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系統識別號 U0026-0609201017150700
論文名稱(中文) 慢性疾病老人照護教育網站品質評值
論文名稱(英文) Evaluation of an Educational Website for Care of Elders with Chronic Conditions
校院名稱 成功大學
系所名稱(中) 護理學系碩博士班
系所名稱(英) Department of Nursing
學年度 98
學期 2
出版年 99
研究生(中文) 林儀貞
研究生(英文) Yi-Chen Lin
學號 t2697102
學位類別 碩士
語文別 中文
論文頁數 118頁
口試委員 指導教授-顏妙芬
口試委員-陳清惠
口試委員-劉立凡
中文關鍵字 老人  照護需求  網站品質 
英文關鍵字 elderly  care needs  quality of website 
學科別分類
中文摘要 在資訊蓬勃發展的時代,使用網路獲取照護相關知識與訊息來解決問題,對
老人與家屬而言是另一種選擇方式,也愈趨普遍。若醫療資訊錯誤、誤導或是不完整,可能影響使用者的健康安全。在行政院國家科學研究院經費補助下,由成功大學醫學院與南台科技大學老師整合型研究計畫合作,慢性疾病老人整體性照護教育網頁「銀髮族樂活網」已完成建置,網站公開使用前,需確認網站品質。故本研究目的為發展慢性疾病老人照護教育網站品質評值量表,瞭解「銀髮族樂活網」網站品質。以描述性研究設計,經文獻查證發展網站品質評值指標項目,進行信效度檢測,爾後使用網站品質評值量表,敦請165位老人照護相關領域護理人員進行「銀髮族樂活網」之內容層面評值;168位資訊人員,進行介面設計層面評值。以SPSS 17.0 for windows進行資料的分析。
研究結果,慢性疾病老人照護教育網站品質評值量表,為10項指標;包含內
容層面之正確性、保密性、公開性、權威性、即時性、涵蓋性,以及區隔性,共33項目,總分為33分;介面設計層面之可及性、互動性,以及連結性,共33項目,總分為33分。量表信效度為0.90-0.96,Kappa coefficient為0.744-0.742。
銀髮族樂活網網站品質,內容層面總分平均分數為30.4分(SD± 2.8),介
面設計層面總分平均分數為28.4分(SD± 4.1),兩大層面總分平均數加總為58.8分。此結果將作為慢性疾病老人整體性照護教育網頁修正參考;並期望此評值量表未來亦可作為專業照護者評值網站品質之依據及規劃或發展老人照護教育相關網站之參考。
英文摘要 The Internet is a choice for the elders and their families to obtain health care information in the information era. If the information is biased, or incomplete, negative impacts may result in inappropriate uses of health care resources. The purpose of this study was to develop website evaluation tool to evaluate the quality a website providing information for taking care of elders with chronic conditions.
This was a descriptive study. Review of literature was conducted to identify indicators to evaluate the quality of website for information on care of elders with chronic conditions. The website evaluation tool was tested with its reliability and validity. One hundred and sixty five of health care professionals were asked to use this tool to evaluate the content aspect quality of “Inspired-aging Web for Elders with Chronic Condition”.One hundred and sixty eight of informational engineers were asked to evaluate the interface design aspect quality of “Inspired-aging Web for Elders with Chronic Condition”. To understand the quality of chronic conditions elder care educational websites contribute to correct information post on the website.
The results show that the evaluation tool consists of two aspects, 10 criteria, and 66 items. The criteria were: accuracy, confidentiality, disclosures, authorship, currency, coverage, distinguishability in the content aspect and accessibility, interaction and link in interface design aspect. The sum of each aspect was 33. Internal consistency was good, with a content validity of 0.90 to 0.96 and Kappa coefficient of 0.744 to 0.742 .The quality of “Inspired-aging Web for Elders with Chronic Condition” was good. Mean score of the content aspect was 30.4 (SD ± 2.8) and interface design aspect of mean score was 28.4 (SD ± 4.1), overall quality mean score was 58.8. In addition, the evaluationquestionnaire can serve an evaluation tool for the development of elder care websites in the future.
論文目次 摘要…....... I
ABSTRACT.. III
致謝……….. V
目錄……….. VII
第一章 緒論 1
第一節 研究背景與重要性 1
第二節 研究目的 3
第三節 研究問題 3
第二章 文獻查證 4
第一節 網站品質定義 4
第二節 醫療網站品質評值指標 6
第三節 慢性疾病老人網站應涵蓋的內容 23
第四節 健康醫療網站品質相關研究現況 30
第五節 銀髮族樂活網 34
第三章 研究方法 36
第一節 名詞解釋 36
第二節 研究設計與架構 37
第三節 研究步驟 38
第四節 研究對象及場域 40
第五節 研究工具 41
第六節 資料分析 42
第七節 倫理考量 42
第四章 研究結果 43
第一節 慢性疾病老人照護教育網站品質指標 43
第二節 慢性疾病老人照護教育網站品質量表信效度 46
第三節 慢性疾病老人整體性照護教育網頁「銀髮族樂活網」之網站品質 50
第五章 討論 57
第一節 慢性疾病老人照護教育網站品質指標分析討論 57
第二節 慢性疾病老人照護教育網站品質量表信效度分析討論 61
第三節 「銀髮族樂活網」之網站品質分析討論 63
第六章 結論與建議 70
第一節 結論 70
第二節 研究結果應用與建議 71
第三節 研究限制 73
參考文獻.. 74

表目錄
表2-1 國內外評值醫療資訊網站研究之指標列表 6
表2-2 國內外網站品質評值原則向度之彙整 13
表2-3網站品質評值量表信效度彙整 15
表2-4 網站品質評值指標頻率與歸納理由之說明 17
表2-5 國內外網站品質不良的原因之彙整 33
表4-1 量表內容層面各指標之內容效度 47
表4-2量表內容層面之內容效度 48
表4-3 量表介面設計層面各指標之內容效度 49
表4-4介面設計層面之內容效度 49
表4-5 基本人口學資料 50
表4-6 專業照護者對「銀髮族樂活網」內容之評值 52
表4-7 資訊人員對「銀髮族樂活網」介面設計之評值 54
表4-8 網站品質之內容、介面設計層面分數 56

圖目錄
圖1 銀髮族樂活網視窗介紹 35
圖2 網站品質研究架構圖 37
圖3 研究步驟流程圖 39
圖4 量表建置過程 45

附件目錄
附件一 慢性疾病老人照護教育網站品質評值量表初稿 88
附件二 慢性疾病老人照護教育網站品質評值量表內容專家信函 91
附件三 網站品質評值表專家建議修改之內容 106
附件四 慢性疾病老人照護教育網站實際進行品質評值內容 114
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