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題名：長照機構住民尊嚴照護與科技輔具應用之相關研究
作者：許崑峯
作者(外文)：HSU, KUN-FENG
校院名稱：南華大學
系所名稱：企業管理學系管理科學碩博士班
指導教授：黃國忠
郭東昇
學位類別：博士
出版日期：2020
主題關鍵詞：尊嚴照護；長期照護；科技生活輔具；科技接受模式；行銷活動；Dignity Care；Long-term Car；Living Assistive Devices；TAM；AIDAS
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　　社會環境變遷和家庭結構改變，使得老人、失能者有照護需求。需被長期照護的人常需要足夠的生活輔具來改善其日常生活。目前全球市場上的托足板是由高溫材料或碳纖維製成，以遭受中風、交通意外、跌落等等傷害的病患為目標。然而，這些人常需要托足板以支撐下肢、防止腳下垂或改善生活上的小動作功能。本研究首先以中文患者尊嚴量表(PDI)對長照機構住民實施問卷調查。將回收問卷資料進行探索性因素分析，將題項分類為「尊嚴感受」、「情緒管理」和「生活管理」等構面。調查發現(1)住民在長期照護機構安置期間「尊嚴感受」和「情緒管理」受到合理、有尊嚴的照護，但「生活管理」部分介於「普通問題」和「重大問題」間的較差水準之感受。(2)瞭解住民最希望得到「生活管理」上的支援需求較多。(3)廠商應著力於開發生活應用輔具，以提高住民生活之方便性。
　　本研究進一步採用修訂的科技接受模式來探討長期照護機構住民是否能夠接受採用科技生活輔具-新型托足板於改善其日常生活機能，以提高其生活自主的尊嚴。實證結果顯示使用者對科技生活輔具接受度可以用科技接受模型來加以解釋其行為意圖，同時，亦顯示從眾行為對此科技生活輔具使用者的行為意圖具有正向影響，知覺風險亦對使用態度與行為意圖具有負向的干擾效果。
　　鑒於社會環境變遷和家庭結構改變，使得老人、失能者有照護需求。需被長期照護的人常需要足夠的生活輔具來改善其日常生活。然而市場上的托足板價格與易用性常被批評。因此易用性高、性價比高的托足板的推出預期可以滿足市場之需求。本文以AIDAS行銷活動設計模式來掌握顧客心理程序變化，並溶入從眾行為與知覺風險，來設計行銷推廣科技生活輔具的活動內容以達推廣該輔具的目的。
　　Changes of social environment and family structure have put the elderly and the disabled in need of care. In this study, the Patient Dignity Inventory (PDI) (Chinese version) was used to conduct a questionnaire survey on residents in long-term care institutions. Changes in the social environment and family structure have resulted in changed care needs for the elderly and disabled. People who need long-term care often require adequate living assistive devices to improve their daily lives. At present, the Ankle-Foot Orthosis (AFO) is available on the global market, which is made of high-temperature materials or carbon fiber, and its target users are patients suffering from strokes, traffic accidents, or falls. Exploratory factor analysis was firstly conducted on the collected questionnaire data. The questionnaire items were classified into Constructs of "perceived dignity", "emotion management", and "living management". The survey resulted in a number of findings. First, residents received proper and dignified care of their perceived dignity and emotion management and have dignified care during the period of settlement of maintenance institutions. However, on the part of living management, they had poor feelings between "a problem" and "major problem". Second, the residents hoped to receive support from "living management" the most. Third, manufacturers should make great efforts to develop living assistive devices to make the residents’ lives more convenient.
　　Secondly, this study used a revised Technology Acceptance Model to explore whether residents of long-term care institutions could accept the use of technology living assistive devices in order to enhance the dignity of their autonomous lives. The empirical results showed that the Technology Acceptance Model could be used to explain the behavioral intention to use and the user's acceptance of technological living assistive devices. At the same time, the results also indicated that conformity had a positive influence on the behavioral intention of the users to use the technology living assistive devices, and that perceived risk had negative moderating effects on attitude toward use and behavioral intention to use.
　　These people often need the AFO to support their lower limbs, prevent their feet from sagging, or improve small motor functions in life; however, its price and ease of use are often criticized. Therefore, the launch of a foot board with high ease of use and high cost performance is expected to meet the needs of the market. This article used the AIDAS marketing campaign design model to grasp the changes in customers' psychological processes, and incorporated herd behavior and perceived risk to design marketing activities to promote the technological living assistive device.
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