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系統識別號 U0026-1801201921080900
論文名稱(中文) 慢性腎臟病健康識能量表之發展與測試
論文名稱(英文) Developing and Validating a Health Literacy Scale with Chronic Kidney Diseases
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 107
學期 1
出版年 107
研究生(中文) 謝昕妤
研究生(英文) Hsin-Yu Hsieh
學號 T26041039
學位類別 碩士
語文別 中文
論文頁數 77頁
口試委員 指導教授-顏妙芬
口試委員-馮瑞鶯
口試委員-宋俊明
中文關鍵字 慢性腎臟病  健康識能  量表 
英文關鍵字 Chronic kidney disease  Health literacy  Scale 
學科別分類
中文摘要 研究背景:世界衛生組織(World Health Organization,WHO)對於健康識能(health literacy)的定義為民眾瞭解醫療訊息,並能有效利用健康照護資訊,增加自身照顧能力,以減緩疾病進展。慢性腎臟病患者健康識能為個人對腎臟衰竭引發的症狀的了解與監測,以及為了保護腎臟功能所做的飲食調整。
研究目的:發展並測試慢性腎臟病健康識能工具之信效度。
研究方法:橫斷性研究設計(Cross-sectional study),於南部某醫學中心慢性腎臟病衛教中心收案,共200位慢性腎臟病患者參與此研究,以健康識能量表(Health Literacy Short Form 12, HL-SF12)以及自擬慢性腎臟病健康識能量表(Kidney Disease Health Literacy Scale, KDHLS)收集資料。SPSS 17.0版軟體分析資料,以描述性統計分析基本資料,類別變項(如性別、婚姻、職業、教育程度)以次數及百分比統計,連續變項(如年齡、慢性腎臟病期別、腎絲球過濾率)以平均值、標準差、最大值、最小值方法統計。量表以獨立樣本t檢定進行項目分析;以Cronbach’s alpha值評估量表信度,同時,檢視內容效度、建構效度與效標關聯效度探討量表之適切性。
研究結果:健康識能量表(HL-SF12) Cronbach’s alpha值 .84,平均分數為38.87分,標準差為8.64分,研究個案慢性腎臟病患者健康識能現況合格。慢性腎臟病健康識能量表(KDHLS)於建構量表時,邀請3位專家進行兩次的內容效度指標分別為0.71以及0.97,慢性腎臟病患者健康識能平均值為62.28分,標準差為11.53分,Cronbach’s alpha值為 .91,量表達良好的可信度。建構效度採探索性因素分析,兩個因素的解釋總變異量52.94 %,採皮爾森相關檢定效標關聯效度,健康識能量表與慢性腎臟病健康識能量表相關為 .50,可能因為腎臟科患者的衛教與針對一般民眾設計之健康識能量表有關,慢性腎臟病健康識能量表以腎臟保健與保腎飲食為概念設計題目,更能貼近慢性腎臟病患者日常所需之健康資訊。
結論/實務應用:慢性腎臟病健康識能量表具備合適的信效度,能測量腎臟病患者對於「腎臟保健」以及「保腎飲食」之健康識能。
英文摘要 Improving health literacy may help people understand medical information, and effectively use health care information, thus improving self-care ability and slowing down disease progression. It is important to understand and monitor the related signs of kidney function deterioration and maintain optimal health status among patients with CKD. A cross- sectional design was used. Total of 200 patients were recruited from a CKD center with convenience sampling technique at a medical center in Southern Taiwan. Health Literacy Short Form 12 (HL-SF12) and Kidney Disease Health Literacy Scale (KDHLS) questionnaires were applied to examine the health literacy of patients with CKD. The reliability of HL-SF12 was appropriate (Cronbach's alpha = .84). The average score was 38.87 (SD = 8.64), indicating that adequate health literacy among study subjects. The content validity of KDHLS was evaluated twice by three experts with indexes 0.71 and 0.97 respectively. The average value of the KDHLS was 62.28 (SD = 11.53). Cronbach's alpha of KDHLS equaled to 0.91. Exploratory factor analysis revealed that the total variance accounted for 52.94 %. The correlation between the scores of HL-SF12 and KDHLS was .50 using Pearson’s correlation. KDHLS was designed with the concept of kidney function protection and healthy eating for kidney disease, and it is closer to the health information of patients with CKD. KDHLS measures the health literacy of kidney function protection and healthy eating for kidney disease in CKD patients.
論文目次 中文摘要I
英文摘要III
誌謝VI
目錄VIII
圖目錄XI
表目錄XI
第壹章 緒論1
第一節 研究背景與重要性1
第二節 研究目的與問題4
第貳章 文獻查證 5
第一節 健康識能之定義與概念5
第二節 慢性腎臟病患者健康識能9
第三節 國內外健康識能評估量表之探討13
第參章 研究方法19
第一節 研究設計19
第一段 量表建構19
第二段 研究過程24
第二節 研究對象26
第三節 研究工具27
第四節 資料分析與解釋29
第五節 倫理考量31
第肆章 研究結果32
第一節 研究對象人口學基本資料32
第二節 慢性腎臟病患者健康識能現況35
第三節 慢性腎臟病健康識能量表分析43
第一段 項目分析43
第二段 因素分析47
第三段 效標關聯效度52
第伍章 討論53
第一節 研究對象人口學基本資料53
第二節 慢性腎臟病患者健康識能現況54
第三節 慢性腎臟病健康識能量表分析56
第陸章 結論60
第一節 結論60
第二節 應用與建議61
第三節 研究限制62
參考文獻63
中文部分63
英文部分66
附錄75
附錄一 國立成功大學醫學院附設醫院人體研究倫理審查委員會同意人體研究證明書 75
附錄二 國立成功大學醫學院附設醫院人體研究倫理審查委員會同意計畫修正證明書 76
附錄三 健康識能中文簡版量表使用同意書 77
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