题名

難孕婦女社群成員的知識分享與健康促進行為之關聯性研究

并列篇名

Patients' Sharing of Experiences and Health Promoting Behavior of Infertile Women

DOI

10.30177/JLISR.202206_16(2).0003

作者

陳麗玉(Li-Yu Chen)；陳怡靜(Mavis Yi-Ching Chen)

关键词

健康素養 ； 健康促進行為 ； 訊息性支持 ； 病友知識分享 ； 社會支持 ； Health Literacy ； Health Promoting Behavior ； Informational Support ； Patients Sharing Experiences ； Social Support

期刊名称

圖書資訊學研究

卷期/出版年月

16卷2期（2022 / 06 / 01）

页次

71 - 107

内容语文

繁體中文;英文
中文摘要

本研究以難孕婦女社群成員為研究對象，探討病友知識分享對健康促進行為之影響，及健康素養的中介角色與社會支持的調節效果。採問卷調查法，透過臉書蒐集400份有效問卷，以階層迴歸分析進行假設驗證。研究結果發現：（1）健康素養在知識分享與健康促進行為間具有部分中介效果；（2）訊息性社會支持在健康素養與健康促進行為間具有調節作用；（3）知識分享對健康素養具有預測力。本研究中社群成員的教育程度與健康素養程度皆偏高，也突顯健康資訊對難孕婦女的重要性。可提供政策制定者、醫療供應者及有需求的病友在實務之運用，例如提供病友正確且充分的醫療照護資訊，以提高不孕婦女獲取並辨識網路資訊適性的能力。
英文摘要

This study investigated the relationship between patients sharing experiences, health literacy, social support and health promoting behavior among infertile women community. We adopted a questionnaire survey and data were gathered from 400 infertile women. We validated the proposed model based on confirmatory factor analysis and used multiple regression analysis to test the hypotheses. The results indicate that patients sharing experiences and health literacy significantly affect health promoting behavior, and health literacy mediates the relationship between patients sharing experiences and health promoting behavior, and the moderating effect of informational support is significant between health literacy and health promoting behavior. This research shows the importance of health information to infertile women. In addition, health literacy education for patients should also be strengthened to improve infertile women's ability to obtain and understand information.
主题分类 人文學 > 圖書資訊學
社會科學 > 傳播學
参考文献
  1. 王潤清, R.-C.,柯舜娟, S.-C.,劉波兒, P.-E.,孫麗娟, L.-J.(1999)。慢性病人健康促進及其相關因素之探討。弘光學報，34，47-98。
    連結：
  2. 李守義, S.-Y. D.,蔡慈儀, T.-I.,蔡憶文, Y.-W.,郭耿南, K. N.(2012)。「中文健康識能評估量表」簡式量表的發展與效度檢測。臺灣公共衛生雜誌，31(2)，184-194。
    連結：
  3. 李素真, S.-C.,鄭湘鈴, H.-L.(2019)。護理團隊應用學習型組織於代謝症候群病友團體照護。護理雜誌，66(6)，27-32。
    連結：
  4. 邱玉蟬, Y.-C.,李芳盈, F.-Y.(2019)。傳播不平等與健康不平等：資訊來源對食安風險感知與預防行為的影響。中華傳播學刊，36，3-18。
    連結：
  5. 邱銘心, P. M.-H.,張家翎, C.-L.(2015)。網路醫師評價之結構與內容特徵分析研究。教育資料與圖書館學，52(2)，157-190。
    連結：
  6. 郭淑珍, S.-C.,楊雪華, H.-H.,陳怡君, Y.-C.(2014)。乳癌病患使用部落格的疾病經驗交流之初探。臺灣公共衛生雜誌，33(6)，621-636。
    連結：
  7. 陳麗玉, L.-Y.(2016)。難孕婦女的經驗分享行為初探。健康促進與衛生教育學報，45，67-91。
    連結：
  8. 陳儷慧, L.-H.(2013)。高雄市=Kaohsiung，國立中山大學醫務管理研究所=National Sun Yat-sen University。
    連結：
  9. 曾翊喬, Y.-C. V.,邱銘心, M.-H. P.(2020)。應用隱喻抽取技術（ZMET）探討陽光基金會病友參與臉書支持團體之心智模式。教育資料與圖書館學，57(2)，215-252。
    連結：
  10. 黃寶園, B.-Y.(2010)。社會支持在壓力反應歷程中的中介效果。中華心理衛生學刊，23(3)，401-436。
    連結：
  11. 溫宜琳, Y.-L.,邱銘心, M.-H. P.(2018)。從社會支持觀點探討愛滋線上匿名諮詢問答。圖書資訊學刊，16(2)，135-164。
    連結：
  12. 魏米秀, M.-H.,呂昌明, C.-M.(2005)。「健康促進生活型態」中文簡式量表之發展研究。衛生教育學報，24，25-45。
    連結：
  13. Bagozzi, R. P.,Yi, Y.(1988).On the evaluation of structural equation models.Journal of the Academy of Marketing Science,16(1),74-94.
  14. Baker, D. W.,Parker, R. M.,William, M. V.,Clark, W. S.(1998).Health literacy and the risk of hospital admission.Journal of General Internal Medicine,13(12),791-798.
  15. Baron, R. M.,Kenny, D. A.(1986).The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations.Journal of Personality and Social Psychology,51(6),1173-1182.
  16. Boutin-Foster, C.(2005).In spite of good intentions: Patients’ perspectives on problematic social support interactions.Health Qual Life Outcomes,3,1-7.
  17. Campbell, M. K.,Meier, A.,Carr, C.,Enga, Z.,James, A. S.,Reedy, J.,Zheng, B.(2001).Health behavior changes after colon cancer: A comparison of findings from face-to-face and on-line focus groups.Family and Community Health,24(3),88-103.
  18. Chang, H.-J.(2009).Online supportive interactions: Using a network approach to examine communication patterns within a psychosis social support group in Taiwan.Journal of the American Society for Information Science and Technology,60(7),1504-1517.
  19. Cobb, S.(1976).Social support as a moderator of life stress.Psychosomatic Medicine,38(5),300-314.
  20. Cohen, S.,Wills, T. A.(1985).Stress, social support, and the buffering hypothesis.Psychological Bulletin,98(2),310-357.
  21. Coulson, N. S.,Buchanan, H.,Aubeeluck, A.(2007).Social support in cyberspace: A content analysis of communication within a Huntington’s disease online support group.Patient Education and Counseling,68(2),173-178.
  22. Davenport, T. H.,Prusak, L.(1998).Working knowledge: How organizations manage what they know.Boston, MA:Harvard Business School Press.
  23. Dixon, N. M.(2000).Common knowledge: How companies thrive by sharing what they know.Boston, MA:Harvard Business School Press.
  24. Ellingsen, G.,Monteiro, E.(2003).Mechanisms for producing a working knowledge: Enacting, orchestrating and organizing.Information and Organization,13(3),209-229.
  25. Fornell, C.,Larcker, D. F.(1981).Evaluating structural equation models with unobservable variables and measurement error.Journal of Marketing Research,18(1),39-50.
  26. Gossett, D. R.,Nayak, S.,Bhatt, B.,Bailey, S. C.(2013).What do healthy women know about the consequences of delayed childbearing?.Journal of Health Communication: International Perspectives,18(S1),118-128.
  27. Hayes, A. F.(2013).Introduction to mediation, moderation, and conditional process analysis: A regression-based approach.New York:Guilford.
  28. Hong, Y.,Peña-Purcell, N. C.,Ory, M. G.(2012).Outcomes of online support and resources for cancer survivors: A systematic literature review.Patient Education and Counseling,86(3),288-296.
  29. House, J. S.(1981).Work stress and social support.Reading, MA:Addison-Wesley.
  30. Jöreskog, K. G.,Sörbom, D.(1996).LISREL 8: User’s reference guide.Chicago, IL:Scientific Software International.
  31. Lin, T.-C.,Hsu, J. S.-C.,Cheng, H.-L.,Chiu, C.-M.(2012).Exploring individuals’ loyalty to online support groups from the perspective of social support.PACIS 2012 16th Pacific Asia Conference on Information Systems,Ho Chi Minh, Vietnam:
  32. 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.
  33. Malik, S. H.,Coulson, N. S.(2010).Coping with infertility online: An examination of self-help mechanisms in an online infertility support group.Patient Education and Counseling,81(2),315-318.
  34. Mancuso, C. A.,Rincon, M.(2006).Asthma patients’ assessments of health care and medical decision making: The role of health literacy.Journal of Asthma,43(1),41-44.
  35. Martins, M. V.,Peterson, B. D.,Almeida, V. M.,Costa, M. E.(2011).Direct and indirect effects of perceived social support on women’s infertility-related stress.Human Reproduction,26(8),2113-2121.
  36. McNaughton-Cassill, M. E.,Bostwick, J. M.,Arthur, N. J.,Robinson, R. D.,Neal, G. S.(2002).Efficacy of brief couples support groups developed to manage the stress of in Vitro Fertilization Treatment.Mayo Foundation for Medical Education and Research,77(10),1060-1066.
  37. Meier, A.,Lyons, E. J.,Frydman, G.,Forlenza, M.,Rimer, B. K.(2007).How cancer survivors provide support on cancer-related internet mailing lists.Journal of Medical Internet Research,9(2),58-84.
  38. Nonaka, I.(1994).A dynamic theory of organizational knowledge creation.Organization Science,5(1),14-37.
  39. Nonaka, I.,Takeuchi, H.(1995).The knowledge-creating company.New York:Oxford University Press.
  40. Nunnally, J. C.(1978).Psychometric theory.New York:McGraw-Hill.
  41. Paul, M. S.,Berger, R.,Berlow, N.,Rovner-Ferguson, H.,Figlerski, L.,Gardner, S.,Malave, A. F.(2010).Posttraumatic growth and social support in individuals with infertility.Human Reproduction,25(1),133-141.
  42. Pender, N. J.(1996).Health promotion in nursing practice.Stamford, CT:Appleton & Lange.
  43. Rashidi, B.,Hosseini, S.,Beigi, P.,Ghazizadeh, M.,Farahani, M. N.(2012).Infertility stress: The role of coping strategies, personality trait, and social support.Journal of Family & Reproductive Health,5(4),103-110.
  44. Ridenour, A. F.,Yorgason, J. B.,Peterson, B.(2009).The infertility resilience model: Assessing individual, couple, and external predictive factors.Contemporary Family Therapy,31(1),34-51.
  45. Senge, P.(1998).Sharing knowledge.Executive Excellence,15(6),11-12.
  46. Shim, M.(2008).Connecting internet use with gaps in cancer knowledge.Health Communication,23(5),448-461.
  47. Suka, M.,Odajima, T.,Okamoto, M.,Sumitani, M.,Igarashi, A.,Ishikawa, H.,Sugimori, H.(2015).Relationship between health literacy, health information access, health behavior, and health status in Japanese people.Patient Education and Counseling,98(5),660-668.
  48. Tsai, H.-M.,Cheng, C.-Y.,Chang, S.-C.,Yang, Y.-M.,Wang, H.-H.(2014).Health literacy and health-promoting behaviors among multiethnic groups of women in Taiwan.Journal of Obstetric Gynecologic and Neonatal Nursing,43(1),117-129.
  49. von Wagner, C.,Knight, K.,Steptoe, A.,Wardle, J.(2007).Functional health literacy and health-promoting behaviour in a national sample of British adults.Journal of Epidemiology and Community Health,61(12),1086-1090.
  50. World Health Organization. (1986). The Ottawa charter for health promotion. Retrieved from http://www.who.int/healthpromotion/conferences/previous/ottawa/en/
  51. Yağmur, Y.,Oltuluoğlu, H.(2012).Social support and hopelessness in women undergoing infertility treatment in Eastern Turkey.Public Health Nursing,29(2),99-104.
  52. Yao, T.,Zheng, Q.,Fan, X.(2015).The impact of online social support on patients’ quality of life and the moderating role of social exclusion.Journal of Service Research,18(3),369-383.
  53. Yli-Uotila, T.,Rantanen, A.,Suominen, T.(2013).Motives of cancer patients for using the internet to seek social support.European Journal of Cancer Care,22(2),261-271.
  54. 王桂芸, K.-Y.(2010)。臺北市=Taipei，國立臺灣師範大學健康促進與衛生教育學系=National Taiwan Normal University。
  55. 王翌任, Y.-R.(2014)。臺北市=Taipei，國立臺灣科技大學數位學習與教育研究所=National Taiwan University of Science and Technology。
  56. 行政院國家發展委員會（2019）。108年個人家戶數位機會調查報告。檢自https://www.ndc.gov.tw/cp.aspx?n=55c8164714dfd9e9【National Development Council, Executive Yuan. (2019). 108 nian ge ren jia hu shu wei ji hui diao cha bao gao. Retrieved from https://www.ndc.gov.tw/cp.aspx?n=55c8164714dfd9e9 (in Chinese)】
  57. 行政院衛生署醫療品質政策諮詢委員會（編）, Department of Health, Executive Yuan(Ed.)(2012).2012醫療品質政策白皮書.臺北市=Taipei:行政院衛生署醫療品質政策諮詢委員會=Medical Quality Policy Advisory Committee, Department of Health, Executive Yuan.
  58. 余靜怡, C.-Y.(2009)。高雄市=Kaohsiung，國立高雄師範大學輔導與諮商研究所=National Kaohsiung Normal University。
  59. 吳明隆, M.-L.(2008).SPSS操作與應用：問卷統計分析實務.臺北市=Taipei:五南=Wu Nan.
  60. 吳毓瑩, Y.-Y.(1996)。量表奇偶點數的效度議題。調查研究，2，5-34。
  61. 呂蕙如, H.-J.(2009)。臺北市=Taipei，國立臺灣大學醫療機構管理研究所=National Taiwan University。
  62. 李碧玉, P.-Y.(2008)。高雄市=Kaohsiung，國立高雄師範大學成人教育研究所=National Kaohsiung Normal University。
  63. 李麗熒, L.-Y.(1995)。高雄市=Kaohsiung，高雄醫學院護理學研究所=Kaohsiung Medical College。
  64. 沈邦寧, B.-n.(2013)。臺北市=Taipei，世新大學公共關係暨廣告學研究所=Shih Hsin University。
  65. 周伯勳, P.-H.(2011)。臺北市=Taipei，國立陽明大學衛生福利研究所=National Yang-Ming University。
  66. 周麗玉、丁振豐（2000）。社會學習論。雙語詞彙、學術名詞暨辭書資訊網。檢自http://terms.naer.edu.tw/detail/1306841/【Chou, L.-Y., & Ting, C.-F. (2000). Social-learning theory. Shuang yu ci hui, xue shu ming ci ji ci shu zi xun wang. Retrieved from http://terms.naer.edu.tw/detail/1306841/ (in Chinese)】
  67. 孫嘉慧, J.-H.,林秋菊, C.-C.(2014)。運用健康知能概念促進慢性腎病患者自我管理。護理雜誌，61(1)，105-110。
  68. 陳世娟, S.-C.(2020)。癌症病患資訊迴避行為之探討。圖書資訊學研究，15(1)，35-66。
  69. 陳怡穎, Y.-Y.(2016)。臺北市=Taipei，國立臺灣師範大學圖書資訊學研究所=National Taiwan Normal University。
  70. 陳映瑄, Y.-X.(2014)。臺北市=Taipei，國立臺灣科技大學數位學習與教育研究所=National Taiwan University of Science and Technology。
  71. 童雅玲, Y.-L.(2008)。高雄市=Kaohsiung，高雄醫學大學藥學研究所=Kaohsiung Medical University。
  72. 黃世芬, S.-F.(2008)。高雄市=Kaohsiung，義守大學資訊管理學系=I-SHOU University。
  73. 詹佳蓉, C.-J.(2006)。臺北市=Taipei，臺北醫學大學醫學人文研究所=Taipei Medical University。
  74. 衛生福利部國民健康署（2021）。108年人工生殖施行結果分析報告。檢自https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=233&pid=14136【Health Promotion Administration, Ministry of Health and Welfare. (2021). 108 nian ren gong sheng zhi shi xing jie guo fen xi bao gao. Retrieved from https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=233&pid=14136 (in Chinese)】
  75. 鄭夙芬, S.-F,鄭期緯, C.-W.(2012)。臺灣病友自助團體的運作與助益—以糖尿病病友為例。社區發展季刊，140，176-190。
  76. 蕭麗萍, L.-P.(2012)。屏東縣=Pingtung，大仁科技大學休閒事業管理研究所=Tajen University。
  77. 戴榕璇, J.-h.(2010)。屏東縣=Pingtung，大仁科技大學休閒健康管理研究所=Tajen University。
print cancel