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研究生: 陳龍
Lung Chan
論文名稱: 中風防治識能衛生教育介入效果研究-以台北市某國小六年級學生為例
The effect of the stroke literacy health education program: A study on the 6th grade elementary school students in Taipei
指導教授: 劉潔心
學位類別: 博士
Doctor
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: 2015
畢業學年度: 103
語文別: 中文
論文頁數: 119
中文關鍵詞: 中風中風防治識能創新傳播介入課程
英文關鍵詞: Stroke, Stroke literacy, innovative intervention program
論文種類: 學術論文
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  • 腦中風是國人的主要死亡原因之一,在前人努力下死亡率持續下降,但隨著高齡社會來臨,腦中風病人的數目也將會大幅增加。腦中風的危險因子是可以透過教育去改變的。當中風發生時,迅速認知中風症狀,立即就醫。靜脈注射血栓溶解治療是目前唯一的治療急性梗塞型中風的方法,但許多病患無法於3小時內趕到醫院,錯失接受治療的良機。提升治療比率最有效的方法就是減少到院前延誤,教育介入就是最有效方式。現今醫師工作場域已經從醫療場所進入社區,推動全人醫療,而學校就是社區一部分。本研究是以六年級學童及家長為目標,透過創新傳播介入課程介入課程去改善學童中風防治識能。希望可以教導學童腦中風的危險因子、症狀及治療,培養學生健康行為,並透過親子共學,影響家長一起去實踐健康生活。本研究証明實驗介入組的學生及家長有良好「中風防治識能」提升程度上達到顯著統計意義,其中實驗介入組的「中風危險因子」、「中風症狀」、「正確指出腦部是受損器官」及「正確中風處理」等變項均達統計學上顯著意義。本研究設計介入課程可以有效提升中風正確處理方式,糾正不正確的處理觀念。實驗介入組不論在「中風危險因子」或「症狀知識上進步成為早期採納者或創新者」的人數在實驗結束後均有增加。在教學成效問卷中,課程內容為大多數學生及家長所接受,此介入課程亦可誘發學生回家後與家長持續討論中風的症狀、預防及其治療方式,也能改變學生及家長的健康行為。

    Although the mortality rate of stroke is keep decline, stroke is still the one the major cause of death in Taiwan. With the era of ageing country, the victim of stroke is keeping increasing. The risk factors of stroke can be altered by health education. Early recognition of the stroke symptom can prompt rapid treatment. Intravenous thrombolysis is the only approved treatment in acute ischemic stroke onset within three hours, however, most of the stroke patients cannot reach the hospital within the golden three hours. Education is the most useful method to reduce the prehospital decreased and increase the treatment rate of intravenous thrombolysis. The working place of the modern physician is changing from hospital to community, and school is part of the community to achieve the patient centered care. Our study target is to use the innovative educational program to improve grade six student’s stroke literacy, including stroke risk factors, symptoms and treatment, to establish their health behavior. Via the co-learning, their parents can also improve their health behavior. Our study proved that the stroke literacy, risk factors, symptoms and treatment recognition in both the student and parent had significantly improved after intervention program. The program not only improved the correct treatment behavior, but also corrected the wrong behavior. The numbers of innovators and early adopters had been increased after the program. In the post-intervention survey, we had a high program satisfaction in both the students and parents. The program had successfully created a topic in stroke among students and their parents, which will lead to health behavior.

    目次 第一章、緒論 1 第一節、研究背景 1 第二節、研究動機與研究重要性 5 第三節、研究目的 7 第四節、名詞介定 8 第二章、文獻探討 11 第一節、健康識能 11 第二節、中風防治識能 14 第三節、創新傳播 14 第四節、歐美地區腦中風教育 17 第五節、亞洲區腦中風教育 23 第六節、文獻回顧結論 25 第三章、研究設計與實施 27 第一節、教材設計 27 第二節、研究架構 30 第三節、研究工具與介入策略 31 第四節、研究方法 34 第五節、實驗設計 35 第六節、資料處理 37 第七節、研究步驟及時程 39 第四章、研究結果 42 第一節、描述性分析 42 第二節、人口學與中風防治識能分析 49 第三節、實驗介入後之中風症狀認知分析 55 第四節、實驗介入後之中風危險因子分析 57 第五節、實驗介入後之中風處理分析 59 第六節、創新傳播(DIFFUSION OF INNOVATION) 65 第七節、實驗介入後教學成效問卷 72 第八節、結果整理 75 第五章、研究結論、研究建議及研究限制 77 第一節、研究結論 77 第二節、硏究建議 79 第三節、研究限制 81 參考文獻 82 附件一、腦中風動畫翻譯 90 附件二、腦中風 教學/教案設計架構設計表 105

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