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http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/90313完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 鍾國彪 | zh_TW |
| dc.contributor.advisor | Kuo-Piao Chung | en |
| dc.contributor.author | 謝寧惠 | zh_TW |
| dc.contributor.author | Ning-Huei Sie | en |
| dc.date.accessioned | 2023-09-26T16:13:20Z | - |
| dc.date.available | 2023-11-10 | - |
| dc.date.copyright | 2023-09-26 | - |
| dc.date.issued | 2023 | - |
| dc.date.submitted | 2023-07-21 | - |
| dc.identifier.citation | 1. 行政院主計總處：99年人口及住宅普查報告。台北：行政院主計總處，2012。
2. 中華民國國家發展委員會：中華民國人口推估(2018至2065年)。台北：中華民國國家發展委員會，2018。 3. 衛生福利部：失智症防治照護政策綱領暨行動方案2.0。台北：衛生福利部，2021。 4. 台灣失智症協會：認識失智症的8大特點。http://www.tada2002.org.tw/About/IsntDementia。引用2019/03/06。 5. 衛生福利部：失智症防治照護政策綱領暨行動方案2.0。台北：衛生福利部，2018。 6. World Health Organization：Dementia: a public health priority 2012. 7. 中華民國家庭照顧者關懷總會：研究-2007家庭照顧者現況調查。https://www.familycare.org.tw/policy/10635。引用2019/03/06。 8. Nielsen-Bohlman L, P.A., Kindig DA, Health literacy: a prescription to end confusion. , I.o.M.o.T.N. Academies, Editor. 2004, Institute of Medicine: Washington, DC: Institute of Medicine of The National Academies. 9. Brown, D. R., Ludwig, R., Buck, G. A., Durham, D., Shumard, T., & Graham, S. S. Health literacy: universal precautions needed. Journal of allied health, 2004. 33(2): p. 150-155. 10. Pleasant, A., Cabe, J., Patel, K., Cosenza, J., & Carmona, R. Health Literacy Research and Practice: A Needed Paradigm Shift. Health Communication, 2015. 30(12): p. 1176-1180. 11. Sørensen, K., Van den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., Brand, H., & (HLS-EU) Consortium Health Literacy Project European Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health, 2012. 12. 12. Yuen, E. Y. N., Knight, T., Ricciardelli, L. A., & Burney, S. Health literacy of caregivers of adult care recipients: A systematic scoping review. Health & Social Care in the Community, 2018. 26(2): p. E191-E206. 13. Lindquist, L. A., Jain, N., Tam, K., Martin, G. J., & Baker, D. W. Inadequate Health Literacy Among Paid Caregivers of Seniors. Journal of General Internal Medicine, 2011. 26(5): p. 474-479. 14. Fields, B., Rodakowski, J., James, A. E., & Beach, S. Caregiver Health Literacy Predicting Healthcare Communication and System Navigation Difficulty. Families Systems & Health, 2018. 36(4): p. 482-492. 15. 衛生福利部：長期照顧十年計畫 2.0（106~1 106~115年）(核定本 )。 台北：衛生福利部，2016。 16. 社團法人臺灣老人學學會：長期照顧十年計畫 2.0效益評估報告。台北：社團法人臺灣老人學學會，2017。 17. Bliss, D., Rolnick, C., Jackson, J., Arntson, C., Mullins, J., & Hepburn, K. Health literacy needs related to incontinence and skin damage among family and friend caregivers of individuals with dementia. J Wound Ostomy Continence Nurs, 2013. 40(5): p. 515-23. 18. Garcia, C. H., Espinoza, S. E., Lichtenstein, M., & Hazuda, H. P. Health literacy associations between Hispanic elderly patients and their caregivers. Journal of health communication, 2013. 18 Suppl 1(Suppl 1): p. 256-272. 19. Jennifer B. Levin, Pamela N. Peterson, Mary A. Dolansky, Rebecca S. Boxer, Health Literacy and Heart Failure Management in Patient-Caregiver Dyads. Journal of Cardiac Failure, 2014. 20(10): p. 755-761. 20. Abdel Rahman, T. Health Literacy: Prevalence among Elderly Care Givers and Its Impact on the Frequency of Elderly Hospitalization and Elderly Health Related Quality of Life. Advances in Aging Research, 2014. 3(5): p. 380-387. 21. Della Pelle, C., Orsatti, V., Cipollone, F., & Cicolini, G. Health literacy among caregivers of patients with heart failure: A multicentre cross-sectional survey. J Clin Nurs, 2018. 27(3-4): p. 859-865. 22. Jiang, Y., Sereika, S. M., Lingler, J. H., Tamres, L. K., & Erlen, J. A. Health literacy and its correlates in informal caregivers of adults with memory loss. Geriatric Nursing, 2018. 39(3): p. 285-291. 23. Choi, S. K., Rose, I. D., & Friedman, D. B. How Is Literacy Being Defined and Measured in Dementia Research? A Scoping Review. Gerontology and Geriatric Medicine, 2018. 4: p. 2333721418812246. 24. Mullins, J., Bliss, D. Z., Rolnick, S., Henre, C. A., & Jackson, J. Barriers to Communication With a Healthcare Provider and Health Literacy About Incontinence Among Informal Caregivers of Individuals With Dementia. J Wound Ostomy Continence Nurs, 2016. 43(5): p. 539-44. 25. Clyburn, L. D., Stones, M. J., Hadjistavropoulos, T., & Tuokko, H. Predicting caregiver burden and depression in Alzheimer's disease. J Gerontol B Psychol Sci Soc Sci, 2000. 55(1): p. S2-13. 26. Baumgarten, M., Battista, R. N., Infante-Rivard, C., Hanley, J. A., Becker, R., & Gauthier, S. The psychological and physical health of family members caring for an elderly person with dementia. J Clin Epidemiol, 1992. 45(1): p. 61-70. 27. 邱啟潤、許淑敏、吳淑如：居家照護病患之主要照顧者綜合性需求調查. 醫護科技學刊 2003. 5(1): p. 12-25。 28. 衛生福利部：106年老人狀況調查主要家庭照顧者調查報告。台北：衛生福利部，2017。 29. 黃昱嘉：失智症主要照顧者社會支持與生活品質關聯性及相關因素之探討［未出版之碩士論文］。高雄醫學大學，2016。 30. 曾旭民、廖淑芬：糖尿病人健康識能與血糖照護結果之相關探討。中華民國糖尿病衛教學會會訊 2012. 8(3): p. p1-7。 31. Wittenberg-Lyles, E., Goldsmith, J., Oliver, D. P., Demiris, G., Kruse, R. L., & Van Stee, S. Exploring Oral Literacy in Communication With Hospice Caregivers. Journal of Pain and Symptom Management, 2013. 46(5): p. 731-736. 32. Yuen, E., Knight, T., Dodson, S., Chirgwin, J., Busija, L., Ricciardelli, L. A., Burney, S., Parente, P., & Livingston, P. M. Measuring cancer caregiver health literacy: Validation of the Health Literacy of Caregivers Scale–Cancer (HLCS-C) in an Australian population. Health & Social Care in the Community, 2018. 26(3): p. 330-344. 33. Alzheimer's Disease International, The Global Impact of Dementia - World Alzheimer Report 2015, Alzheimer's Disease International. 34. 台灣失智症協會：台灣失智症人口推估，2018。http://www.tada2002.org.tw/About/IsntDementia.。引用2019/03/06。 35. 梁家欣、程蘊菁、陳人豪：失智症之重點回顧。內科學誌 2014. 25: p. 151-157。 36. 社團法人台灣失智症協會：失智症診療手冊，2017。 37. Farina, N., Page, T. E., Daley, S., Brown, A., Bowling, A., Basset, T., Livingston, G., Knapp, M., Murray, J., & Banerjee, S. Factors associated with the quality of life of family carers of people with dementia: A systematic review. Alzheimers Dement, 2017. 13(5): p. 572-581. 38. OECD: Caring for Frail Elderly People: Policies in Evolution. OECD Social Policy Studies No 19. , 1996. 39. 吳淑瓊、莊坤洋：在地老化：台灣二十一世紀長期照護的政策方向。台灣公共衛生雜誌 2001. 20(3): p. 192-201。 40. 吳淑瓊、陳亮汝、張文瓊：臺灣居家服務人力：現況與未來發展。社區發展季刊 2013. 141。 41. 巫瑩慧、湯麗玉、陳達夫、邱銘章：國際阿茲海默症協會“京都宣言－失智症者照護基本行動綱領”。長期照護雜誌 2008；12(3): p. 245-248。 42. 劉淑娟、葉玲玲、徐慧娟、周世珍、蕭伃伶、謝佳容、廖彥琦、謝嫣娉、毛慧芬、胡月娟、張晴翔：長期照護2018。華杏出版股份有限公司。 43. 薛瑞元：推動失智症防治照護政策綱領：建構完善失智症照護體系。國土與公共治理季刊 2019. 7(1): p. 92-95。 44. WHO: Towards a dementia plan: a WHO guide. 2018: World Health Organization. 45. OECD: “Informal carers” in Health at a Glance 2017: OECD Indicators,. 2017, Paris: OECD. 46. Alliance, F.C., CARE for the FAMILY CAREGIVER: A Place to Start. Fifth Anniversary, The White House Conference on Aging March 2010 Edition, 2011. 47. Colombo, F., & Mercier, J. Help Wanted?: Providing and Paying for Long-Term Care, OECD Health Policy Studies, 2011, OECD Publishing, Paris, 48. Waite, A., Bebbington, P., Skelton-Robinson, M., & Orrell, M. Social factors and depression in carers of people with dementia. International Journal of Geriatric Psychiatry, 2004. 19(6): p. 582-587. 49. Grunfeld, E., Glossop, R., McDowell, I., & Danbrook, C. Caring for elderly people at home: The consequences to caregivers. CMAJ, 1997. 157(8): p. 1101-1105. 50. Clipp, E.C. and L.K. George, Psychotropic Drug Use among Caregivers of Patients with Dementia. Journal of the American Geriatrics Society, 1990. 38(3): p. 227-235. 51. Kiecolt-Glaser, J.K. and R. Glaser, Caregivers, mental health, and immune function, in Stress effects on family caregivers of Alzheimer's patients: Research and interventions. 1994, Springer Publishing Co: New York, NY, US. p. 64-75. 52. O'Reilly, F., Finnan, F., Allwright, S., Smith, G. D., & Ben-Shlomo, Y. The effects of caring for a spouse with Parkinson's disease on social, psychological and physical well-being. British Journal of General Practice, 1996. 46(410): p. 507-512. 53. Corallo, F., De Cola, M. C., Lo Buono, V., Di Lorenzo, G., Bramanti, P., & Marino, S. Observational study of quality of life of Parkinson's patients and their caregivers. Psychogeriatrics, 2017. 17(2): p. 97-102. 54. Martinez-Martin, P., Macaulay, D., Jalundhwala, Y. J., Mu, F., Ohashi, E., Marshall, T., & Sail, K. The long-term direct and indirect economic burden among Parkinson's disease caregivers in the United States. Movement Disorders, 2019. 34(2): p. 236-245. 55. Sharma, N., S. Chakrabarti, and S. Grover, Gender differences in caregiving among family - caregivers of people with mental illnesses. World J Psychiatry, 2016. 6(1): p. 7-17. 56. Musich, S., Wang, S. S., Kraemer, S., Hawkins, K., & Wicker, E. Caregivers for older adults: Prevalence, characteristics, and health care utilization and expenditures. Geriatric Nursing, 2017. 38(1): p. 9-16. 57. 邱啟潤、許淑敏、吳瓊滿：主要照顧者負荷、壓力與因應之國內研究文獻回顧。醫護科技學刊2002；4(4): p. 273-290。 58. 陳芬婷、邱啟潤：喘息服務方案對家庭照顧者之效益。護理暨健康照護研究 2015； 11(1): p. 53-63。 59. 呂寶靜：支持家庭照顧者的長期照護政策之構思。國家政策季刊2005；4(4): p. 25-40。 60. 陳景寧：看見家庭照顧者～長期照顧服務法「家庭照顧者支持性服務」展望. 娮──婦女議題溝通平台電子報 2016. 10。 61. 黃秀梨、李逸、徐亞瑛、張媚、翁麗雀：影響北台灣家庭照顧者喘息服務利用的因素：前趨性研究。長期照護雜誌 2007；11(1): p. 51-65。 62. Pearlin, L. I., Mullan, J. T., Semple, S. J., & Skaff, M. M. Caregiving and the Stress Process: An Overview of Concepts and Their Measures. The Gerontologist, 1990. 30(5): p. 583-594. 63. 王英偉、魏米秀、張美娟：健康識能與醫病共享決策。醫療品質雜誌 2017；11(4): p. 42-49。 64. CSDH, Closing the gap in a generation: health equity through action on the social determinants of health. Final Report of the Commission on Social Determinants of Health. Geneva, World Health Organization. 2008. 65. 衛生福利部：2025衛生福利政策白皮書。衛生福利部：台北。2016。 66. Rudd, R.E.M., Barbara A.; Colton, Tayla C., Health and Literacy: A Review of Medical and Public Health Literature. 2000: Chapter 5 in: Annual Review of Adult Learning and Literacy. Volume 1; copublished with Jossey-Bass, Inc. 67. Nutbeam, D., Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int, 2000. 15. 68. Pleasant, A. and S. Kuruvilla, A tale of two health literacies: public health and clinical approaches to health literacy. Health Promotion International, 2008. 23(2): p. 152-159. 69. Nutbeam, D., Health Promotion Glossary. Health Promotion International, 1998. 13(4): p. 349-364. 70. Ad Hoc Committee on Health Literacy for the Council on Scientific, A. and A. American Medical, Health literacy: Report of the council on scientific affairs. JAMA, 1999. 281(6): p. 552-557. 71. Berkman ND, S.S., Donahue KE, Halpern DJ, Viera A, Crotty K, Holland A, Brasure M, Lohr KN, Harden E, Tant E, Wallace I, Viswanathan M., Health Literacy Interventions and Outcomes: An Updated Systematic Review. Evidence Report/Technology Assesment No. 199. 2011. 72. Nutbeam, D., Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 2000. 15(3): p. 259-267. 73. World Health Organization: Health literacy The solid facts. World Health Organization 2013 74. 林季緯、何青蓉、黃如薏、王維典：健康識能的概念發展與實務應用。台灣家庭醫學雜誌 2016；26(2) p.65 – 76。 75. Cutilli, C.C. and I.M. Bennett, Understanding the Health Literacy of America Results of the National Assessment of Adult Literacy. Orthopaedic Nursing, 2009. 28(1): p. 27-32. 76. Kutner, M., Greenberg, E., Jin, Y., and Paulsen, C. The Health Literacy of America’s Adults: Results From the 2003 National Assessment of Adult Literacy (NCES 2006–483). 2006 U.S. Department of Education. Washington, DC: National Center for Education Statistics 77. Sørensen, K., Pelikan, J. M., Röthlin, F., Ganahl, K., Slonska, Z., Doyle, G., Fullam, J., Kondilis, B., Agrafiotis, D., Uiters, E., Falcon, M., Mensing, M., Tchamov, K., van den Broucke, S., Brand, H., & HLS-EU Consortium. Health literacy in Europe: comparative results of the European health literacy survey (HLS-EU). Eur J Public Health, 2015. 25(6): p. 1053-8. 78. Lee, S. Y., Tsai, T. I., Tsai, Y. W., & Kuo, K. N. Health literacy, health status, and healthcare utilization of Taiwanese adults: results from a national survey. BMC Public Health, 2010. 10(1): p. 614. 79. Duong, V. T., Lin, I. F., Sorensen, K., Pelikan, J. M., Van Den Broucke, S., Lin, Y. C., & Chang, P. W. Health Literacy in Taiwan: A Population-Based Study. Asia Pac J Public Health, 2015. 27(8): p. 871-80. 80. Cho, Y. I., Lee, S. Y., Arozullah, A. M., & Crittenden, K. S. Effects of health literacy on health status and health service utilization amongst the elderly. Social Science & Medicine, 2008. 66(8): p. 1809-1816. 81. Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med, 2011. 155. 82. Wolf, M.S., J.A. Gazmararian, and D.W. Baker, Health literacy and functional health status among older adults. Arch Intern Med, 2005. 165. 83. Dewalt, D. A., Berkman, N. D., Sheridan, S., Lohr, K. N., & Pignone, M. P. Literacy and Health Outcomes: A Systematic Review of the Literature. Journal of General Internal Medicine, 2004. 19(12): p. 1228-1239. 84. Kamimura, A., Christensen, N., Tabler, J., Ashby, J., & Olson, L. M. Patients Utilizing a Free Clinic: Physical and Mental Health, Health Literacy, and Social Support. Journal of Community Health, 2013. 38(4): p. 716-723. 85. Heijmans, M., Waverijn, G., Rademakers, J., van der Vaart, R., & Rijken, M. Functional, communicative and critical health literacy of chronic disease patients and their importance for self-management. Patient Education and Counseling, 2015. 98(1): p. 41-48. 86. Mackert, M., Champlin, S., Su, Z., & Guadagno, M. The Many Health Literacies: Advancing Research or Fragmentation? Health Communication, 2015. 30(12): p. 1161-1165. 87. Davis, T. C., Crouch, M. A., Long, S. W., Jackson, R. H., Bates, P., George, R. B., & Bairnsfather, L. E. Rapid assessment of literacy levels of adult primary care patients. Fam Med, 1991. 23(6): p. 433-5. 88. Parker, R. M., Baker, D. W., Williams, M. V., & Nurss, J. R. The test of functional health literacy in adults. Journal of General Internal Medicine, 1995. 10(10): p. 537-541. 89. Weiss, B. D., Mays, M. Z., Martz, W., Castro, K. M., DeWalt, D. A., Pignone, M. P., Mockbee, J., & Hale, F. A. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med, 2005. 3(6): p. 514-22. 90. Tsai, H. M., Cheng, C. Y., Chang, S. C., Yang, Y. M., & Wang, H. H. Health Literacy and Health-Promoting Behaviors among Multiethnic Groups of Women in Taiwan. Journal of Obstetric, Gynecologic & Neonatal Nursing, 2014. 43(1): p. 117-129. 91. Chung, M. H., Chen, L. K., Peng, L. N., & Chi, M. J. Development and validation of the health literacy assessment tool for older people in Taiwan: potential impacts of cultural differences. Arch Gerontol Geriatr, 2015. 61(2): p. 289-95. 92. Hou, W. H., Huang, Y. J., Lee, Y., Chen, C. T., Lin, G. H., & Hsieh, C. L. Validation of the Integrated Model of Health Literacy in Patients With Breast Cancer. Cancer Nurs, 2017. 93. Leung, A. Y., Lou, V. W., Cheung, M. K., Chan, S. S., & Chi, I. Development and validation of DM-specific health literacy tool for Mandarin-speaking population. European Journal of Public Health, 2017. 27. 94. Huang, Y. J., Chen, C. T., Lin, G. H., Wu, T. Y., Chen, S. S., Lin, L. F., Hou, W. H., & Hsieh, C. L. Evaluating the European Health Literacy Survey Questionnaire in Patients with Stroke: A Latent Trait Analysis Using Rasch Modeling. Patient-Patient Centered Outcomes Research, 2018. 11(1): p. 83-96. 95. Chen, A. M., Yehle, K. S., Plake, K. S., Murawski, M. M., & Mason, H. L. Health literacy and self-care of patients with heart failure. The Journal of cardiovascular nursing, 2011. 26(6): p. 446-451. 96. Miller, E., Lee, J. Y., DeWalt, D. A., & Vann, W. F., Jr Impact of Caregiver Literacy on Children's Oral Health Outcomes. Pediatrics, 2010. 126(1): p. 107-114. 97. Toci, E., Burazeri, G., Jerliu, N., Sørensen, K., Ramadani, N., Hysa, B., & Brand, H. Health literacy, self-perceived health and self-reported chronic morbidity among older people in Kosovo. Health Promotion International, 2015. 30(3): p. 667-674. 98. 蘇哲能、張淑鳳、陳榮基、潘豐泉、陳清軒、劉偉文：台灣健康知能量表之初探性研究。台灣醫學2008； 12(5): p. 525-536。 99. 林純雯, Newest Vital Sign健康素養量表中文版之信效度檢驗與應用－以幼兒職前教師爲例。健康促進與衛生教育學報2010(34): p. 1-31。 100. Tsai, T. I., Lee, S. Y., Tsai, Y. W., & Kuo, K. N. Methodology and validation of health literacy scale development in Taiwan. J Health Commun, 2011. 16(1): p. 50-61. 101. 蔡慈儀、李守義、蔡憶文、郭耿南：中文健康識能評估表的發展與測試。醫學教育2010；14(2): p. 122-136。 102. 李守義、蔡慈儀、蔡憶文、郭耿南：「中文健康識能評估量表」簡式量表的發展與效度檢測。台灣公共衛生雜誌 2012； 31(2): p. 184-194。 103. Duong, T. V., Chang, P. W., Yang, S. H., Chen, M. C., Chao, W. T., Chen, T., Chiao, P., & Huang, H. L. A New Comprehensive Short-form Health Literacy Survey Tool for Patients in General. Asian Nursing Research, 2017. 11(1): p. 30-35. 104. 魏米秀、王英偉、張美娟、謝至鎠：中文多面向健康識能量表（MMHLQ）之發展。台灣公共衛生雜誌2017；36(6): p. 556-570。 105. Shih, C. L., Chang, T. H., Jensen, D. A., & Chiu, C. H. Development of a health literacy questionnaire for Taiwanese hemodialysis patients. BMC Nephrol, 2016. 17(1): p. 54. 106. Sun, F., X. Gao, and D.W. Coon, Perceived Threat of Alzheimer’s Disease Among Chinese American Older Adults: The Role of Alzheimer’s Disease Literacy. The Journals of Gerontology: Series B, 2013. 70(2): p. 245-255. 107. Baker, D. W., Williams, M. V., Parker, R. M., Gazmararian, J. A., & Nurss, J. Development of a brief test to measure functional health literacy. Patient Education and Counseling, 1999. 38(1): p. 33-42. 108. Morris, N. S., MacLean, C. D., Chew, L. D., & Littenberg, B. The Single Item Literacy Screener: Evaluation of a brief instrument to identify limited reading ability. BMC Family Practice, 2006. 7: p. 21-21. 109. Sørensen, K., Van den Broucke, S., Pelikan, J. M., Fullam, J., Doyle, G., Slonska, Z., Kondilis, B., Stoffels, V., Osborne, R. H., Brand, H., & HLS-EU Consortium. Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC Public Health, 2013. 13. 110. Nath, C. R., Sylvester, S. T., Yasek, V., & Gunel, E. Development and validation of a literacy assessment tool for persons with diabetes. Diabetes Educ, 2001. 27(6): p. 857-64. 111. Nath, C. R., Sylvester, S. T., Yasek, V., & Gunel, E. Asthma Numeracy Skill and Health Literacy. Journal of Asthma, 2006. 43(9): p. 705-710. 112. Agre, P., E. Stieglitz, and G. Milstein, The case for development of a new test of health literacy. Oncol Nurs Forum, 2006. 33(2): p. 283-9. 113. Gong, D. A., Lee, J. Y., Rozier, R. G., Pahel, B. T., Richman, J. A., & Vann, W. F., Jr. Development and Testing of the Test of Functional Health Literacy in Dentistry (TOFHLiD). Journal of Public Health Dentistry, 2007. 67(2): p. 105-112. 114. Diamond, J.J., Development of a reliable and construct valid measure of nutritional literacy in adults. Nutrition Journal, 2007. 6(1): p. 5. 115. Huizinga, M. M., Elasy, T. A., Wallston, K. A., Cavanaugh, K., Davis, D., Gregory, R. P., Fuchs, L. S., Malone, R., Cherrington, A., Dewalt, D. A., Buse, J., Pignone, M., & Rothman, R. L. Development and validation of the Diabetes Numeracy Test (DNT). BMC Health Services Research, 2008. 8(1): p. 96. 116. Wallace, L. S., Ergen, W. F., Cassada, D. C., Freeman, M. B., Grandas, O. H., Stevens, S. L., & Goldman, M. H. Development and validation of the Rapid Estimate of Adult Literacy in Vascular Surgery (REAL_VS). Ann Vasc Surg, 2009. 23(4): p. 446-52. 117. Osborn, C. Y., Davis, T. C., Bailey, S. C., & Wolf, M. S. Health literacy in the context of HIV treatment: introducing the Brief Estimate of Health Knowledge and Action (BEHKA)-HIV version. AIDS Behav, 2010. 14(1): p. 181-8. 118. Kim, M. T., Song, H. J., Han, H. R., Song, Y., Nam, S., Nguyen, T. H., Lee, H. C., & Kim, K. B. Development and validation of the high blood pressure-focused health literacy scale. Patient Education and Counseling, 2012. 87(2): p. 165-170. 119. Reynolds, J. S., Treu, J. A., Njike, V., Walker, J., Smith, E., Katz, C. S., & Katz, D. L. The Validation of a Food Label Literacy Questionnaire for Elementary School Children. Journal of Nutrition Education and Behavior, 2012. 44(3): p. 262-266. 120. Leung, A. Y., Cheung, M. K., Lou, V. W., Chan, F. H., Ho, C. K., Do, T. L., Chan, S. S., & Chi, I. Development and validation of the Chinese Health Literacy Scale for Chronic Care. J Health Commun, 2013. 18 Suppl 1: p. 205-22. 121. Leung, A. Y., Lou, V. W., Cheung, M. K., Chan, S. S., & Chi, I. Development and validation of Chinese Health Literacy Scale for Diabetes. J Clin Nurs, 2013. 22(15-16): p. 2090-9. 122. 李懿倫、張永源：慢性病病人成人功能性健康知能程度之相關因素探討. 醫學與健康期刊2012；1(1): p. 61-70。 123. Duong, T. V., Aringazina, A., Baisunova, G., Nurjanah, Pham, T. V., Pham, K. M., Truong, T. Q., Nguyen, K. T., Oo, W. M., Mohamad, E., Su, T. T., Huang, H. L., Sørensen, K., Pelikan, J. M., Van den Broucke, S., & Chang, P. W. Measuring health literacy in Asia: Validation of the HLS-EU-Q47 survey tool in six Asian countries. J Epidemiol, 2017. 27(2): p. 80-86. 124. Eames, S., McKenna, K., Worrall, L., & Read, S. The suitability of written education materials for stroke survivors and their carers. Top Stroke Rehabil, 2003. 10(3): p. 70-83. 125. Hendrix, C. C., Bailey, D. E., Jr, Steinhauser, K. E., Olsen, M. K., Stechuchak, K. M., Lowman, S. G., Schwartz, A. J., Riedel, R. F., Keefe, F. J., Porter, L. S., & Tulsky, J. A. Effects of enhanced caregiver training program on cancer caregiver's self-efficacy, preparedness, and psychological well-being. Support Care Cancer, 2016. 24(1): p. 327-36. 126. Levin, J. B., Peterson, P. N., Dolansky, M. A., & Boxer, R. S. Health literacy and heart failure management in patient-caregiver dyads. J Card Fail, 2014. 20(10): p. 755-61. 127. Yuen, E. Y., Dodson, S., Batterham, R. W., Knight, T., Chirgwin, J., & Livingston, P. M. Development of a conceptual model of cancer caregiver health literacy. European Journal of Cancer Care, 2015. 25(2): p. 294-306. 128. 邱麗蓉、謝佳容、蔡欣玲：失智症病患主要照護者的壓力源、評價和因應行為與健康之相關性探討。精神衛生護理雜誌 2007；2(2): p. 31-44。 129. Graham, C., C. Ballard, and P. Sham, Carers' knowledge of dementia, their coping strategies and morbidity. Int J Geriatr Psychiatry, 1997. 12(9): p. 931-6. 130. Garcia, C. H., Espinoza, S. E., Lichtenstein, M., & Hazuda, H. P. Health Literacy Associations Between Hispanic Elderly Patients and Their Caregivers. Journal of Health Communication, 2013. 18: p. 256-272. 131. Lee, S.-Y.D., A.M. Arozullah, and Y.I. Cho, Health literacy, social support, and health: a research agenda. Social Science & Medicine, 2004. 58(7): p. 1309-1321. 132. Thoits, P.A., Stress, coping, and social support processes: where are we? What next? J Health Soc Behav, 1995. Spec No: p. 53-79. 133. Cohen, S. and S.L. Syme, Social support and health. Social support and health., ed. S. Cohen and S.L. Syme. 1985, San Diego, CA, US: Academic Press. xvii, 390-xvii, 390. 134. Cohen, S. and T.A. Wills, Stress, social support, and the buffering hypothesis. Psychological Bulletin, 1985. 98(2): p. 310-357. 135. 邱啟潤、陳武宗、陳宜品：以Andersen模式探討家庭照顧者對正式支持系統的利用。長期照護雜誌2005； 9(4): p. 331-348。 136. Hough, E. S., Magnan, M. A., Templin, T., & Gadelrab, H. F. Social network structure and social support in HIV-positive inner city mothers. Janac-Journal of the Association of Nurses in Aids Care, 2005. 16(4): p. 14-24. 137. Langford, C. P., Bowsher, J., Maloney, J. P., & Lillis, P. P. Social support: a conceptual analysis. Journal of Advanced Nursing, 1997. 25(1): p. 95-100. 138. House, J. S., Kahn, R. L., McLeod, J. D., & Williams, D. Measures and concepts of social support, in Social support and health. 1985, Academic Press: San Diego, CA, US. p. 83-108. 139. Cohen, S. and H.M. Hoberman, Positive Events and Social Supports as Buffers of Life Change Stress1. Journal of Applied Social Psychology, 1983. 13(2): p. 99-125. 140. Barrera Jr., M., I.N. Sandler, and T.B. Ramsay, Preliminary development of a scale of social support: Studies on college students. American Journal of Community Psychology, 1981. 9(4): p. 435-447. 141. Gregory D. Zimet, Nancy W. Dahlem, Sara G. Zimet & Gordon K. Farley. The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 1988. 52(1): p. 30-41. 142. 王國川、鍾鳳嬌：多向度社會支持量表之心理計量特質探討－以遭受莫拉克風災青少年為例。中華心理學刊2014；56(3): p. 291-311。 143. Cohen, S., Mermelstein, R., Kamarck, T., & Hoberman, H. Measuring the Functional Components of Social Support, in Social Support: Theory, Research and Applications, I.G. Sarason and B.R. Sarason, Editors. 1985, Springer Netherlands: Dordrecht. p. 73-94. 144. 陳彰惠、曾英芬、王興耀、李昭男：産後憂鬱的盛行率和預測因子。護理研究1994； 2(3): p. 263-274。 145. 汪素敏、顧乃平、林幸台、魏崢：心臟移植術後病人症狀困擾、社會支持與自我照顧行為相關之探討。護理研究1998； 6(1): p. 4-18。 146. 台北榮總護理部研究發展委員會：社會支持在長期照顧之簡介 榮總護理 2002；19(3): p. 338-340。 147. Clipp, E.C. and L.K. George, Caregiver Needs and Patterns of Social Support. Journal of Gerontology, 1990. 45(3): p. S102-S111. 148. 王麗雪、何美瑤、呂桂雲、葉淑惠：照顧者社會支持、照顧評價和失能老人家庭照顧品質的相關性探討。實證護理 2007； 3(3): p. 177-187。 149. Chiou, C. J., Chang, H. Y., Chen, I. P., & Wang, H. H. Social support and caregiving circumstances as predictors of caregiver burden in Taiwan. Archives of Gerontology and Geriatrics, 2009. 48(3): p. 419-424. 150. 姚開屏：健康相關生活品質概念與測量原理之簡介。台灣醫學2002；6(2): p. 183-192。 151. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med, 1995. 41(10): p. 1403-9. 152. WHO: The World Health Organization Quality of Life Assessment (WHOQOL): development and general psychometric properties. Soc Sci Med, 1998. 46(12): p. 1569-85. 153. 台灣版世界衛生組織生活品質問卷發展小組：台灣版世界衛生組織生活品質問卷之發展簡介。中華公共衛生雜誌 2000； 19(4): p. 315-324。 154. 姚開屏：台灣版世界衛生組織生活品質問卷之發展與應用。台灣醫學 2002； 6(2): p. 193-200。 155. Ware, J.E., Jr. and C.D. Sherbourne, The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care, 1992. 30(6): p. 473-83. 156. 盧瑞芬、曾旭民、蔡益堅：國人生活品質評量(Ⅰ)：SF-36台灣版的發展及心理計量特質分析。台灣公共衛生雜誌 2003； 22(6): p. 501-511。 157. 呂如分：中風病患主要照顧者生活品質及其相關因素之探討。長期照護雜誌 2005；9(2): p. 152-170。 158. Cubukcu, M., Evaluation of quality of life in caregivers who are providing home care to cancer patients. Supportive Care in Cancer, 2018. 26(5): p. 1457-1463. 159. Coen, R. F., O'Boyle, C. A., Coakley, D., & Lawlor, B. A. Individual quality of life factors distinguishing low-burden and high-burden caregivers of dementia patients. Dement Geriatr Cogn Disord, 2002. 13(3): p. 164-70. 160. Printz, C., Cancer Caregivers Still Have Many Unmet Needs. Cancer, 2011. 117(7): p. 1331-1333. 161. Leslie S. Liu, Sen H. Hirano, Monica Tentori, Karen G. Cheng, Sheba George, Sun Young Park, Gillian R. Hayes.Improving communication and social support for caregivers of high-risk infants through mobile technologies, in Proceedings of the ACM 2011 conference on Computer supported cooperative work. 2011, ACM: Hangzhou, China. p. 475-484. 162. Chen, Y. C., Chang, L. C., Liu, C. Y., Ho, Y. F., Weng, S. C., & Tsai, T. I.The Roles of Social Support and Health Literacy in Self-Management Among Patients With Chronic Kidney Disease. Journal of Nursing Scholarship, 2018. 50(3): p. 265-275. 163. Mittelman, M. S., Roth, D. L., Coon, D. W., & Haley, W. E. Sustained Benefit of Supportive Intervention for Depressive Symptoms in Caregivers of Patients With Alzheimer’s Disease. American Journal of Psychiatry, 2004. 161(5): p. 850-856. 164. Wittenberg, E., A.M. Kerr, and J. Goldsmith, Exploring Family Caregiver Communication Difficulties and Caregiver Quality of Life and Anxiety. American Journal of Hospice and Palliative Medicine®, 2021. 38(2): p. 147-153. 165. Nightingale, C. L., Curbow, B. A., Wingard, J. R., Pereira, D. B., & Carnaby, G. D. Burden, quality of life, and social support in caregivers of patients undergoing radiotherapy for head and neck cancer: A pilot study. Chronic illness, 2016. 12(3): p. 236-245. 166. 陳雅美、陳品元、游曉微：創造三贏長照體系：家庭照顧者支持服務. 社區發展季刊 2016；153。 167. Duong T., A.A., Kayupova G., Pham T., Pham K., Truong T., Nguyen K., Oo W., Su T., Majid H., Sørensen K., Lin I., Chang Y., Yang S., Chang P., Development and Validation of a New Short-Form Health Literacy Instrument (HLS-SF12) for the General Public in Six Asian Countries. . HLRP: Health Literacy Research and Practice., 2019. 3(2): p. 91-102. 168. 彭台光、高月慈、林鉦棽：管理研究中的共同方法變異：問題本質、影響、測試和補救。管理學報 2006；23(1): p. 77-98。 169. 陳寬裕、王正華：結構方程模型：運用AMOS分析。2018：五南出版社。 170. Abbas Tashakkori , C.T., SAGE Handbook of Mixed Methods in Social & Behavioral Research. 2010, SAGE Publications, Inc.: Thousand Oaks, California. 171. John W. Creswell, V.L.P.C., Designing and Conducting Mixed Methods Research. 2007. 172. 宋曜廷、潘佩妤：混合研究在教育研究的應用。教育科學研究期刊 2010； 55(4): p. 97-130。 173. 林金定、嚴嘉楓、陳美花：質性研究方法：訪談模式與實施步驟分析。身心障礙研究季刊 2005； 3(2): p. 122-136。 174. 瞿海源、畢恆達、劉長萱、楊國樞：社會及行為科學研究法：質性研究法。 2015。東華書局。 175. 高淑清：在美華人留學生太太的生活世界：詮釋與反思。本土心理學研究 2001(16): p. 225-285。 176. 馬震中、徐宓霞、黃松共、蔡易庭、應純哲：運用混合方法探討醫院導入平衡計分卡過程之員工認知、態度及問題。醫務管理期刊 2011；12(2): p. 98-113。 177. 梁淑媛、莊宇慧、吳淑芳：內容分析技巧在護理質性資料之初步應用. 護理雜誌2012； 59(5): p. 84-90。 178. Yeh, T.-., J.-. Su, and C.-. Chang, Factors associated with the quality of life in family caregivers of people with dementia in Taiwan. Taiwanese Journal of Psychiatry, 2022. 36(3): p. 124-130. 179. Lucas-Carrasco, R., Skevington, S. M., Gómez-Benito, J., Rejas, J., & March, J. Using the WHOQOL-BREF in persons with dementia: a validation study. Alzheimer Dis Assoc Disord, 2011. 25(4): p. 345-51. 180. 詹書媛、游曉微、楊銘欽、李玉春、陳雅美：失智症與非失智症長者之照顧者醫療服務利用之比較。台灣公共衛生雜誌 2018； 37(6): p. 664-675。 181. Takai, M., Takahashi, M., Iwamitsu, Y., Oishi, S., & Miyaoka, H. Subjective experiences of family caregivers of patients with dementia as predictive factors of quality of life. Psychogeriatrics, 2011. 11(2): p. 98-104. 182. Tay, K. C., Seow, C. C., Xiao, C., Lee, H. M., Chiu, H. F., & Chan, S. W. Structured interviews examining the burden, coping, self-efficacy, and quality of life among family caregivers of persons with dementia in Singapore. Dementia (London), 2016. 15(2): p. 204-20. 183. WANG, Y.-N., W.-C. HSU, and Y.-I.L. SHYU, Job Demands and the Effects on Quality of Life of Employed Family Caregivers of Older Adults With Dementia: A Cross-Sectional Study. Journal of Nursing Research, 2020. 28(4): p. e99. 184. Miller, B. and S. Guo, Social Support for Spouse Caregivers of Persons With Dementia. The Journals of Gerontology: Series B, 2000. 55(3): p. S163-S172. 185. Li, Y., et al., Health literacy, social support, and care ability for caregivers of dementia patients: Structural equation modeling. Geriatric Nursing, 2020. 41(5): p. 600-607. 186. Lorini, C., Buscemi, P., Mossello, E., Schirripa, A., Giammarco, B., Rigon, L., Albora, G., Giorgetti, D., Biamonte, M. A., Fattorini, L., Bruno, R. M., Giusti, G., Longobucco, Y., Ungar, A., & Bonaccorsi, G. Health literacy of informal caregivers of older adults with dementia: results from a cross-sectional study conducted in Florence (Italy). Aging Clinical and Experimental Research, 2022. 187. Paasche-Orlow, M. K., Schillinger, D., Greene, S. M., & Wagner, E. H. How health care systems can begin to address the challenge of limited literacy. J Gen Intern Med, 2006. 21(8): p. 884-7. 188. 施姵宇、古鯉榕、白明奇、劉立凡：失智症家庭使用長期照顧服務的情形與不使用的原因。台灣公共衛生雜誌 2017；36(4): p. 375-385。 189. Chen, X., Hay, J. L., Waters, E. A., Kiviniemi, M. T., Biddle, C., Schofield, E., Li, Y., Kaphingst, K., & Orom, H. Health Literacy and Use and Trust in Health Information. J Health Commun, 2018. 23(8): p. 724-734. 190. Wang, W. F., Su, Y. Y., Jhang, K. M., & Chen, C. M. Patterns of home- and community‐based services in older adults with dementia: an analysis of the long‐term care system in Taiwan. BMC Geriatrics, 2021. 21(1): p. 290. 191. 歐陽文貞：失智症疾病照護品質認證：病人為中心的照護觀點。醫療品質雜誌 2021； 15(3): p. 20-25。 192. 湯麗玉、葉炳強、陳良娟、謝碧容：失智症家屬支持團體成效初探。應用心理研究2000(7): p. 171-190。 193. 盧鴻毅、劉珈瑄、曹汶龍：在真實與虛擬之間相互取暖：社會支持對失智症病人照顧者的意義。傳播與社會學刊 2017(42): p. 145-188。 194. Dooley, N.R. and J. Hinojosa, Improving Quality of Life for Persons With Alzheimer’s Disease and Their Family Caregivers: Brief Occupational Therapy Intervention. The American Journal of Occupational Therapy, 2004. 58(5): p. 561-569. 195. Biderman, A., Carmel, S., Amar, S., & Bachner, Y. G. Care for caregivers- a mission for primary care. BMC Family Practice, 2021. 22(1): p. 227. 196. Warrick, N., J.C. Prorok, and D. Seitz, Care of community-dwelling olderadults with dementia and their caregivers. Cmaj, 2018. 190(26): p. E794-e799. 197. Vellone, E., Piras, G., Talucci, C., & Cohen, M. Z. Quality of life for caregivers of people with Alzheimer’s disease. Journal of Advanced Nursing, 2008. 61(2): p. 222-231. 198. Thomas, P., Lalloué, F., Preux, P. M., Hazif-Thomas, C., Pariel, S., Inscale, R., Belmin, J., & Clément, J. P. Dementia patients caregivers quality of life: the PIXEL study. International Journal of Geriatric Psychiatry, 2006. 21(1): p. 50-56. 199. 陳貞吟、陳楚杰、蔡明足、沈玉卿、周歆凱、翁林仲：影響居家長期照護病患主要照顧者生活品質因素之研究。長期照護雜誌2008；12(3): p. 267-283。 200. Lethin, C., Renom-Guiteras, A., Zwakhalen, S., Soto-Martin, M., Saks, K., Zabalegui, A., Challis, D. J., Nilsson, C., & Karlsson, S. Psychological well-being over time among informal caregivers caring for persons with dementia living at home. Aging Ment Health, 2017. 21(11): p. 1138-1146. 201. Bruvik, F. K., Ulstein, I. D., Ranhoff, A. H., & Engedal, K. The Quality of Life of People with Dementia and Their Family Carers. Dementia and Geriatric Cognitive Disorders, 2012. 34(1): p. 7-14. 202. Igarashi, A., Fukuda, A., Teng, L., Ma, F. F., Dorey, J., & Onishi, Y. Family caregiving in dementia and its impact on quality of life and economic burden in Japan-web based survey. J Mark Access Health Policy, 2020. 8(1): p. 1720068. 203. Ryan, K. A., Weldon, A., Huby, N. M., Persad, C., Bhaumik, A. K., Heidebrink, J. L., Barbas, N., Staffend, N., Franti, L., & Giordani, B. Caregiver support service needs for patients with mild cognitive impairment and Alzheimer disease., Caregiver support service needs for patients with mild cognitive impairment and Alzheimer disease. Alzheimer Dis Assoc Disord, 2010. 24(2): p. 171-6. 204. Santos, R. L., Sousa, M. F., Simões-Neto, J. P., Nogueira, M. L., Belfort, T. T., Torres, B., Rosa, R. D., Laks, J., & Dourado, M. C. Caregivers' quality of life in mild and moderate dementia. Arq Neuropsiquiatr, 2014. 72(12): p. 931-7. 205. Panagioti, M., Skevington, S. M., Hann, M., Howells, K., Blakemore, A., Reeves, D., & Bower, P. Effect of health literacy on the quality of life of older patients with long-term conditions: a large cohort study in UK general practice. Quality of Life Research, 2018. 27(5): p. 1257-1268. 206. Lee, S.-Y. D., Arozullah, A. M., Cho, Y. I., Crittenden, K., & Vicencio, D. Health Literacy, Social Support, and Health Status Among Older Adults. Educational Gerontology, 2009. 35(3): p. 191-201. 207. Pinquart, M. and S. Sörensen, Differences between caregivers and noncaregivers in psychological health and physical health: a meta-analysis. Psychol Aging, 2003. 18(2): p. 250-67. | - |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/90313 | - |
| dc.description.abstract | 目標：本研究目的在於發展出針對失智症家庭照顧者健康識能結構問卷以了解照顧者之健康識能、社會支持與生活品質程度及三者之間相關性，並採質性訪談方式，深入探討及分析照顧者的健康識能、社會支持及生活品質。方法：量性研究部分進行橫斷性調查，包括健康識能之失智症疾病知識、獲得、理解、評價及應用的能力，社會支持來源與情感性、資訊性、工具性與評價性社會支持，及生理健康、心理健康、社會健康與環境等生活品質構面，同時納入家庭照顧者人口學特性與照顧型態。調查對象為雲林嘉義地區失智症患者之家庭照顧者，應用雙變量、複迴歸模型及結構方程式來探討健康識能、社會支持對於生活品質的影響，並採質性研究方法，完成訪談11位照顧者，以主題分析法，進行健康識能、社會支持與生活品質之資料分析與歸納。結果：完成384位失智症家庭照顧者調查，回收率86.7%。平均照顧者的年齡為58.08±14.7歲、女性佔61.72%，平均照顧年數3.97±2.53年。健康識能以理解能力最高（32.9±12.2分），其次是應用的能力（30.1±12.0分），整體平均分數30.0±11.7分，說明照顧者的健康識能代表有問題（分數介於26-33分）；社會支持以醫療專業人員社會支持較家人親友高（35.96±0.78分 vs 31.26±0.69分），生活品質以（13.69±2.36分）、心理健康最低分（12.81±2.46分）。大學/專科以上學歷者其獲得、理解、評價及應用之健康識能程度皆顯著高於國中以下及高中職者（Wilks Λ= 0.700, p<0.001），由配偶擔任主要照顧者，其健康識能的各面向程度皆顯著低於由兒子媳婦（Wilks Λ= 0.773, p<0.001），全職照顧者在各面向的健康識能程度也顯著較低（Wilks Λ= 0.909, p<0.001）；女性的心理健康較差(p=0.03)，配偶與全職照顧者其生活品質的各面向皆顯著較低（Wilks Λ= 0.906, p<0.001；Wilks Λ= 0.918, p<0.001）。整體而言，健康識能越好，社會支持越好（β=0.429，p<0.05)，其生活品質越佳（β=0.373，p<0.05），且社會支持為中介因子（β=0.264，p<0.05）。結論：此研究指出雲嘉地區失智病人家庭照顧者的健康識能程度越好時，其社會支持程度較高，也會正向影響其生活品質，結果可作為偏鄉制定失智症照顧政策之參考。 | zh_TW |
| dc.description.abstract | Objective: This study aims to develop a questionnaire to assess the health literacy of caregivers of dementia patients and understand their levels of health literacy, social support, and quality of life, as well as the correlations between these factors. Additionally, qualitative interviews are conducted to explore further and analyze the caregivers' health literacy, social support, and quality of life.
Methods: The quantitative study conducts a cross-sectional survey to examine the caregivers' health literacy, knowledge, and ability to access, understand, evaluate, and apply dementia-related information. It also assesses the sources of social support, including emotional, informational, instrumental, and appraisal support, and different dimensions of quality of life, such as physical health, psychological health, social relationships, and environment. The survey also collects demographic characteristics and caregiving patterns of the caregivers. The participants of the study are caregivers of patients with dementia in the Yunlin and Chiayi areas. Bivariate and multiple regression analyses and structural equation modeling are used to evaluate the corrections between health literacy, social support and quality of life. In addition, in qualitative research, semi-structured interviews are conducted with 11 caregivers. Thematic analysis is performed to analyze and summarize the data related to health literacy, social support, and quality of life. Results: A total of 384 caregivers of dementia patients complete the survey, and the response rate is 86.7%. The average age of the caregivers is 58.08 years, and 61.72% were female. The average duration of caregiving is 3.97±2.53 years. Among the dimensions of health literacy, understanding has the highest score (32.9±12.2), followed by application (30.1±12.0), with an overall average score of 30.0±11.7, indicating some problems with caregivers' health literacy (score=26~33). Healthcare professionals provide higher levels of social support compare to family and friends (35.96±0.78 vs 31.26±0.69). In terms of quality of life, physical health receive the highest score (13.69±2.36) and psychological health receive the lowest score (12.81±2.46); caregivers with undergraduate/college degree whose access, understand, appraisal and apply abilities are significantly higher than others(Wilks Λ= 0.700, p<0.001); the spouses and full-time caregivers has significantly lower scores in all aspects of health literacy (Wilks Λ= 0.773, p<0.001; Wilks Λ= 0.909, p<0.001); female caregivers has poorer psychological health(p=0.03). Spouses and full-time caregivers have significantly lower scores in all aspects of quality of life (Wilks Λ= 0.906, p<0.001；Wilks Λ= 0.918, p<0.001). Overall, better health literacy and social support is better (β=0.429，p<0.05), and health literacy is associated with better quality of life (β=0.373，p<0.05) , with social support acting as an indirect mediating factor (β=0.264，p<0.05). Conclusion: This study reveals that caregivers of dementia patients in the Yunlin and Chiayi areas have relatively good health literacy and higher levels of social support, which positively influences their quality of life. The family caregivers of patients with dementia in rural areas receive more social support and have a better quality of life. Cooperation among medical professionals, the community, and family members is essential for effective dementia care. These findings can be used as a reference for developing dementia care policies. | en |
| dc.description.provenance | Submitted by admin ntu (admin@lib.ntu.edu.tw) on 2023-09-26T16:13:20Z No. of bitstreams: 0 | en |
| dc.description.provenance | Made available in DSpace on 2023-09-26T16:13:20Z (GMT). No. of bitstreams: 0 | en |
| dc.description.tableofcontents | 口試委員會審定書 i
致謝 ii 中文摘要 iii Abstract iv 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究重要性 3 第三節 研究目的 7 第二章 文獻探討 9 第一節 失智症的定義與照顧政策 9 第二節 家庭照顧者的健康問題與支持政策 16 第三節 健康識能的概念與測量 25 第四節 社會支持 55 第五節 生活品質 60 第六節 健康識能、社會支持與生活品質之間的相關研究 63 第七節 小結 65 第三章 研究方法 66 第一節 發展失智症病人家庭照顧者的健康識能問卷 68 第二節 全面評估失智症病人家庭照顧者的健康識能程度、社會支持程度與生活品質結果，並探討健康識能與社會支持、生活品質之間的關係。 70 第三節 以質性研究法驗證失智症患者家庭照顧者之健康識能、社會支持與生活品質之量性結果與三者之間的關係 86 第四章 研究結果 89 第一節 描述性統計分析 89 第二節 雙變項分析 100 第三節 多變項分析 107 第四節 質性研究分析 119 第五章 討論 143 第一節 研究工具之討論 143 第二節 家庭照顧者特性和健康識能程度 145 第三節 健康識能與社會支持之相關性討論 148 第四節 社會支持與生活品質之相關性討論 150 第五節 健康識能與生活品質之相關性討論 152 第六節 研究限制 154 第六章 結論與建議 156 第一節 結論 156 第二節 建議 157 參考文獻 159 附錄一、專家效度名單 173 附錄二、問卷 174 附錄三、訪談大綱 180 附錄四、研究倫理委員會審查結果核准同意書 182 | - |
| dc.language.iso | zh_TW | - |
| dc.subject | 社會支持 | zh_TW |
| dc.subject | 失智症 | zh_TW |
| dc.subject | 家庭照顧者 | zh_TW |
| dc.subject | 健康識能 | zh_TW |
| dc.subject | 生活品質 | zh_TW |
| dc.subject | Family Caregiver | en |
| dc.subject | Dementia | en |
| dc.subject | Quality of Lif | en |
| dc.subject | Social Support | en |
| dc.subject | Health Literacy | en |
| dc.title | 失智症病人家庭照顧者的健康識能、社會支持與生活品質 之相關性研究 | zh_TW |
| dc.title | The Relationship of Health Literacy, Social Support, and Quality of Life among Family Caregiver of Patient with Dementia | en |
| dc.type | Thesis | - |
| dc.date.schoolyear | 111-2 | - |
| dc.description.degree | 博士 | - |
| dc.contributor.oralexamcommittee | 陳雅美;邱瓊萱;黃國晉;曹汶龍 | zh_TW |
| dc.contributor.oralexamcommittee | Ya-Mei Chen;Chiung-Hsuan Chiu;Kuo-Chin Huang;Wen-Long Tsao | en |
| dc.subject.keyword | 失智症,家庭照顧者,健康識能,社會支持,生活品質, | zh_TW |
| dc.subject.keyword | Dementia,Family Caregiver,Health Literacy,Social Support,Quality of Lif, | en |
| dc.relation.page | 183 | - |
| dc.identifier.doi | 10.6342/NTU202301863 | - |
| dc.rights.note | 同意授權(限校園內公開) | - |
| dc.date.accepted | 2023-07-24 | - |
| dc.contributor.author-college | 公共衛生學院 | - |
| dc.contributor.author-dept | 健康政策與管理研究所 | - |
| dc.date.embargo-lift | 2025-01-01 | - |
| 顯示於系所單位： | 健康政策與管理研究所 | |
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