题名

Health Information Avoidance Behavior of Patients with Type 2 Diabetes Mellitus

并列篇名

健康資訊迴避行為研究－以第二型糖尿病患者為例

DOI

10.6182/jlis.201912_17(2).071

作者

莊雯涵(Wen-Han Chuang)；邱銘心(Ming-Hsin Phoebe Chiu)

关键词

Information Avoidance ； Health Information Avoidance ； Health Information Behavior ； Type 2 Diabetes Mellitus ； 資訊迴避 ； 健康資訊迴避 ； 健康資訊行為 ； 第二型糖尿病

期刊名称

圖書資訊學刊

卷期/出版年月

17卷2期（2019 / 12 / 01）

页次

71 - 102

内容语文

英文;繁體中文
中文摘要

Along with the convenience of receiving health information and the rise of public health consciousness, seeking health information is regarded as a common phenomenon. However, the public is seldom aware of health information avoidance behavior. As for chronic patients, the fact that they receive health information more frequently than healthy people, the act of receiving or avoiding information would more directly influence the medical decision and health maintenance. This study refers to type 2 diabetics as a target and uses the ＂critical incident interview technique＂ to collect data. There are ten patients interviewed. This study aims to explore the health information avoidance behavior and factors from the patients' perspectives, and to investigate the strategies of decreasing health information avoidance, and to develop a framework of health information avoidance behavior. Finally, this study proposes practical suggestions for medical and health organizations regarding diabetes and is expected to remind the public to examine their own health information behavior.
英文摘要

隨著健康資訊取得便利，大眾健康自主權提升，健康資訊尋求被視為一個普遍的現象，但健康資訊迴避卻甚少被大眾所察覺，慢性疾病患者因接觸健康資訊頻率較高，對資訊的接受或迴避更易影響患者的醫療決策和健康維持。本研究以第二型糖尿病患者為研究對象，透過關鍵事件訪談法蒐集資料，共訪談10位患者，藉由健康資訊迴避事件探究患者的健康資訊迴避行為、原因，以及減少迴避行為之契機，並整理出一個健康資訊迴避行為框架。最後提出實務建議供醫療照護單位參考，期能減少患者因迴避健康資訊而延誤治療的情況發生，進一步提醒大眾檢視自身的健康資訊行為。
主题分类 人文學 > 圖書資訊學
参考文献
  1. 莊玟玲, Wen-Ling,金繼春, Chi-Chun(2002)。一位初診斷為乳癌婦女的訊息需求。醫護科技學刊，4(2)，126-135。
    連結：
  2. 葉乃靜, Nei-Ching(2003)。SARS流行期間民眾健康資訊行為研究。圖書資訊學刊，1(2)，95-110。
    連結：
  3. 鄔恒斐, Heng-Fei,林麗華, Li-Hwa,蘇淑娟, Shu-Chuan,許庭綾, Ting-Ling,王采芷, Tsae-Jyy(2015)。延遲就醫之概念分析。臺灣專科護理師學刊，1(1)，50-56。
    連結：
  4. 廖韋淳, Wei-Chun,邱立安, Li-An,岳修平, Hsiu-Ping(2012)。鄉村地區老年人健康資訊需求與尋求行為之研究。圖書資訊學刊，10(1)，155-204。
    連結：
  5. 魏米秀, Mi-Hsiu,洪文綺, Wen-Chi(2010)。都市與偏遠社區成人的健康資訊尋求經驗：焦點團體訪談結果。健康促進與衛生教育學報，34，93-114。
    連結：
  6. Addison, C. V.(2017).Vancouver, Canada,Arts, Faculty of Library, Archival and Information Studies School, University of British Columbia.
  7. American Diabetes Association(2010).Diagnosis and classification of diabetes mellitus.Diabetes Care,33(Suppl. 1),S62-S69.
  8. Attfield, S. J.,Adams, A.,Blandford, A.(2006).Patient information needs: Pre- and post-consultation.Health Informatics Journal,12(2),165-177.
  9. Bakker, R. H.,Kastermans, M. C.,Dassen, T. W. N.(1995).An analysis of the nursing diagnosis ineffective management of therapeutic regimen compared to noncompliance and Orem's self-care deficit theory of nursing.International Journal of Nursing Terminologies and Classifications,6(4),161-166.
  10. Barbour, J. B.,Rintamaki, L. S.,Ramsey, J. A.,Brashers, D. E.(2012).Avoiding health information.Journal of Health Communication,17(2),212-229.
  11. Bawden, D.(2001).Information overload.London, England:South Bank University.
  12. Bawden, D.,Holtham, C.,Courtney, N.(1999).Perspectives on information overload.ASLIB Proceedings,51(8),249-255.
  13. Carroll, P. J.(Ed.),Arkin, R. M.(Ed.),Wichman, A.(Ed.)(2015).Handbook of personal security.New York, NY:Taylor & Francis.
  14. Chae, J.(2016).Who avoids cancer information? Examining a psychological process leading to cancer information avoidance.Journal of Health Communication,21(7),837-844.
  15. Emanuel, A. S.,Kiviniemi, M. T.,Howell, J. L.,Hay, J. L.,Waters, E. A.,Orom, H.,Shepperd, J. A.(2015).Avoiding cancer risk information.Social Science & Medicine,147,113-120.
  16. Gabbott, M.,Hogg, G.(1996).The glory of stories: Using critical incidents to understand service evaluation in the primary healthcare context.Journal of Marketing Management,12(6),493-503.
  17. Golman, R.,Hagmann, D.,Loewenstein, G.(2017).Information avoidance.Journal of Economic Literature,55(1),96-135.
  18. Hahn, M.,Lawson, R.,Lee, Y. G.(1992).The effects of time pressure and information load on decision quality.Psychology & Marketing,9(5),365-378.
  19. Howell, J. L.,Crosier, B. S.,Shepperd, J. A.(2014).Does lacking threat-management resources increase information avoidance? A multi-sample, multi-method investigation.Journal of Research in Personality,50,102-109.
  20. Howell, J. L.,Shepperd, J. A.(2017).Social exclusion, self-affirmation, and health information avoidance.Journal of Experimental Social Psychology,68,21-26.
  21. Hummelinck, A.,Pollock, K.(2006).Parents’ information needs about the treatment of their chronically ill child: A qualitative study.Patient Education and Counseling,62(2),228-234.
  22. Hwu, Y. J.,Coates, V. E.,Boore, J. R. P.(2001).The health behaviors of Chinese people with chronic illness.International Journal of Nursing Studies,38(6),629-641.
  23. Jung, M.(2014).Determinants of health information-seekingbehavior: Implications for post-treatment cancer patients.Asian Pacific Journal of Cancer Prevention,15(16),6499-6504.
  24. Labor, S. L.,Schommer, J. C.,Pathak, D. S.(1995).Information overload with written prescription drug information.Drug Information Journal,29(4),1317-1328.
  25. Lambert, S.,Loiselle, C.,Macdonald, M. E.(2009).An in-depth exploration of information-seeking behavior among individuals with cancer part 1: Understanding differential patterns of active information seeking.Cancer Nursing,32(1),11-23.
  26. Lambert, S.,Loiselle, C.,Macdonald, M. E.(2009).An in-depth exploration of information-seeking behavior among individuals with cancer part 2: Understanding patterns of information disinterest and avoidance.Cancer Nursing,32(1),26-36.
  27. Leydon, G. M.,Boulton, M.,Moynihan, C.,Jones, A.,Mossman, J.,Boudioni, M.,McPherson, K.(2000).Cancer patients’ information needs and information seeking behaviour: In depth interview study.BMJ,320(7239),909-913.
  28. Longo, D. R.(2005).Understanding health information, communication, and information seeking of patients and consumers: A comprehensive and integrated model.Health Expectations,8(3),189-194.
  29. Longo, D. R.,Schubert, S. L.,Wright, B. A.,LeMaster, J.,Williams, C. D.,Clore, J. N.(2010).Health information seeking, receipt, and use in diabetes self-management.The Annals of Family Medicine,8(4),334-340.
  30. Mayer, D. K.,Terrin, N. C.,Kreps, G. L.,Menon, U.,McCance, K.,Parsons, S. K.,Mooney, K. H.(2007).Cancer survivors information seeking behaviors: A comparison of survivors who do and do not seek information about cancer.Patient Education and Counseling,65(3),342-350.
  31. Narayan, B.,Case, D. O.,Edwards, S. L.(2011).The role of information avoidance in everyday-life information behaviors.Proceedings of the American Society for Information Science and Technology,48(1),1-9.
  32. Nelissen, S.,Beullens, K.,Lemal, M.,Van den Bulck, J.(2015).Fear of cancer is associated with cancer information seeking, scanning and avoiding: A cross-sectional study among cancer diagnosed and non-diagnosed individuals.Health Information & Libraries Journal,32(2),107-119.
  33. Neuman、 W. L.,王佳煌（譯）, Chia-Huang(trans.),潘中道（譯）, Chung-Dao(trans.),蘇文賢（譯）, Wen-Xian(trans.),江吟梓（譯）, Yin-Zi(trans.)(2014).當代社會研究法：質化與量化取向.臺北市=Taipei:學富文化=PRO-ED Publishing.
  34. Nutbeam, D.(2000).Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century.Health Promotion International,15(3),259-267.
  35. Osterberg, L.,Blaschke, T.(2005).Adherence to medication.New England Journal of Medicine,353(5),487-497.
  36. Persoskie, A.,Ferrer, R. A.,Klein, W. M. P.(2014).Association of cancer worry and perceived risk with doctor avoidance: An analysis of information avoidance in a nationally representative US sample.Journal of Behavioral Medicine,37(5),977-987.
  37. Polly, R. K.(1992).Diabetes health beliefs, self-care behaviors, and glycemic control among older adults with non-insulin-dependent diabetes mellitus.The Diabetes Educator,18(4),321-327.
  38. Rutten, L. J. F.,Arora, N. K.,Bakos, A. D.,Aziz, N.,Rowland, J.(2005).Information needs and sources of information among cancer patients: A systematic review of research (1980-2003).Patient Education and Counseling,57(3),250-261.
  39. Sairanen, A.,Savolainen, R.(2010).Avoiding health information in the context of uncertainty management.Information Research,15(4)
  40. Savolainen, R.(1995).Everyday life information seeking: Approaching information seeking in the context of "way of life".Library & information science research,17(3),259-294.
  41. Schneider, S. C.(1987).Information overload: Causes and consequences.Human Systems Management,7(2),143-153.
  42. Stauss, B.,Weinlich, B.(1997).Processoriented measurement of service quality: Applying the sequential incident technique.European Journal of Marketing,31(1),33-55.
  43. Sullivan、 F.,Wyatt, J. C.,張雅倫（譯）, Ya-Lun(trans.)(2008).健康資訊學ABC.臺北市=Taipei:合記圖書=Ho-Chi Book.
  44. Sweeny, K.,Melnyk, D.,Miller, W.,Shepperd, J. A.(2010).Information avoidance: Who, what, when, and why.Review of General Psychology,14(4),340-353.
  45. Thomas-Hawkins, C.,Zazworsky, D.(2005).Self-management of chronic kidney disease.American Journal of Nursing,105,40-47.
  46. Wilson, T. D.(2000).Human information behaviour.Informing Science: The International Journal of an Emerging Transdiscipline,3,49-55.
  47. Wilson, T. D.(1997).Information behaviour: An interdisciplinary perspective.Information Processing & Management,33(4),551-572.
  48. 丁彥伶, Yan-Ling(2016)。照護糖尿病患者提升生活品質。全民健康保險季刊，119，24-27。
  49. 王梅玲（2012）。關鍵事件法。檢自http://terms.naer.edu.tw/detail/1679272/【Wang, Mei-Ling (2012). Critical incident. Retrieved from http://terms.naer.edu.tw/detail/1679272/ (in Chinese)】
  50. 王璟璇, Jing-Shiuan,王瑞霞, Ruey-Hsia,林秋菊, Chiu-Chu(1998)。門診診斷初期非胰島素依賴型糖尿病患者的自我照顧行為及其相關因素之探討。護理雜誌，45(2)，60-74。
  51. 行政院衛生署國民健康局, Health Promotion Administration(2006).遠離糖尿病完全學習手冊：糖尿病高危險群健康促進教材─社區民眾版.臺中市=Taichung:行政院衛生署國民健康局=Health Promotion Administration, Ministry of Health and Welfare.
  52. 吳寂絹, Chi-Chuan(2014)。臺北市=Taipei，國立臺灣師範大學圖書資訊學研究所=Graduate Institute of Library & Information Studies, National Taiwan Normal University。
  53. 李明昌, Ming-Chang(2015)。臺北市=Taipei，實踐大學家庭研究與兒童發展學系=Department of Family Studies and Child Development, Shih Chien University。
  54. 林秋菊, Chiu-Chu(2011)。慢性病患者之自我管理。臺灣腎臟護理學會雜誌，10(1)，1-18。
  55. 邱培源, Pei-Yuan(2002)。新北市=New Taipei，淡江大學資訊與圖書館學系=Department of Information and Library Science, Tamkang University。
  56. 柯欣妤（2018年5月5日）。他肛門傷口化膿竟檢查出糖尿病。健康醫療網。檢自https://www.healthnews.com.tw/【[Ke, Xin-Yu] (2018, May 5). [Ta gang men shang kou hua nong jing jian cha chu tang niao bing]. Healthnews. Retrieved from https://www.healthnews.com.tw/ (in Chinese)】
  57. 胡月娟, Yueh-Juen,林豐裕, Feng-Yu(2005)。慢性病患之疾病衝擊、健康行為與因應結果之模式檢定。實證護理，1(2)，140-148。
  58. 馬賽藍, Sai-Lan(2015)。健康飲食運動一起來：控制糖尿病小知識。全民健康保險雙月刊，114，36-40。
  59. 張淳茜, Chun-Chien(2000)。臺中市=Taichung，中國醫藥學院醫務管理研究所=Department of Health Service Administration, China Medical University。
  60. 梁嘉玲, Chia-Ling(2015)。臺南市=Tainan，國立成功大學高階管理碩士在職專班=Executive Master of Business Administration, National Cheng Kung University。
  61. 許文綺, Wen-Chi(2002)。新北市=New Taipei，輔仁大學圖書資訊學系=Department of Library and Information Science, Fu Jen Catholic University。
  62. 許珍琳, Zhen-Lin(2013)。臺北市立龍山國中實踐健康促進學校之作法。中等教育，64(1)，188-194。
  63. 郭淑芬, Shufen,林雅惠, Yahui,鄭惠文, Huiwen(2018)。以大腸癌篩檢探討民眾健康行為。第六屆亞洲健康識能國際會議，臺中市=Taichung:
  64. 陳世娟, Shih-Chuan(2012)。臺北市=Taipei，國立臺灣大學圖書資訊學研究所=Graduate Institute of Library and Information Science, National Taiwan University。
  65. 陳向明, Xiang-Ming(2002).社會科學質的研究.臺北市=Taipei:五南=Wu-Nan.
  66. 陳釗偉（2019）。糖尿病8種症狀，預防與控制飲食訣竅。檢自https://www.ihealth.com.tw/article/%E7%B3%96%E5%B0%BF%E7%97%85/【[ Chen, Zhao-Wei] (2019). [Tang niao bing 8 zhong zheng zhuang, yu fang yu kong zhi yin shi jue qiao]. Retrieved from https://www.ihealth.com.tw/article/%E7%B3%96%E5%B0%BF%E7%97%85/ (in Chinese)】
  67. 詹志洋, ChihYang(2013)。新竹市=Hsinchu，國立清華大學科技管理學院高階經營管理碩士在職專班=Executive Master of Business Administration of College of Technology Management, National Tsing Hua University。
  68. 劉忠峰, Chung-Feng,林宏榮, Hung-Jung(2014)。行政院國家科學委員會專題研究計畫成果報告行政院國家科學委員會專題研究計畫成果報告,臺南市=Tainan:嘉南藥理科技大學=Chia Nan University of Pharmacy & Science。
  69. 潘淑滿, Shu-Man(2003).質性研究：理論與應用.臺北市=Taipei:心理=Psychological Publishing.
  70. 衛生福利部（2017）。105年國人死因統計結果。檢自https://www.mohw.gov.tw/cp16-33598-1.html【Ministry of Health and Welfare. (2017). Taiwan's leading causes of death in 2016. Retrieved from https://www.mohw.gov.tw/cp-16-33598-1.html (in Chinese)】
  71. 衛生福利部統計處（2018）。全民健康保險醫療統計。檢自https://dep.mohw.gov.tw/DOS/np-1918-113.html【Ministry of Health and Welfare, Department of Statistics. (2018). [Quan min jian kang bao xian yi liao tong ji]. Retrieved from https://dep.mohw.gov.tw/DOS/np-1918-113.html (in Chinese)】
  72. 賴玲玲（2013）。資訊超載。檢自http://terms.naer.edu.tw/detail/1954773/【Lai, Ling-Ling (2013). Information overload. Retrieved from http://terms.naer.edu.tw/detail/1954773/ (in Chinese)】
print cancel