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篇名
運用優勢觀點發展志工協助退化性膝關節炎老人自我管理教育方案之行動研究
並列篇名
An Action Research about Using Strengths-Based Perspective to Develop an Educational Program to Empower Volunteers to Assist Older Adults with Knee Osteoarthritis Self-Management
作者 陳毓璟
中文摘要
本研究的目的在以退化性膝關節炎為例,發展賦能志工擔任同儕教師,教導鄉村社區高齡者慢性病自我管理之教育方案與志工學習手冊。研究對象為服務於嘉義縣鄉村社區老人活動據點中之志工,年齡在50歲以上,至少有一年以上服務社區老人的經驗者。本研究運用行動研究方法,以質量並重的混合設計來記錄與分析方案發展流程。先以隨機抽樣,以問卷調查59位志工,探究其對此疾病的認知及協助老人疾病自我管理的意願與效能,藉以發展培訓方案與教材,並邀請11位專家進行教材合適性評估;再以立意取樣招募30位志工進行志工培訓與社區實際教學,以及教學成效前、後測評量與課程滿意度評量;最後進行志工和社區領導者焦點訪談,依其訪談結果作為賦能志工協助高齡者慢性病自我管理教育方案發展之改善依據。研究結果顯示,志工肯定本教育方案對自己健康的幫助,尤其是有罹患退化性膝關節炎的志工。志工優勢在於協助高齡者自我照顧的意願高、學習動機強、與高齡者溝通較為容易;缺點在於方案十分費時、培訓志工的留任率低、志工對協助高齡者疾病自我管理自信心不足、自我管理技能不夠熟練,以及低識字高齡者的教育較為困難。最後依此研究結果,提出志工教育方案包括課程與教育服務輸送之改善建議。
英文摘要
In this study, combining the strengths-based perspective and chronic disease self-management model, used the method of action research to develop an educational program and volunteer learning manual which aimed at improving the capacity of community volunteers to assist older adults with knee osteoarthritis (OA) to care for them. The subjects were volunteers aged over 50 who had served at least one year in community centers for the elderly in Chia-Yi County. By action research method, this study used qualitative and quantitative mixed design to record and analyzes this process. First, 59 volunteers were randomly selected to take questionnaire to explore the community volunteers’ awareness of this disease and their willingness and effectiveness in assisting the elderly in self-management of this disease, so as to develop training programs and teaching materials and inviting 11 experts to assess their appropriateness. Following, recruited 30 volunteers to carry out training and practical community teaching, as well as evaluating effectiveness before and after the training and evaluating curriculum satisfaction. The last conducted volunteer and community leaders’ focus group interview. According to the results of interviews revised the educational programs. The results show that the strengths of volunteers are that the willingness to assist elderly people in self-management is high and the motivation for learning is also very strong. It is easier for volunteers to communicate with elderly people. The disadvantages are that the program is very time-consuming, the retention rate of trained volunteers is low, and volunteers are not self-confident in helping elderly people with knee OA to take care of themselves, skills of self-management are not very proficient, and the teaching for the ill-literate elderly people is more difficult. Finally, suggestions are put forward to improve the educational program, including improvements of volunteer’s training curriculum and delivery of educational services.
起訖頁 039-067
關鍵詞 志工教育方案鄉村社區慢性病自我管理volunteer’s educational programrural areachronic disease self-management
刊名 健康促進與衛生教育學報  
期數 201706 (47期)
出版單位 國立臺灣師範大學健康促進與衛生教育學系
DOI 10.3966/207010632017060047003  複製DOI
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