研究生: |
洪示容 Hung, Szu-Jung |
---|---|
論文名稱: |
懷孕婦女資訊需求與行動健康APP使用行為之研究 A Study of Pregnant Women's Information Needs and Usage Behavior of Mobile Health Applications |
指導教授: | 邱銘心 |
學位類別: |
碩士 Master |
系所名稱: |
圖書資訊學研究所 Graduate Institute of Library and Information Studies |
論文出版年: | 2016 |
畢業學年度: | 104 |
語文別: | 中文 |
論文頁數: | 141 |
中文關鍵詞: | 懷孕婦女 、資訊需求 、行動醫療 、行動健康APP 、孕期相關APP |
英文關鍵詞: | Pregnant Women, Information Needs, mHealth, Mobile Health Applications, Pregnancy Applications |
DOI URL: | https://doi.org/10.6345/NTNU202204957 |
論文種類: | 學術論文 |
相關次數: | 點閱:205 下載:55 |
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 |
婦女在懷孕後因面臨生理及心理狀態的改變,渴望獲取充裕的資訊以因應此變化所產生之需求,故產前及產後是女性一生中搜尋健康資訊最頻繁的階段。近年來行動醫療崛起,在產科上已有許多應用,且證實懷孕婦女對於行動醫療有相當正面的回饋。隨著行動裝置與行動網路的普及,行動健康APP亦迅速發展,目前在iTunes App Store及Google Play兩大商店上的行動健康APP數量已有超過十萬款。行動醫療的熱潮藉由此延伸至一般民眾日常生活,亦有越來越多懷孕婦女利用行動健康APP滿足其孕期資訊需求與進行個人健康管理。過去有許多探討行動醫療於懷孕婦女的應用個案與成效之研究,但針對行動健康APP與懷孕婦女的研究尚稱稀少,於國內亦尚未有相關研究。
本研究為了解懷孕婦女孕期健康資訊尋求經驗與其使用行動健康APP之行為,具體目的包括探討懷孕婦女孕期健康資訊需求、了解懷孕婦女孕期健康資訊來源管道及探究懷孕婦女使用孕期相關APP之行為與意見。為更了解市面上的孕期相關APP,本研究首先在前導試驗中針對30款孕期相關APP,以「資訊主題」及「功能」兩面向進行內容分析。本研究主要研究方法為訪談法,徵集12位懷孕中且仍持續使用至少一款孕期相關APP的婦女進行訪談。
研究結果發現懷孕婦女的資訊來源管道相當豐富,包括:人際管道、紙本資源、數位資源及實體活動四大管道。不同管道有不同的使用目的與情境,管道間亦呈現互補之情況。而懷孕婦女所關心之資訊主題可分為「產前知識」、「產後知識」、「醫療資訊」、「生活資訊」四大類,且資訊需求會隨著孕期及胎次而有所變化。此外,在資訊尋求過程中所遭遇之難題為資訊適用度、資訊可信度及人際管道障礙三大類問題。懷孕婦女使用孕期相關APP所取用的資訊可分孕期知識、就診相關及日常資訊三類;使用的功能則分為紀錄記事、計數量測及其他三類。受訪者們在孕期相關APP的使用意見上,肯定APP功能的實用度與方便性,但時而發生APP閃退等穩定度不佳之情況;在APP資訊面的部分,近六成受訪者表示孕期相關APP之資訊內容未全然滿足其需求;有近七成受訪者認為APP資訊量應適中,且需經過整理摘述,得以幫助使用者快速掌握訊息。另外,對於APP中資訊的適用度及可信度是存疑的,且比起網路資源較不具新穎度。而資訊的呈現方式與介面設計亦會影響使用意願。
基於研究結果,建議我國政府重視行動醫療的推動,針對行動健康APP訂定明確的規範;建議醫療院所利用我國電子病歷完善的優勢,開發院所APP並與電子病歷串聯,於APP中提供線上掛號、即時看診進度、簡單產檢記錄查閱(如超音波圖、重要產檢數據)等實用功能,以利懷孕婦女使用醫療服務及查閱產檢紀錄;建議孕期相關APP開發者了解懷孕婦女使用APP的實際需求與偏好,提供合宜且質量兼具的孕期相關APP。
Pregnant women are eager for plenty of information due to the change of physical and psychological status during pregnancy. So women would retrieve health information frequently during antepartum and postpartum period. Since the rise of mobile health (mHealth) in recent years, there are many practices proved that pregnant women give fully positive feedback for mHealth in obstetrics. With the popularity of mobile devices and mobile networks, mHealth applications (mHealth apps) also developed rapidly. Currently, the amount of mHealth app has over one hundred thousand on both iTunes App Store and Google Play. There are more and more pregnant women using mHealth app to meet their information needs and personal health management. There are many case studies about mHealth and pregnant women, but few are related to mHealth app and pregnant women even in Taiwan.
In order to figure out the pregnant health information seeking experiences of pregnant women and behaviors of using pregnancy applications (pregnancy apps), the specificpurpose of this study, includesdiscussionsof health information needs of pregnant women, channels of pregnancy information, opinions and behaviors of using pregnancy apps. For realizing existing pregnancy apps, we also progress content analysis on 30 pregnancy apps with two dimensions: “information topics” and “functions”. This study used interview method to collect 12 pregnant women who was using at least one pregnancy app.
According to the research and we found that there are many information channels for pregnant women, includes interpersonal relationship, paper materials, digital resources and physical activities. Choosing information channels based on different purposes and contexts, and different channelsare complementary.Pregnant women's information needs can be divided into four categories, including antenatal knowledge, postnatal knowledge, medical information and life information. Also, information needs various from pregnancy stage and parity. Besides, pregnant women have some problems on information seeking, such as reliableness of information issue, reliability of information and interpersonal relationship obstacles. There three categories that pregnant women access from pregnancy apps, include pregnancy knowledge, medical information and life information; and three functions they used are note taking, counting & measuring and others. Pregnant women have good feedback on using pregnancy apps, because of practicality and convenience of. However, there's some system stability problems, such as appcrush. And almost near 60% pregnant women indicated that pregnancy apps can't meet her demand because some lack of information. Almost near 70% pregnant women think pregnancy apps should provide extracted information and the amount of information should be adequate, that allow users grasp information fast. Besides, pregnant women also suspect suitability of information and accuracy of information in apps, moreover, the information on apps is stationary, lacking of novelty. And the information presentation and visual design also influence usage Intention of pregnancy apps.
Based on the research result, we suggested that government shouldattach importance to promote mHealth, and draw up regulations of mHealth apps. We also suggested medical institutes could take advantages of the completeness of electronic medical record (EMR), and develop their mobile application to connect with EMR, and provide some practical functions such as making appointments, check clinic progress, could access simple prenatal care record; suggested pregnancy app developers realize pregnant women’s actual needs and preference on using pregnancy apps, and provide faultless pregnancy apps to pregnant women.
工業技術研究所產業經濟與趨勢研究中心(2013)。IEK View:醫療藥類APP年成長量翻倍。檢自:http://www.itri.org.tw/chi/iek/p11.asp?RootNodeId=070&NavRootNodeId=0753&NodeId=07534&ArticleNBR=4819
王雲東(2007)。社會研究方法。台北縣:威仕曼。
王瑤華譯(1997)。懷孕期家庭的護理。在陳彰惠等編,產科護理學(上)(頁467-498)。台北市:華杏。
全國法規資料庫(2015)。藥事法。檢自:http://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=L0030001
李芳靚(2014)。運用遠距照護在妊娠糖尿病的血糖管理。中華民國糖尿病衛教學會會訊,10(2),23-25。
李建南、鄭芊芊(2007,11月)。建構行動醫療居家照護服務平台之研究。在慈濟大學主辦,2007國際醫學資訊研討會,花蓮市。
林素真(2012)。高雄市新移民女性的媒體使用與健康資訊需求。廣播與電視,34,55-92。
林讌禎(2012)。行動醫療搶商機雲端概念讓診療零時差。檢自:http://talent.tsvtc.gov.tw/inside.aspx?id=5f5ef9c6-7db8-481c-b3e0-f9881f3dbf8a
邱培源(2002)。病患健康資訊需求與尋求行為之研究(未出版之碩士論文)。淡江大學資訊與圖書館學系,臺北縣。
俞力平(2014)。行動醫療產業的發展與臺灣的機會-從美國行動醫療應用程式指引談起。當代醫療法規,42,9-21。
科技產業資訊室 - Kyle(2015)。2014年Android與iOS佔智慧型手機平台達96.3%。檢自:http://iknow.stpi.narl.org.tw/post/Read.aspx?PostID=10780
胡幼慧主編(2008)。質性研究:理論、方法及本土女性研究實例。臺北:巨流。
范棛祺(2013)。三高健康照護之行動應用程式的開發(未出版之碩士論文)。南華大學資訊管理學系,嘉義縣。
飛資得醫學資訊(無日期)。期刊Clinical Obstetrics & Gynecology–數位媒體在產科醫學之應用。檢自:http://vip.flysheet.com.tw:8080/mednews/050/item/312-050-jn.html
徐谷楨(2015)。行動醫療夯亟待法規明朗化衛福部訂定「醫用軟體分類分級參考指引」。檢自:http://www.ibmi.org.tw/client/NewsDetail.php?DSCDOCID=0nt9f0tt7ski3ptl
高持平(2007)。臺北市年長者之健康資訊需求與資訊尋求行為(未出版之碩士論文)。輔仁大學圖書資訊學系,台北縣。
章莊壽美(2006)。臺灣產婦的資訊需求分析(未出版之碩士論文)。南華大學出版事業管理研究所,嘉義縣。
許銘能、許明暉、林致諺(2013)。打造便利就醫環境-健康雲。公共治理,1(3),74-78。
陳世娟(2012)。癌症病患家庭照護者之資訊行為研究(未出版之博士論文)。國立臺灣大學圖書資訊學研究所,台北市。
陳震宇(2012)。個人化產前照護及早產防治技術之研發(未出版之博士論文)。國立臺灣大學醫學工程學研究所,台北市。
費秀珍、王立新(2006)。不同孕期孕婦知識需求的調查分析。中華護理雜誌,41(9),858-860。
黃惠如(2012)。APP健康只需「滑」一下?康健雜誌,158,120-122。
黃裕斌(2012)。APPLE APP Store之醫療類行動應用程式現況分析與探討。檢自:http://ieknet.iek.org.tw/BookView.do?domain=5&rptidno=50588042
黃慧嫺(2013年3月29日)。FDA對行動醫療APP展開監管措施?聯合新聞網。檢自:http://mag.udn.com/mag/reading/storypage.jsp?f_ART_ID=445922
經濟學人(The Economist)(2011)。糖尿病、減肥…行動醫療效果佳(黃維德譯)。檢自:http://www.cw.com.tw/article/article.action?id=5007933
葉曉文(2001)。初次懷孕婦女孕期健康需求之探討-以孕婦需求面論(未出版之碩士論文)。國立陽明大學臨床暨社區護理研究所,新北市。
廖淑君(2012)。APPs是醫療器材嗎?從美國FDA對行動醫療應用程式的規範與管理談起。科技法律透析,24(6),38-62。
潘淑滿(2003)。質性研究:理論與應用。台北縣:心理。
蔡興國、楊文惠(2010)。教育部大專院校通識課程:健康與生活──第12單元健康與資訊科技發展。檢自:http://distance.shu.edu.tw/moe/health_life/12/1/2/1/ppt_content/1%20(1).swf
衛生福利部食品藥物管理署(2015)。醫用軟體分類分級參考指引。檢自:http://www.fda.gov.tw/TC/siteListContent.aspx?sid=310&id=12109&chk=e9332177-b2b6-4823-90f9-9cbfb331efdb¶m=pn%3D2%26sid%3D310
謝雨珊(2015)。指尖上的照護... 行動醫療APP正夯。檢自:http://www.chinatimes.com/newspapers/20150412000093-260204
蘇文彬(2015)。資策會調查:國內行動裝置用戶已超過1600萬。檢自:http://www.ithome.com.tw/news/97479
顧盼(2014)。孕期保健移動醫療APP應用研究(未出版之碩士論文)。重慶醫科大學信息管理系,重慶市。
Andreatta, P., Debpuur, D., Danquah, A., & Perosky, J. (2011).Using cell phones to collect postpartum hemorrhage outcome data in rural Ghana.International Journal of Gynecology & Obstetrics, 113(2), 148-151.
Atkin, C.(1973). Instrumental utilities and information seeking.New Models for Mass Communication Research, 2,206.
Bernhardt, J. M., & Felter, E. M. (2004). Online pediatric information seeking among mothers of young children: results from a qualitative study using focus groups. Journal of medical Internet research, 6(1), e7.
Bert, F., Gualano, M. R., Brusaferro, S., De Vito, E., de Waure, C., La Torre, G., ...& Siliquini, R. (2013). Pregnancy e-health: a multicenter Italian cross-sectional study on Internet use and decision-making among pregnant women. Journal of epidemiology and community health, 67(12), 1013-1018.
Caphis/MLA (1996).The librarian's role in the provision of consumer health information and patient education. Retrieved from http://caphis.mlanet.org/resources/caphis_statement.html
Chib, A. (2010). The Aceh Besar midwives with mobile phones project: Design and evaluation perspectives using the information and communication technologies for healthcare development model. Journal of Computer‐Mediated Communication, 15(3), 500-525.
Chib, A., Lwin, M. O., Ang, J., Lin, H., & Santoso, F. (2008). Midwives and mobiles: using ICTs to improve healthcare in Aceh Besar, Indonesia. Asian Journal of Communication, 18(4), 348-364.
Clarke, P. E., & Gross, H. (2004).Women's behaviour, beliefs and information sources about physical exercise in pregnancy.Midwifery, 20(2), 133-141.
Cormick, G., Kim, N. A., Rodgers, A., Gibbons, L., Buekens, P. M., Belizán, J. M., & Althabe, F. (2012).Interest of pregnant women in the use of SMS (short message service) text messages for the improvement of perinatal and postnatal care.Reprod Health, 9(1), 9-15.
Edgman-Levitan, S., &Cleary, P. D. (1996). What Information Do Consumers Want and Need?Health Affairs, 15(4), 42-56.
Fitch, T. M. (2011). U.S. Patent No. 742,249. Washington, DC: U.S. Patent and Trademark Office.
Herman, J., Mock, K., Blackwell, D., & Hulsey, T. (2005). Use of a Pregnancy Support Web Site by Low-Income African American Women.Journal of Obstetric, Gynecologic & Neonatal Nursing, 34(6), 713-720.
Horne, D. C. (1999). A Medical Library for the Public: Starting and running a consumer. Health Library North Carolina Libraries, 57(3), 110-113.
Jareethum, R., Titapant, V., Tienthai, C., Viboonchart, S., Chuenwattana, P., & Chatchainoppakhun, J. (2008). Satisfaction of healthy pregnant women receiving short message service via mobile phone for prenatal support: A randomized controlled trial. Medical journal of the Medical Association of Thailand, 91(4), 458-463.
Jones, V., Halteren, A. V., Dokovsky, N., Koprinkov, G., Peuscher, J., Bults, R.,…Herzog, R. (2006).Mobihealth: Mobile services for health professionals. Retrieved fromhttp://doc.utwente.nl/53067/1/mhealth_book_jones_ch17.pdf
Jones, V., van Halteren, A., Dokovsky, N., Koprinkov, G., Bults, R., Konstantas, D., & Herzog, R. (2006). Mobihealth: Mobile health services based on body area networks .In Istepanian, R. S. H., Laxminarayan, S., & Pattichis, C. S. (Eds.), M-health: emerging mobile health systems (pp.219-236). NY: Springer.
Laakko, T., Leppänen, J., Lähteenmäki, J., &Nummiaho, A. (2008). Mobile Health and Wellness Application Framework. Methods of information in medicine, 47(3), 217-22.
Labrique, A. (2010) Maternal and neonatal health: opportunities and challenges for mHealth in resource-limited settings. Retrieved from: http://www.wilsoncenter.org/events/docs/Dr.%20Alain%20Labrique%20Presentation.pdf
Lagan, B. M., Sinclair, M., & Kernohan, W. G. (2010). Internet Use in Pregnancy Informs Women’s Decision Making: A Web-Based Survey. Birth, 37(2), 106-115.
Lagan, B. M., Sinclair, M., & Kernohan, W. G. (2011). A web-based survey of midwives’ perceptions of women using the Internet in pregnancy: a global phenomenon. Midwifery, 27(2), 273-281.
Lagan, B. M., Sinclair, M., & Kernohan, W. G. (2011). What Is the Impact of the Internet on Decision-Making in Pregnancy? A Global Study.Birth, 38(4), 336-345.
Lagan, B., Sinclair, M., & Kernohan, W. G. (2006). Pregnant women's use of the internet: A review of published and unpublished evidence. Evidence-Based Midwifery, 4(1), 17-23.
Larsson, M. (2009).A descriptive study of the use of the Internet by women seeking pregnancy-related information.Midwifery, 25(1), 14-20.
Ledford, C. J. W., Canzona, M. R., Cafferty, L. A., & Hodge, J. A. (2015). Mobile Application as a prenatal education and engagement tool: A randomized controlled pilot. Patient education and counseling.doi:http://dx.doi.org/10.1016/j.pec.2015.11.006
Lewallen, L. P. (2004). Healthy Behaviors and Sources of Health Information Among Low-Income Pregnant Women. Public Health Nursing, 21(3), 200-206.
Lund, S., Nielsen, B. B., Hemed, M., Boas, I. M., Said, A., Said, K., ...& Rasch, V. (2014). Mobile phones improve antenatal care attendance in Zanzibar: a cluster randomized controlled trial. BMC Pregnancy and Childbirth, 14(1), 29-38.
Macht, M., Gerlich, C., Ellgring H and the Infopark Collaboration (2003). Information Needs in Older Persons with Parkinson’s Disease in Germany: A Qualitative Study. Forum: Qualitative Social Research, 4(1), 186-200.
Mechael, P. N. (2009). MoTECH: MHealth ethnography report. Washington, DC: Grameen foundation.
Medical Library Association. Consumer and Patient Health Information Section (CAPHIS/MLA). (1996). The librarian’s role in the provision of consumer health information and patient education. Bulletin of the Medical Library Association, 84(2), 238–239.
Musoke, M. G. (2002). Maternal health care in rural Uganda: leveraging traditional and modern knowledge systems.Ik Notes, 40, 1-3.
Noordam, A. C., Kuepper, B. M., Stekelenburg, J., & Milen, A. (2011). Improvement of maternal health services through the use of mobile phones. Tropical Medicine & International Health, 16(5), 622-626.
Pareek, S. (2015).How a Mobile APP Is Bringing Better Maternal Health Care to Rural Karnataka. Retrieved fromhttp://www.thebetterindia.com/35940/how-a-mobile-APP-is-bringing-better-maternal-health-care-to-rural-karnataka/
Patrick, K., & Koss, S. (1995).Consumer Health Information White Paper.Retrieved fromhttp://nii.nist.gov/pubs/chi.html
Romano, A. M. (2007). A changing landscape: Implications of pregnant women's Internet use for childbirth educators. The Journal of perinatal education, 16(4), 18.
Shieh, C., McDaniel, A., & Ke, I. (2009). Information–Seeking and its Predictors in Low‐Income Pregnant Women. Journal of midwifery & women’s health, 54(5), 364-372.
Sloninsky, D., & Mechael, P. (2008).Towards the development of an mhealth strategy: A literary review. NY: World Health Organization and Earth Institute.
Tamrat, T., & Kachnowski, S. (2012). Special delivery: an analysis of mHealth in maternal and newborn health programs and their outcomes around the world. Maternal and child health journal, 16(5), 1092-1101.
Techopedia.(n.d.).Mobile Application (Mobile APP).Retrieved fromhttps://www.techopedia.com/definition/2953/mobile-Application-mobile-APP
Tripp N., Hainey K., Liu, A., Poulton, A., Peek, M., Kim, J., &Nanan, R. (2014).An emerging model of maternity care: Smartphone, midwife, doctor?Women and Birth, 27(1), 64-67.
United States Department of Agriculture (2011).National Nutrient Database for Standard Reference.Retrieved from http://ndb.nal.usda.gov/
Vital Wave Consulting.,& Vodafone Foundation. (2009). MHealth for development: The opportunity of mobile technology for healthcare in the developing world. Washington, D.C: UN Foundation-Vodafone Foundation Partnership.
Waring, M. E., Moore Simas, T. A., Xiao, R. S., Lombardini, L. M., Allison, J. J., Rosal, M. C.,& Pagoto, S. L. (2014).Pregnant women's interest in a website or mobile Application for healthy gestational weight gain.Sexual & Reproductive Healthcare, 5(4), 182-184.
Wilson, T. D. (1981). On user studies and information needs. Journal of librarianship, 37(1), 3-15.
Woollett, A., &Dosanjh-Matwala, N. (1990). Pregnancy and antenatal care: the attitudes and experiences of Asian women. Child: care, health and development, 16(1), 63-78.
Woollett, A., Dosanjh, N., Nicolson, P., Marshall, H., Djhanbakhch, O., & Hadlow, J. (1995). The ideas and experiences of pregnancy and childbirth of Asian and non‐Asian women in East London. British Journal of Medical Psychology, 68(1), 65-84.