研究生: |
鄭竺欣 Zheng Chu Hsin |
---|---|
論文名稱: |
遠距血壓照護系統應用於公車駕駛員之高血壓防治成果研究 The prevention of hypertension in telecare system among bus drivers |
指導教授: |
鄭惠美
Jeng, Huey-Mei |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2014 |
畢業學年度: | 102 |
語文別: | 中文 |
論文頁數: | 144 |
中文關鍵詞: | 遠距照護系統 、公車駕駛員 、高血壓 、健康信念模式 |
英文關鍵詞: | telecare system, bus drivers, hypertension, health belief model |
論文種類: | 學術論文 |
相關次數: | 點閱:166 下載:1 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究目的旨在探討遠距照護系統介入對公車駕駛員的高血壓防治之成果。採單組前後測設計,以立意取樣的方式,選取台北市某客運公司駕駛員為研究對象,有效樣本共計111位,進行統計分析,研究結果發現:
一、 自覺行動障礙得分越低者、自我效能得分越高者,運動頻率越多,運動頻率「4-5次/週」者比「沒有運動」者的自覺行動障礙低;運動頻率「4-5次/週」者比「沒有運動」者的自我效能高。
二、 工作年資越多者,行動線索得分越高,且工作年資「11年以上」者比「0-5年」者的行動線索多;年齡越大者,BMI數值越低,
年齡「46-55歲」者比「26-35歲」者的BMI低。
三、 遠距照護系統介入後,在高血壓防治知識、自覺嚴重性、自覺行動利益、自我效能方面皆有進步,但未達統計顯著差異。
四、 遠距照護系統介入能有效提升研究對象的自覺罹患性、自覺行動障礙及行動線索,以及有效改善研究對象的腰圍、收縮壓及舒張壓。
五、 遠距照護系統介入後,研究對象的BMI及膽固醇數值不降反升,建議未來提供職場健康促進活動時,將體重管理、飲食及運動優先納入的議題。
This study aimed to investigate the prevention of hypertension in telecare system among bus drivers. A quasi-experimental design was utilized and purposive sampling was conducted at a transport company in Taipei. This study collected 111 valid samples in total. Within the scope of the study, the following conclusions were derived:
1. The total perceived barriers of bus drivers could depend on exercise frequency showing different scores, and the exercise frequency of 4-5 times per week were less than without exercise; the total self-efficacy of bus drivers could depend on exercise frequency, and the exercise frequency of 4-5 times per week were higher than without exercise.
2. Bus drivers who had more working experience in the transport company had more cues to action, and more than ten years of working experience was higher than zero to five years. Older subjects were more likely to have lower BMI, and the age of 46-55 were less than 26-35.
3. General improvements were observed in hypertension knowledge, perceived severity, action benefits and self-efficacy, but there were no statistically significant.
4. The telecare system could improve bus drivers’ perceived susceptibility, perceived barriers to action, cues to action were significantly higher than before pretest scores. In addition, the results showed that waist circumference, systolic and diastolic blood pressure in posttest were significantly higher than pretest.
5. After using the telecare system intervention, the mean BMI and cholesterol were increased. The author suggests that workplace health promotion in the future could consider prioritising weight management, diet and exercise.
中文部分:
台北市交通局(2013年5月1日)。臺北市聯營公共汽車行車效率。取自http://www.dot.taipei.gov.tw/public/Data/352111483671.pdf
台灣營養生理指標變遷調查(2009年12月8日)。2005-2008 國人高血壓之狀況。取自http,//nahsit.nhri.org.tw/node/34
行政院衛生署(2011)。民國101年主要死亡原因分析。取自http://www.doh.gov.tw/CHT2006/index_populace.aspx
行政院衛生署國民健康局(2011年2月11日)。2007年台灣地區高血糖、高血脂、高血壓盛行率調查。取自
http,//www.bhp.doh.gov.tw/BHPNET/Portal/Default.aspx
何定為、賴才雅(2008)。衛生署遠距照護試辦計畫服務架構介紹。護理雜誌,55(4),17-23。
呂昌明、王淑方(2001)。跨理論模式在健康行為改變上的應用。翰林文教雜誌,17,22-30。
呂碧鴻、陳秀蓉(2007)。The Role of Hostility in Hypertension。臺灣家庭醫學研究,5(3),108-118。
杜宗禮(2003)。工作時間型態對心血管健康的影響—公車駕駛員,行政院勞工委員會勞工安全衛生研究所。
沈珊如(2008)。衛教手冊合併電話護理諮詢對冠心病高危險群防治之認知、健康信念、預防行為及生化指標之改善成效。臺北醫學大學護理學研究所,台北市。
林素英(2009)。臺北市健康服務中心公共衛生工作人員健康促進生活型態研究,國立台灣師範大學健康促進與衛生教育學系,台北市。
林淑霞、劉榮宏、殷偉賢、陳冠群、葉明陽、蔡勝國、陳俐君(2009)。民眾對遠距健康照護服務之認知與需求調查研究-以心臟病、高血壓及糖尿病為範疇。臺灣公共衛生雜誌,28(6),552-564。
胡月娟、陳敏麗、胡秀媛、賴豐美、馮清淳、顧家恬、陳夏蓮、方月燕、王琤、趙莉芬、陳佩英、古淑玉、李滿梅、郭青萍、賴美信、蔡碧藍(2005)。慢性病護理學。台北:匯華,80頁。
胡雪萍、陳怡君、李美瑩、張弘奇(2001)。台北縣高血壓患者及民眾營養認知及行為態度的探討。臺灣營養學會雜誌,26(1),51-60。
洪麗玲、洪麗珍、張彩秀(2011)。使用遠距照護系統於高血壓患者自我管理行為之影響。醫療資訊雜誌,20(3),53-65。
余家杰、徐業良。國內外遠距居家照護發展之現況與挑戰。「2009 年社區教育暨老人福祉學術研討會」,民2009年4月16日,桃園縣元智大學。
邱怡玟(1993)。健康信念、生活型態與中老年人罹患高血壓之關係:安康社區研究。國立台灣大學護理學研究所,台北市。
洪麗玲(2008)。遠距照護系統應用於高血壓患者自我管理行為之探討。弘光科技大學護理研究所,台中市。
紀玉秋(2008)。高血壓患者接受遠距居家生理量測服務意願之探討。臺北醫學大學公共衛生學研究所,台北市。
徐則彬、莊寶玉、何奕倫(2011)。遠距照護於心血管疾病應用之初探。臺灣醫學,15(2),157-163。
徐儆暉、彭淑美、王子娟(2004)。職業駕駛健身操推廣及效果評估。行政院勞工委員會勞工安全衛生研究所,台北市。
張淑如、陳尹柔、陳玟伶、陳志郎、陳秋蓉、宋鴻樟(2005)。公車司機噪音暴露與健康狀況研究。工業安全衛生,195,48 -57。
張峰源(2006)。資通訊科技應用於健康照護發展現況。長期照護雜誌,10(2),101-110。
張瓊丹、陳靜敏、鄭綺、林貴福(2005)。太極拳運動訓練對改善老年高血壓個案之健康狀況成效。運動生理暨體能學報,2,103-118。
陳曉悌、李怡娟、李汝禮 (2003)。健康信念模式之理論源起與應用。臺灣醫學,7(4),632-639。
黃翠媛、黃秀梨(1997)。團體衛教對冠狀動脈疾病病人認知、態度與自我照顧行為之影響。護理研究,5(1),88-98。
黃鐵強(2004)。高血壓的最新診斷及治療。基層醫學,19(1),14-18。
黃鐵強(2005)。基層醫療常見的一個問題:由各高血壓準則來看高血壓的治療及預防。基層醫學,20(2),28-40。
道路交通安全規則第64-1條(2013)。全國法規資料庫。取自http,//law.moj.gov.tw/
陸玓玲、李蘭(2010)。第三章:健康信念模式。於李蘭總校閱,健康行為與健康教育(初版,43-61頁)。台北:巨流。
陸哲駒、陳恆順、鄭伯壎、賴金鑫(2004)。遠距醫療的發展與落實。台灣醫學,8(6),826-831。
楊文旗、何定為、黃崇仁、龔知安(2008)。遠距照護計畫成果與展望。電腦與通訊,124,35-38。
楊玨璿(2009)。某醫學中心門診高血壓病人服藥遵守行為之探討--自我效能及行動線索之影響。臺灣大學護理學研究所,台北市。
經濟部技術處(2008)。2008產業技術白皮書,生物技術開發中心。
廖慧儀(2008)。睡眠呼吸中止症與高血壓之相關性研究-以駕駛為例。國防醫學院公共衛生學研究所,台北市。
葉靜宜(2008)。某地區教學醫院門診高血壓病患應用疾病管理模式之成效探討。國立台北護理學院護理研究所,台北市。
遠距健康照護服務中心入口網(2010年4月22日)。行政院衛生署遠距健康照護服務發展計畫專案辦公室揭牌暨成果發表會,取自http://doh.telecare.com.tw/ActivityContent.aspx?SequenceNumber=60
詹淇斐、余豎文(2005)。臺北縣某客運公司駕駛員體檢結果。北市醫學雜誌,2(6),26-34。
趙怡荏、陳昭源、林忠順(2009)。續發性高血壓。家庭醫學與基層醫療,24(8),268-273。
劉紹興、陳宏一、羅慶徽、賴錦皇、蔡素珊、韋家茜、郭孟羚(2008)。客運駕駛輪班制度與疲勞相關性研究。行政院勞工委員會勞工安全衛生研究所研究報告,IOSH96-M102。
蔡宗學(2008)。U-Care照護網健康管理新趨勢。永和耕莘醫院U-Care健康生活月刊,1,1。
蔡侑錚(2011)。遠距照護服務對醫療費用之影響:以南投地區系統建置為例。南開科技大學福祉科技與服務管理所,南投縣。
謝瀛華、李汝禮、李德福、曾春典(2008)。高血壓臨床診療指引。取自ebpg.nhri.org.tw/ImageUpload/File/高血壓臨床診療指引.pdf.
英文部分:
Bernocchi, P., Baratti, D., Zanelli, E., Rocchi, S., Salvetti, M., Paini, A.,& Scalvini, S.(2011). Six-month programme on lifestyle changes in primary cardiovascular prevention: a telemedicine pilot study. European Journal of Cardiovascular Prevention & Rehabilitation, 18(3), 481-487. doi: 10.1177/1741826710389364
Bigert, C., Gustavsson, P., Hallqvist, J., Hogstedt, C., Lewne, M., Plato, N., Reuterwall, C.,& Scheele, P.(2003). Myocardial infarction among professional drivers. Epidemiology, 14(3), 333-339.
Bishop, T.(2009). Measuring blood pressure. Practice Nurse, 38(9), 11-16.
Bove, A.A., Santamore, W.P., Homko, C., Kashem, A, Cross, R., McConnell, T.R., ... Menapace, F.(2011). Reducing cardiovascular disease risk in medically underserved urban and rural communities. American Heart Journal, 161(2), 351-359.
Brennan, T., Spettell, C., Villagra, V., Ofili, E., McMahill-Walraven, C., Lowy, E.J.,...Mayberry, R..(2010). Disease management to promote blood pressure control among African Americans. Population Health Management, 13(2), 65-72.
Chockalingam, A.(2008). World Hypertension Day and global awareness. Canadian Journal of Cardiology, 24(6), 441-444.
Chen, C.C., Shiu, L.J., Li, Y.L., Tung, K.Y., Chan, K.Y., Yeh, C.J.,... Wong, R.H.(2010). Shift work and arteriosclerosis risk in professional bus drivers. Annals of Epidemiology, 20(1), 60-66. doi: 10.1016/j.annepidem.2009.07.093.
Chen,M.L., Zheng, C.H., Jeng, H.M.(2012). Taipei Bus Drivers’ Attitude and Intention to Control Hypertension, Clinical Health Promotion, 2(3),100-110.
Collinge, W.H., Liu, K.(2009). Information architecture of a telecare system. Journal of Telemedicine and Telecare, 15(4),161-164. doi: 10.1258/jtt.2008.008009
Custódio, I.L., Lima, F.E., Almeida, M.I., Silva Lde, F.,& Monteiro, A.R.(2011). Sociodemographic and clinical profile of a nursing team with high blood pressure. Revista Brasileira de Enfermagem, 64(1),18-24.
Greenberg, M. E., & Schultz, C.(2002). Telephone nursing: Client experiences and perceptions. Nursing Economics, 20(4), 181-187.
Greene, B. L., Miller, J.D., Brown, T.M., Harshman, R.S., Richerson, G.T.,& Doyle, J.J.(2009). Economic impact of the BP DownShift Program on blood pressure control among commercial driver license employees. Journal of Occupational and Environmental Medicine, 51(5), 542-553.
Hwang, G. S., Choi, J. W., Choi, S. H., Lee, S.G., Kim, K.H., Cho, Y.M.,& Yoon, C.(2012). Effects of a Tailored Health Promotion Program to Reduce Cardiovascular Disease Risk Factors Among Middle-Aged and Advanced-Age Bus Drivers. Asia-Pacific Journal of Public Health, 24, 117-127. doi: 10.1177/1010539510373140
Huang, J.C., Lin, S.P.(2009). Exploring the key factors in the choice of home telehealth by using the health belief model. Telemedicine and e-Health, 15(1),87–92. doi: 10.1089/tmj.2008.0069
JNC 7.(2003).The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure - Complete Report. from National Heart, Lung, and Blood Institute web site, http://www.nhlbi.nih.gov/guidelines/hypertension/jnc7full.pdf Accessed: 17 June 2012
Li, W.W., Kuo, C.T., Hwang, S.L., Hsu, H.T.(2012). Factors related to medication non-adherence for patients with hypertension in Taiwan. Journal of Clinical Nursing, 21(13-14), 1816-1824. doi:10.1111/j.1365-2702.2012.04088.x.
Chen, S.J., Lee, W.J., Lin, M.T., Liu, K.L., Wang, J.K., Lue, H.C.(2007). Coronary artery diameters in infants and children with congenital heart disease as determined by computed tomography. American Journal of Cardiology, 100(11),1696-1701.
Marcinkiewicz, A.,& Szosland, D.(2010). Selected risk factors of diabetes mellitus among road transport drivers. Int J Occup Med Environ Health, 23(2), 175-180. doi: 10.2478/v10001-010-0018-3
Mendoza, P.S., Munoz, P.M., Merino, E.,& Jm Barriga, O.A.(2006). Determinant factors of therapeutic compliance in elderly hypertensive patients. Revista medica de Chile, 134(1), 65-71.
Ndrepepa, A.,& Twardella, D.(2011). Relationship between noise annoyance from road traffic noise and cardiovascular diseases, A meta-analysis. Noise Health, 13(52), 251-259. doi: 10.4103/1463-1741.80163
Newell, M., Modeste, N., Marshak, H.H.,& Wilson, C.(2009). Health beliefs and the prevention of hypertension in a black population living in London. Ethnicity & Disease, 19(1), 35-41.
Nakamoto, H., Nishida, E., Ryuzaki, M., Sone, M., Suzuki, H., Yoshimoto, M., Itagaki, K.(2008). Effect of telmisartan and amlodipine on home blood pressure by monitoring newly developed telemedicine system: monitoring test by using telemedicine. Telmisartan's effect on home blood pressure (TelTelbosu). Clinical and Experimental Hypertension, 30(1), 57-67. doi: 10.1080/10641960701815804.
Pires, C. G.,& F. C. Mussi(2008). Health beliefs for the control of arterial hypertension. Cien Saude Colet, 13(2), 2257-2267.
Pereira, M., Azevedo, A., Barros, H.(2010). Determinants of awareness, treatment and control of hypertension in a Portuguese population. Rev Port Cardiol, 29(12), 1779-1792.
Ragland, D.R., Winkleby, M.A., Schwalbe, J., Holman, B.L., Morse, L., Syme, S.L.,& Fisher, J.M.(1987). Prevalence of hypertension in bus drivers. International Journal of Epidemiology, 16(2), 208-214.
Saberi, H.R., Moravveji, A.R., Fakharian, E., Kashani, M.M.,& Dehdashti, A.R.(2011).Prevalence of Metabolic Syndrome in bus and truck drivers in Kashan, Iran.Diabetol Metab Syndr, 3(1), 8. doi: 10.1186/1758-5996-3-8
Sehnert, W., & Mengden, T.(2009). Possibilities of telemedicine in arterial hypertension. Medizinische Klinik, 104(4), 314-322.doi:10.1007/s00063-009-1053-3
Szubert, Z.,& Sobala, W.(2005). Health reasons for work disability
among municipal transport drivers. Med Pr, 56(4), 285-293.
Tse, J. L. M., Flin, R., and Mearns, K.(2006). Bus driver well-being review: 50 years of research. Transportation Research Part F: Psychology and Behaviour, 9, 89-114. doi:10.1016/j.trf.2005.10.002
Kaewboonchoo, O., Saleekul, S., Powwattana, A.,& Kawai, T.(2007). Blood lead level and blood pressure of bus drivers in Bangkok, Thailand. Industrial Health, 45(4), 590-594.
Varis, J., Karjalainen, S., Korhonen, K., Viigimaa, M., Port, K.,& Kantola, I.(2009). Experiences of telemedicine -aided hypertension control in the follow-up of Finnish hypertensive patients. Telemedicine journal and e-health, 15(8), 764-769.
Valanis, B.G., Gullion, C.M., Moscato, S.R., Tanner, C., Izumi, S., Shapiro, S.E.(2007). Predicting patient follow-through on telephone nursing advice. Clinical Nursing Research, 16(3), 251-269.
Verberk, W. J., Kessels, A.G.,& Thien, T.(2011). Telecare is a valuable tool for hypertension management, a systematic review and meta- analysis. Blood Press Monit, 16(3), 149-155. doi: 10.1097/MBP.0b013e 328346e092
Wang, P. D., & Lin, R. S.(2001). Coronary heart disease risk factors in urban bus drivers. Public Health, 115(4), 261-264.
World Health Organization(2008). Blood Pressure. from http://www.who.int/gho/ncd/risk_factors/blood_pressure_prevalence/en/index.html Accessed: 17 June 2013
White, S., & O'Neill, D.(2000). Health and Relicensing Policies for Older Drivers in the European Union. Gerontology, 46(3), 146-152.
Winkleby, M.A., Ragland, D.R., Fisher, J.M.,& Syme, S.L.(1988). Excess risk of sickness and disease in bus drivers : a review and synthesis of epidemiological studies. International Journal of Epidemiology, 17(2), 255-262.
Wister, A., Loewen, N., Kennedy-Symonds, H., McGowan, B., McCoy, B., Singer, J. (2007). One-year follow-up of a therapeutic lifestyle intervention targeting cardiovascular disease risk. Canadian Medical Association Journal, 177(8), 859-865.