研究生: |
許嘉芬 Hsu, Chia-Fen |
---|---|
論文名稱: |
國中學生用藥素養教育介入成效研究 Effects of Medication Literacy Education Intervention for Middle School Students |
指導教授: |
張鳳琴
Chang, Fong-Ching 張晏蓉 Chang, Yen-Jung |
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: | 2019 |
畢業學年度: | 107 |
語文別: | 中文 |
論文頁數: | 106 |
中文關鍵詞: | 國中學生 、用藥素養 、教育介入 |
英文關鍵詞: | middle school students, medication literacy, educational intervention |
DOI URL: | http://doi.org/10.6345/NTNU201900657 |
論文種類: | 學術論文 |
相關次數: | 點閱:236 下載:41 |
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 |
本研究發展國中學生用藥素養教育課程,並評價教育介入對國中學生用藥知識、用藥態度、用藥效能、用藥素養之影響。採準實驗設計,以新北市某國中三年級學生共約450人為研究對象,實驗組約246人,對照組約204人。研究於108年2月至4月進行,實驗組進行前後測及2堂共90分鐘用藥素養教育課程教學,分別為「單元一:生活藥加分」、「單元二:我藥放好」,對照組只進行前後測,並利用廣義估計方程式(Generalized Estimating Equations)進行分析。
研究結果發現經由用藥素養教育課程教學介入後,能顯著提升學生用藥知識、態度、效能、素養。受試學生表示在遊戲中學習用藥知識是有趣的,願意將所學實際運用於生活中。建議未來可將此教材納入用藥教育課程中,提升學生用藥素養。
The present study developed a medication literacy educational intervention for middle school students and evaluated the effects of the intervention on students’ medication knowledge, attitude, efficacy, and literacy. This study was a quasi-experimental design. The participants were ninth grade students from a school in New Taipei City. In 2019, a total of 246 students in the experimental group and 204 students in the control group completed pre and post questionnaire. The experimental group participated in the medication literacy intervention, while the control group received routine curriculum. Generalized Estimating Equations method was used to examine the effects. The results showed that the medication literacy educational intervention had positive effects on improving students’ medication knowledge, attitude, efficacy and literacy. It was suggested that schools could implement this intervention to enhance students’ medication literacy.
參考文獻
一、中文部份
朱淑敏(2013)。正確用藥教育介入之成效研究 -以宜蘭縣國民中學學生
為例(碩士)。 國立臺灣師範大學健康促進與衛生教育學系,臺北市。
江云懷(2012)。國中學生正確用藥知識、態度與行為之研究─以新北市立某國民中學學生為例(碩士)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
李育姍(2014)。家長健康素養對學童健康素養及健康行為之影響(碩士)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
李俊賢(2018)。臺灣地區高中職學生用藥素養評量工具發展及用藥素養與行為調查研究(博士)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
李俊賢、張鳳琴、紀雪雲、黃莉蓉(2018)。學校結盟藥師推動正確用藥教育提升用藥知識、效能與行為之成效評價.台灣公共衛生雜誌,37(2),196-205.
李盈德(2012)。台南市地區民眾對於藥物回收影響因素之探討(碩士)。嘉南藥理科技大學,台南市。
林佳樺(2014)。以生活技能教學融入高中學生正確用藥教育之成效探討(碩士)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
林陳麗蓉、張鳳琴、李景美、紀雪雲(2016)。臺灣某國小學生正確用藥教育介入成效之探討。學校衛生(69),87-111。
紀雪雲(2012)。安全用藥,從小扎根-用藥安全推廣在校園。醫療品質雜誌, 6(2),24-29。
許麗燕(2012)。社區民眾用藥知識、態度和行為之相關因素探討。長榮大學,Available from Airiti AiritiLibrary database。
陳嘉民、陳秋媛、陳學漪、辜美安(2017)。對感冒糖漿之認知與用藥五大核心能力。醫學與健康期刊, 6(1),61-73。
陳學漪(2013)。新北市地區成人正確用藥五大核心能力與感冒糖漿使用行為之研究(碩士)。南華大學,嘉義縣。
傅中勇(2017)。探討台灣中部地區國中學生正確用藥知識、態度與行為之研究. (碩士)。中臺科技大學,台中市。
黃憶雯(2007)。藥袋標示與民眾用藥安全關係之研究。高雄醫學大學。
楊俊龍、張鳳琴、紀雪雲、黃莉蓉(2015)。台灣地區高中職學生正確使用止痛藥知識、態度與行為之研究。台灣衛誌,Vol.34(No.1), 61-73。
管玉娟、胡益進、陳漢瑛(2013)。臺北市某國中學生正確用藥知識、態度與行為之研究。學校衛生(62),93-116。
趙憲麟(2004)。國小高年級學童對藥品概念認知之研究(碩士)。臺北市立師範學院,臺北市。
劉潔心、廖梨伶、施淑芳、張子超、紀雪雲 & Osborne, R. H. (2014)。台灣學童健康素養測驗之發展與測量。台灣公共衛生雜誌, 33(3),251-270。
衛生福利部食品藥物管理署(2015)。 104年度推廣校園正確用藥教育模式成果報告。
二、英文部份
Abahussain, E., Matowe, L. K., & Nicholls, P. J. (2005). Self-reported medication use among adolescents in Kuwait. Med Princ Pract, 14(3), 161-164. doi:10.1159/000084633
Andrus, M. R., & Roth, M. T. (2002). Health literacy: a review. Pharmacotherapy, 22(3), 282-302.
Azevedo, M. M., Pinheiro, C., Yaphe, J., & Baltazar, F. (2009). Portuguese students' knowledge of antibiotics: a cross-sectional study of secondary school and university students in Braga. BMC Public Health, 9, 359. doi:10.1186/1471-2458-9-359
Baker, D. W., Wolf, M. S., Feinglass, J., Thompson, J. A., Gazmararian, J. A., & Huang, J. (2007). Health literacy and mortality among elderly persons. Arch Intern Med, 167(14), 1503-1509. doi:10.1001/archinte.167.14.1503
Begoray, D. L., Wharf-Higgins, J., & Macdonald, M. (2009). High school health curriculum and health literacy: Canadian student voices. Glob Health Promot, 16(4), 35-42. doi:10.1177/1757975909348101
Beria, J. U., Victora, C. G., Barros, F. C., Teixeira, A. B., & Lombardi, C. (1993). [Epidemiology of drug consumption in children of a urban center of the southern region of Brazil]. Rev Saude Publica, 27(2), 95-104.
Broder, J., Okan, O., Bauer, U., Bruland, D., Schlupp, S., Bollweg, T. M., . . . Pinheiro, P. (2017). Health literacy in childhood and youth: a systematic review of definitions and models. BMC Public Health, 17(1), 361. doi:10.1186/s12889-017-4267-y
Bush, P. J., Ozias, J. M., Walson, P. D., & Ward, R. M. (1999). Ten guiding principles for teaching children and adolescents about medicines. US Pharmacopeia. Clin Ther, 21(7), 1280-1284.
Campbell, M. A., & McGrath, P. J. (1997). Use of medication by adolescents for the management of menstrual discomfort. Arch Pediatr Adolesc Med, 151(9), 905-913.
Chambers, C. T., Reid, G. J., McGrath, P. J., & Finley, G. A. (1997). Self-administration of over-the-counter medication for pain among adolescents. Arch Pediatr Adolesc Med, 151(5), 449-455.
Cordina, M. M., James C.; Hughes, Carmel M.; Fenech, Anthony G. (2002). Health-related issues of importance to school children with asthma - a qualitative study.
Costello, I., Wong, I. C., & Nunn, A. J. (2004). A literature review to identify interventions to improve the use of medicines in children. Child Care Health Dev, 30(6), 647-665. doi:10.1111/j.1365-2214.2004.00478.x
da Silva, C. H., & Giugliani, E. R. (2004). [Consumption of medicines among adolescent students: a concern]. J Pediatr (Rio J), 80(4), 326-332.
Darmanin Ellul, R., Cordina, M., Buhagiar, A., Fenech, A., & Mifsud, J. (2008). Knowledge and sources of information about medicines among adolescents in Malta. Pharm Pract (Granada), 6(4), 178-186.
Davis, T. C., Wolf, M. S., Arnold, C. L., Byrd, R. S., Long, S. W., Springer, T., . . . Bocchini, J. A. (2006). Development and validation of the Rapid Estimate of Adolescent Literacy in Medicine (REALM-Teen): a tool to screen adolescents for below-grade reading in health care settings. Pediatrics, 118(6), e1707-1714.
Davis, T. C., Wolf, M. S., Bass, P. F., 3rd, Middlebrooks, M., Kennen, E., Baker, D. W., . . . Parker, R. M. (2006). Low literacy impairs comprehension of prescription drug warning labels. J Gen Intern Med, 21(8), 847-851. doi:10.1111/j.1525-1497.2006.00529.x
Davis, T. C., Wolf, M. S., Bass, P. F., 3rd, Thompson, J. A., Tilson, H. H., Neuberger, M., & Parker, R. M. (2006). Literacy and misunderstanding prescription drug labels. Ann Intern Med, 145(12), 887-894.
De Maria, C., Lussier, M. T., & Bajcar, J. (2011). What do children know about medications? A review of the literature to guide clinical practice. Can Fam Physician, 57(3), 291-295.
Dengler, R., & Roberts, H. (1996). Adolescents' use of prescribed drugs and over-the-counter preparations. J Public Health Med, 18(4), 437-442.
Du, Y., & Knopf, H. (2009). Self-medication among children and adolescents in Germany: results of the National Health Survey for Children and Adolescents (KiGGS). Br J Clin Pharmacol, 68(4), 599-608. doi:10.1111/j.1365-2125.2009.03477.x
Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Flint, K. H., Hawkins, J., . . . Prevention. (2012). Youth risk behavior surveillance - United States, 2011. MMWR Surveill Summ, 61(4), 1-162.
Eichler, K., Wieser, S., & Brugger, U. (2009). The costs of limited health literacy: a systematic review. Int J Public Health, 54(5), 313-324. doi:10.1007/s00038-009-0058-2
Engel, K. G., Heisler, M., Smith, D. M., Robinson, C. H., Forman, J. H., & Ubel, P. A. (2009). Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Ann Emerg Med, 53(4), 454-461 e415. doi:10.1016/j.annemergmed.2008.05.016
Fonseca, M. J., & Carvalho, G. S. (2015). Health Education–Fostering Public Health Literacy through Innovative Educational Activities and Resources. Frontiers in public health, 3, 208.
Gray, N. J., Klein, J. D., Noyce, P. R., Sesselberg, T. S., & Cantrill, J. A. (2005). Health information-seeking behaviour in adolescence: the place of the internet. Soc Sci Med, 60(7), 1467-1478. doi:10.1016/j.socscimed.2004.08.010
Gualano, M. R., Bert, F., Passi, S., Stillo, M., Galis, V., Manzoli, L., & Siliquini, R. (2015). Use of self-medication among adolescents: a systematic review and meta-analysis. Eur J Public Health, 25(3), 444-450. doi:10.1093/eurpub/cku207
Hersh, L., Salzman, B., & Snyderman, D. (2015). Health Literacy in Primary Care Practice. Am Fam Physician, 92(2), 118-124.
Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Queen, B., . . . Ethier, K. A. (2018). Youth Risk Behavior Surveillance - United States, 2017. MMWR Surveill Summ, 67(8), 1-114. doi:10.15585/mmwr.ss6708a1
Karpa, K. D., Felix, T. M., & Lewis, P. R. (2015). Adverse Effects of Common Drugs: Children and Adolescents. FP Essent, 436, 17-22.
King, S. R., McCaffrey, D. J., & Bouldin, A. S. (2011). Health literacy in the pharmacy setting: defining pharmacotherapy literacy. Pharm Pract (Granada), 9(4), 213-220.
Kripalani, S., Henderson, L. E., Chiu, E. Y., Robertson, R., Kolm, P., & Jacobson, T. A. (2006). Predictors of medication self-management skill in a low-literacy population. J Gen Intern Med, 21(8), 852-856. doi:10.1111/j.1525-1497.2006.00536.x
Kutner M, G. E., Jin Y, Paulsen C. (2006). The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.
Larsman, P., Eklöf, M., & Törner, M. (2012). Adolescents’ risk perceptions in relation to risk behavior with long-term health consequences; antecedents and outcomes: A literature review. Safety science, 50(9), 1740-1748.
Lee, C. H., Chang, F. C., Hsu, S. D., Chi, H. Y., Huang, L. J., & Yeh, M. K. (2017). Inappropriate self-medication among adolescents and its association with lower medication literacy and substance use. PLoS One, 12(12), e0189199. doi:10.1371/journal.pone.0189199
Montagne, M. (2013). Pharmaceutical pictograms: a model for development and testing for comprehension and utility. Res Social Adm Pharm, 9(5), 609-620. doi:10.1016/j.sapharm.2013.04.003
Moraes, A. C., Delaporte, T. R., Molena-Fernandes, C. A., & Falcao, M. C. (2011). Factors associated with medicine use and self medication are different in adolescents. Clinics (Sao Paulo), 66(7), 1149-1155.
Newacheck, P. W., Wong, S. T., Galbraith, A. A., & Hung, Y. Y. (2003). Adolescent health care expenditures: a descriptive profile. J Adolesc Health, 32(6 Suppl), 3-11.
Paakkari, L., & Paakkari, O. (2012). Health literacy as a learning outcome in schools. Health Education, 112(2), 133-152.
Pereira, F. S., Bucaretchi, F., Stephan, C., & Cordeiro, R. (2007). Self-medication in children and adolescents. J Pediatr (Rio J), 83(5), 453-458. doi:10.2223/JPED.1703
Persell, S. D., Osborn, C. Y., Richard, R., Skripkauskas, S., & Wolf, M. S. (2007). Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med, 22(11), 1523-1526. doi:10.1007/s11606-007-0334-x
Pouliot, A., & Vaillancourt, R. (2016). Medication Literacy: Why Pharmacists Should Pay Attention. Can J Hosp Pharm, 69(4), 335-336.
Pouliot, A., Vaillancourt, R., Stacey, D., & Suter, P. (2018). Defining and identifying concepts of medication literacy: An international perspective. Res Social Adm Pharm, 14(9), 797-804. doi:10.1016/j.sapharm.2017.11.005
Raynor, D. K. (2009). Addressing medication literacy: a pharmacy practice priority. Int J Pharm Pract, 17(5), 257-259.
Sauceda, J. A., Loya, A. M., Sias, J. J., Taylor, T., Wiebe, J. S., & Rivera, J. O. (2012). Medication literacy in Spanish and English: psychometric evaluation of a new assessment tool. J Am Pharm Assoc (2003), 52(6), e231-240. doi:10.1331/JAPhA.2012.11264
Shehnaz, S. I., Agarwal, A. K., & Khan, N. (2014). A systematic review of self-medication practices among adolescents. J Adolesc Health, 55(4), 467-483.
Song, S., Lee, S. M., Jang, S., Lee, Y. J., Kim, N. H., Sohn, H. R., & Suh, D. C. (2017). Mediation effects of medication information processing and adherence on association between health literacy and quality of life. BMC Health Serv Res, 17(1), 661. doi:10.1186/s12913-017-2598-0
St Leger, L. (2001). Schools, health literacy and public health: possibilities and challenges. Health Promot Int, 16(2), 197-205.
Stoelben, S., Krappweis, J., Rossler, G., & Kirch, W. (2000). Adolescents' drug use and drug knowledge. Eur J Pediatr, 159(8), 608-614.
Teramachi, H. (2013). [Establishment of a "correct use of medicine" educational program for health and physical education at junior high schools]. Yakugaku Zasshi, 133(12), 1325-1334.
Wali, H., & Grindrod, K. (2016). Don't assume the patient understands: Qualitative analysis of the challenges low health literate patients face in the pharmacy. Res Social Adm Pharm, 12(6), 885-892. doi:10.1016/j.sapharm.2015.12.003
Wallace, L. S., & Lennon, E. S. (2004). American Academy of Family Physicians patient education materials: can patients read them? Fam Med, 36(8), 571-574.
Williams, M. V., Baker, D. W., Honig, E. G., Lee, T. M., & Nowlan, A. (1998). Inadequate literacy is a barrier to asthma knowledge and self-care. Chest, 114(4), 1008-1015. doi:10.1378/chest.114.4.1008
Williams, M. V., Baker, D. W., Parker, R. M., & Nurss, J. R. (1998). Relationship of functional health literacy to patients' knowledge of their chronic disease. A study of patients with hypertension and diabetes. Arch Intern Med, 158(2), 166-172.
Wilson, J. A., Pegram, A. H., Battise, D. M., & Robinson, A. M. (2017). Traditional lecture versus jigsaw learning method for teaching Medication Therapy Management (MTM) core elements. Curr Pharm Teach Learn, 9(6), 1151-1159.
Wolf, M. S., Davis, T. C., Shrank, W. H., Neuberger, M., & Parker, R. M. (2006). A critical review of FDA-approved Medication Guides. Patient Educ Couns, 62(3), 316-322. doi:10.1016/j.pec.2006.06.010
World Health Organization. (2007). Promoting Safety of Medicines for Children.
Yin, H. S., Dreyer, B. P., Foltin, G., van Schaick, L., & Mendelsohn, A. L. (2007). Association of low caregiver health literacy with reported use of nonstandardized dosing instruments and lack of knowledge of weight-based dosing. Ambul Pediatr, 7(4), 292-298. doi:10.1016/j.ambp.2007.04.004