育孫祖母之育嬰健康識能探析__臺灣人文及社會科學引文索引資料庫

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題名：	育孫祖母之育嬰健康識能探析
作者：	李淑如
作者(外文)：	LEE, SHU-JU
校院名稱：	國立高雄師範大學
系所名稱：	成人教育研究所
指導教授：	何青蓉
學位類別：	博士
出版日期：	2017
主題關鍵詞：	祖母；健康識能；嬰兒健康；親屬托育；Grandmother；Health literacy；Infant health；Relative child care
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:0 共同引用:0 點閱:5

近年我國雙薪育嬰家庭對嬰兒托育需求持續增加，全國約有3分之1的3歲以下嬰幼兒是由祖父母等親屬協助托育，育孫祖母遂成為父母以外的嬰兒主要照顧者。育孫祖母承擔嬰兒孫子女之照顧及健康維護職責，其健康識能即成為維護嬰兒良好健康的重要關鍵。本研究乃探討育孫祖母關注之育嬰健康範疇及內涵，並探究其重要影響因素；藉以了解育孫祖母實際關注的嬰兒健康範疇及內涵，探討育孫祖母如何獲取、理解、評價及應用健康資訊，及其育嬰健康識能之獨特性及重要影響因素。
本研究採用質性研究之個案研究法，共有5位育孫祖母個案。研究者根據歐洲學者之整合健康識能模式為基礎，修改發展出研究概念架構，進入育孫祖母居家環境進行半結構式深度訪談，輔以實地觀察、文件書籍查閱等方式進行資料蒐集並豐富脈絡性理解，將蒐集之訪談資料進行編碼、歸納及詮釋命名。分析結果發現，其一，育孫祖母主要關注嬰兒健康範疇包含1.「嬰兒健康促進」：身心照顧、遊戲學習與教養。2.「嬰兒健康危害預防」：安全防護、預防保健。3.「嬰兒醫療照護」：就醫治療、居家照護等；嬰兒健康範疇並可進一步歸納為「生活照顧層面」及「醫療照護層面」。其二，健康識能呈現之內涵為，1.「獲取」：來源為人際網絡、嬰兒、祖母自己及媒體書籍；取得方式為主動搜尋、被動接收。2.「理解」：記憶、連結比較、形成暫定概念、猜測推論。3.「評價」：評估準則為合適有效性、清晰合理性、來源可信度；價值判斷為正向或負向評價。4「應用」：自主決定、遵從依循和溝通協商。其三，育嬰健康識能具有「嬰兒健康範疇有其特殊性」、「乃複雜變動的認知與溝通歷程」、「醫療化與生活化層面之育嬰健康識能呈現不同的自主抉擇性」等獨特性。其四，重要影響因素包含1.嬰兒健康特質與發展因素。2.祖母個人因素：身心狀況、育孫動機、育兒健康知識經驗。3.家庭因素：嬰兒母親之分工或合作育嬰模式。4.社會文化因素：台灣父系文化、政府親屬保母政策。最後，針對育孫祖母之育嬰健康教育、政府之托育政策及未來研究提出建議。

以文找文

For dual-earner families with children, the demand for child care has continued to increase in recent years. One third of infants and toddlers under the age of three in Taiwan are in the care of their grandparents or other relatives. Aside from the child’s parents, the role of primary caregiver falls to the grandmother and they bear the responsibility for the care and health of their infant grandchild. Thus, the health literacy of the grandmother is critical in maintaining the good health of the infant. This study shall explore the range and composition of infant health focused on by grandmothers and investigates major influencing factors to better understand the range and composition of infant health which grandmothers are truly concerned about. This study shall also discuss how grandmothers access, understand, appraise, and apply health information, as well as the distinctions of health literacy and major influencing factors.
Qualitative case study research method was used for this study, with a total of five grandmothers involved. The research concept framework is based on the integrated model of health literacy of European scholars, then further modified and developed by researcher. Data for this study was collected through semi-structured in-depth interviews conducted in the domestic environment of the grandmothers. With a vast contextual understanding via field observation and documentary research, the information gathered from the interviews was then encoded, organized, and annotated. As analysis results show, firstly, the range of infant health mainly focused on by grandmothers include: 1. Health promotion of infants: mental and physical care, learning through play, and upbringing; 2. Health damage prevention of infants: safety protection and preventive care; 3. Health care of infants: medical treatment and domestic care. The range of infant health can be further categorized into the two aspects of daily care and medical care. Second, the revealed composition of health literacy involve: 1. Accessing: sources of acquisition are interpersonal network, the infant, the grandmother, the media and books. Methods of acquisition are through active search and passive reception; 2. Understanding: memory, connection and comparison, formation of tentative concept, presumption and deduction; 3. Appraising: evaluation criteria include suitable validity, clear rationality, and source reliability. Value assessment is positive or negative; 4. Applying: autonomy, submission, communication and negotiation. Third, health literacy for infants is distinct due to the specificity of infant health range, the complex change of the cognitive and communication process, and the shown difference in autonomy in the medical aspect and daily aspect of health literacy for infants. Fourth, major influencing factors include: 1. Factors of infant health characteristics and development; 2. Individual factors of the grandmother: mental and physical condition, motive behind child care, knowledge and experience regarding child health; 3. Family factors: child care model with division of labor or collaboration from the infant’s mother; 4. Social and cultural factors: the patrilineal cultural in Taiwan, government policy on relative child care provider. Lastly, this study provides suggestions for grandmothers’ health education of infants, government child care policy, and future research.

以文找文

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