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題名：學習者分析--探討年齡、性別與閱讀力對高齡髖部骨折患者術後恢復的關係
書刊名：教育科學研究期刊
作者：張丞淯／許曉霈／梁惠玉／林冠宏／陳淑芬
作者(外文)：Chang, Cheng-yu／Hsu, Hsiao-pei／Liang, Hui-yu／Lin, Kuan-hung／Chen, Shu-fen
出版日期：2018
卷期：63:2
頁次：頁25-43
主題關鍵詞：衛教指導；學習者分析；髖部骨折；Health education；Hip fracture；Learner analysis
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:135
  • 點閱點閱:14
本研究旨在探討因髖部骨折接受手術之70歲以上高齡者，在年齡、性別與閱讀力不同的特質下，其術後恢復相關的因子是否會不同。在北部某區域教學醫院，邀請因髖部骨折接受手術之70歲以上高齡者為對象，共收案150 位，以老人活動量表與步態及平衡評估量表評估術後恢復，主要結果包括：一、年齡分組：80 歲以上的高齡者，其居家環境安全評估得分愈高，術後恢復佳；未滿80 歲的高齡者，則無發現顯著的相關因子；二、性別分組：女生組的高齡者，居家環境安全評估得分愈高，術後恢復佳；男生組的高齡者，則未發現顯著的相關因子；三、閱讀力分組：識字組的高齡者，自我照顧瞭解程度愈好，術後恢復佳；不識字組的高齡者，則未發現顯著的相關因子。透過學習者分析，發現學習者特質的不同，與術後恢復的相關因子有所不同，本研究結果可作為設計術後衛教指導之參考。
This study aims to investigate the differences between the characteristics of older adults (including age, gender, and reading ability) and to determine the differences between factors associated with recovery after hip fracture surgery. Adults aged 70 years and older who received surgery because of hip fractures at a teaching hospital in northern Taiwan were invited to participate in this study. A total of 150 patients were enrolled in this study, and postoperative recovery was evaluated using the Elderly Mobility Scale and Performance-oriented Mobility Assessment Scale. The main results were classified according to age group. In patients aged 80 years and older, the higher the home safety evaluation score, the better was the postoperative recovery. No relevant factors were found patients aged younger than 80 years. For female patients, the higher the home safety evaluation score, the better was the postoperative recovery. By contrast, no relevant factors were found for male patients. Literate older adults had a better understanding of self-care and postoperative recovery, whereas no relevant factors were found among illiterate older patients. The relevant factors for postoperative recovery differ due to the differences between the characteristics of the learners. The results of this study can be used as a reference for designing effective health education for postoperative recovery.
期刊論文
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2.Stevens, J. A.、Corso, P. S.、Finkelstein, E. A.、Miller, T. R.(2006)。The costs of fatal and non-fatal falls among older adults。Injury prevention: journal of the International Society for Child and Adolescent Injury Prevention，12(5)，290-295。  new window
3.Hung, W.-W.、Egol, K. A.、Zuckerman, J. D.、Siu, A. L.(2012)。Hip fracture management: tailoring care for the older patient。JAMA，307(20)，2185-2194。  new window
4.Ambrose, A. F.、Paul, G.、Hausdorff, J. M.(2013)。Risk factors for falls among older adults: A review of the literature。Maturitas，75(1)，51-61。  new window
5.黃珮茹、李淑杏(20121200)。探討老人髖部骨折相關危險因子之病歷對照研究。護理雜誌，59(6)，45-54。new window  延伸查詢new window
6.Stevens, J. A.、Sogolow, E. D.(2005)。Gender differences for non-fatal unintentional fall related injuries among older adults。Injury Prevention，11(2)，115-119。  new window
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8.林育任、邱柏榕、曾雅梅、高森永、張映雪、張耀文(20170400)。臺北市某社區高跌倒危險長者的跌倒風險因子分析--以臺灣版福康量表(Tw-FROP-Com)為工具的橫斷性研究。中華職業醫學雜誌，24(2)，93-102。  延伸查詢new window
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10.高靜、吳晨曦、柏丁兮、張紅利、弋新、張婷、劉曉雲(2014)。Tinetti平衡與步態量表用於老年人跌倒風險評估的信效度研究。中國實用護理雜誌，30(5)，61-63。  延伸查詢new window
11.邱廷榮、于富雲(2016)。國小人權教育之網頁教材發展與實施歷程之行動研究。教育傳播與科技研究，113，1-20。new window  延伸查詢new window
12.林美玲、何美達(20170600)。16週運動治療對老年中風病患跌倒之成效。物理治療，42(2)，163-164。  延伸查詢new window
13.黃喜南、楊榮森(20100200)。老年人髖部骨折手術前後的考量。臺灣老年醫學暨老年學雜誌，5(1)，22-35。  延伸查詢new window
14.羅大維、郭亮君、唐憶淨(20120200)。髖關節骨折患者入住中期照護之成效探討。臺灣老年醫學暨老年學雜誌，7(1)，15-26。  延伸查詢new window
15.El-Kader, S. M. A.、Rahmy, A. F.(2004)。Balance performance and ankle dorsiflexors muscles force in elderly: A correlational study。Bulletin of Faculty of Pharmacy, Cairo University，9(1)，1-9。  new window
16.de Morton, N. A.、Nolan, J.、O'Brien, M.、Thomas, S.、Govier, A.、Sherwell, K.、Markham, N.(2015)。A head-to-head comparison of the de Morton Mobility Index (DEMMI) and Elderly Mobility Scale (EMS) in an older acute medical population。Disability and Rehabilitation，37(20)，1881-1887。  new window
17.Chiu, A. Y. Y.、Au-Yeung, S. S. Y.、Lo, S. K.(2003)。A comparison of four functional tests in discriminating fallers from non-fallers in older people。Disability and Rehabilitation，25(1)，45-50。  new window
18.Benetos, I. S.、Babis, G. C.、Zoubos, A. B.、Benetou, V.、Soucacos, P. N.(2007)。Factors affecting the risk of hip fracture。International Journal of the Care of the Injured，38(7)，735-744。  new window
19.Auron-Gomez, M.、Michota, F.(2008)。Medical management of hip fracture。Clinics in Geriatric Medicine，24(4)，701-719。  new window
20.Ho, S.-C.、Chen, Y.-M.、Woo, J.-L.(2005)。Educational level and osteoporosis risk in postmenopausal Chinese women。American Journal of Epidemiology，161(7)，680-690。  new window
21.Heesch, K. C.、Byles, J. E.、Brown, W. J.(2008)。Prospective association between physical activity and falls in community-dwelling older women。Journal of Epidemiology & Community Health，62(5)，421-426。  new window
22.Fukuda, T.、Imai, S.、Nakadera, M.、Wagatsuma, Y.、Horiguchi, H.(2018)。Postoperative daily living activities of geriatric patients administered general or spinal anesthesia for hip fracture surgery: A retrospective cohort study。Journal of Orthopaedic Surgery，26(1)，1-9。  new window
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24.Panula, J.、Pihlajamäki, H.、Mattila, V. M.、Jaatinen, P.、Vahlberg, T.、Aarnio, P.、Kivelä, S. L.(2011)。Mortality and cause of death in hip fracture patients aged 65 or older: A population-based study。BMC Musculoskelet Disord，12，1-6。  new window
25.Oosterwijk, A. M.、Nieuwenhuis, M. K.、van der Schans, C. P.、Mouton, L. J.(2018)。Shoulder and elbow range of motion for the performance of activities of daily living: A systematic review。Physiotherapy Theory and Practice，34(7)，505-528。  new window
26.Liporace, F. A.、Egol, K. A.、Tejwani, N.、Zuckerman, J. D.、Koval, K. J.(2005)。What's new in hip fractures? Current concepts。American Journal of Orthopedics，34(2)，66-74。  new window
27.Kim, D.、Downey, S.(2016)。Examining the use of the ASSURE Model by K-12 teachers。Computers in the Schools，33(3)，153-168。  new window
28.Stevens, J. A.、Olson, S.(2000)。Reducing falls and resulting hip fractures among older women。MMWR Recommendations and Reports，49(RR-2)，3-12。  new window
29.Spilg, E. G.、Martin, B. J.、Mitchell, S. L.、Aitchison, T. C.(2003)。Falls risk following discharge from a geriatric day hospital。Clinical Rehabilitation，17(3)，334-340。  new window
30.Singleton, C.、Omar, A.、Belmasrour, R.(2013)。Assessment of students' outcomes in mathematics: Using the ASSURE model as a strategy for selecting effective multimedia。American Journal of Advanced Scientific Research，1(2)，257-263。  new window
31.Ray, N. F.、Chan, J. K.、Thamer, M.、Melton, L. J.(1997)。Medical expenditures for the treatment of osteoporotic fracture in the United States in 1995: Report from the National Osteoporosis Foundation。Journal of Bone and Mineral Research，12(1)，24-35。  new window
32.Tinetti, M. E.(1986)。Performance-oriented assessment of mobility problems in elderly patients。Journal of the American Geriatrics Society，34(2)，119-126。  new window
33.黃昭偉、葉兆斌、周明智、張慧瑾(20080900)。Epidemiology and Medical Costs of Patients with Hip Fracture at a Medical Center in Central Taiwan。臺灣急診醫學會醫誌，10(3)，81-86。  延伸查詢new window
34.林碧珠、林麗嬋、林金真(19970400)。成人教育理論與老人衛生教育。護理雜誌，44(2)，81-86。new window  延伸查詢new window
35.張德永、陳柏霖(20130316)。高齡學習者學習行為觀察與評估。T&D飛訊，163，(1)1-(1)19。  延伸查詢new window
研究報告
1.中華民國統計資訊網(2016)。103縣市政府統計資訊。  延伸查詢new window
2.衛生福利部統計處(2017)。衛生福利性別統計圖像。  延伸查詢new window
學位論文
1.吳佳燕(2012)。髖部骨折老年病人手術後存活狀況之危險因素探討(碩士論文)。國立臺灣大學。  延伸查詢new window
2.陸嘉玲(2015)。老人髖關節骨折術後恢復狀況之探討(碩士論文)。國立臺北護理健康大學。  延伸查詢new window
圖書
1.Heinich, R.、Molenda, M.、Russell, J. D.(1982)。Instructional media and technologies for learning。Upper Saddle River, NJ：Prentice Hall。  new window
2.黃富順(20040000)。高齡學習。臺北：五南。new window  延伸查詢new window
其他
1.中華民國骨質疏鬆症學會(2017)。2017台灣成人骨質疏鬆症防治之共識及指引，http://www.toa1997.org.tw/download/2017_TOA_guideline-0615.pdf。  延伸查詢new window
2.衛生福利部國民健康署(2007)。健康居家環境安全與改善--執行手冊，http://health99.hpa.gov.tw/educzone/edu_detail.aspx?CatId=21489。  延伸查詢new window
3.World Health Organization(2007)。WHO global report on falls prevention in older age，http://www.who.int/ageing/publications/Falls_prevention7March.pdf。  new window
 
 
 
 
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