392-412.
  11. Nielsen-Bohlman, L.,Panzer, A, M.,Kindig, D. A.(2004).Health literacy: A prescription to end confusion.Washington, D. C.:The National Academies press.
  12. Nutbeam, D.(2000).Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into 21st century.Health Promotion International,15(3),259-267.
  13. Sørensen, K.,Van den Broucke, S.,Fullam, J.,Doyle, J.,Pelikan, J.,Slonska, Z.,Brand, H.(2012).Health literacy and public health: A systematic review and integration of definitions and models.BMC Public Health,12,80-93.
  14. Tung, H. H.,Lu, T. M.,Chen, L. K.,Liang, S. Y.,Wu, S. F.,Chu, K. H.(2014).Health literacy impact on elderly patients with heart failure in Taiwan.Journal of Clinical Gerontology and Geriatrics,5(3),72-76.
  15. Walker, L. O.,Avant, K. C.(2005).Strategies for theory construction in nursing.Upper Saddle River, NJ:Pearson.
  16. Wikipedia. (2018, February 13). Literacy. Retrieved from https://en.wikipedia.org/wiki/Literacy
  17. World Health Organization. (2018, February 13). Track 2: Health literacy and health behavior. Retrieved from http://www.who.int/health promotion/conferences/7gchp/track2/en/
  18. World Health Organization Regional Office for Europe(2012).Health 2020. A European policy framework supporting action across government and society for health and well-being.Copenhagen:World Health Organization Regional Office for Europe.
  19. 內政部統計處(2018，04 月07 日)．老年人口數． 取自https://www.moi.gov.tw/stat/chart.aspx
  20. 孫嘉惠、林秋菊(2014)。運用健康知能概念促進面性腎病患者自我管理。護理雜誌，61(1)，105-110。
  21. 國家教育研究院(2018)．Literacy 檢索．取自http://terms.naer.edu.tw/ detail/1678771/
  22. 國家衛生研究院(2009)． 中文健康識能評估表的發展． 取自http://enews.nhri.org.tw/enews_list_new2_more.php?volume_indx=382&showx=showarticle&article_indx=8179
  23. 國家衛生研究院(2010)．研究發展- 中文健康識能評估表的發展．取自http://enews.nhri.org.tw/enews_list_new2.php?volume_indx=382&showx=showarticle&article_indx=8180&enews_dt=2010-12-02
  24. 張美娟(2007)。健康素養與健康照護。志為護理，8(3)，65-69。
  25. 衛生福利部中央健康保險署(2015，09 月08日)．長期照護保險．取自https://www.nhi.gov.tw/Resource/Registration/5104_2長期照顧保險簡報.pdf
  26. 衛生福利部國民健康署(2016)。國民健康年報
  27. 蘇哲能、張淑鳳、陳榮基、潘豐泉、陳清軒、劉偉文(2008)。台灣健康知能量表之初探性研究。臺灣醫學，12，525-536。
被引用次数
  1. 謝玉如,陳淑娟,陳俞琪,呂至剛(2020)。初期血液透析病人自我管理及其影響因素之初探。榮總護理，37(4)，415-426。
  2. (2024)。探討社區中、老年人的健康資訊取得對健康識能的影響。台灣健康照顧研究學刊，29，45-67。
print cancel