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題名:建構E化更年期健康篩檢系統之信、效度探討
書刊名:護理雜誌
作者:李佩珊李奇龍劉介宇 引用關係陳文進尤嫣嫣 引用關係曹麗英 引用關係
作者(外文):Lee, Pei-shanLee, Chyi-longLiu, Chieh-yuChen, Wen-chinYu, Yen-yenTsao, Lee-ing
出版日期:2016
卷期:63:6
頁次:頁41-51
主題關鍵詞:更年期E化健康照護健康風險因子評估MenopauseElectronic health careAssessment health risk factor
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(0) 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:0
  • 共同引用共同引用:42
  • 點閱點閱:14
背景:更年期正值健康與疾病的過渡階段,過去傳統的更年期照護偏向更年期症狀困擾的評估與衛教,缺乏從預防慢性疾病的整合性照護。目的:提供婦女一套整合更年期症狀困擾程度、骨質疏鬆風險因子、心血管風險因子、糖尿病風險因子之可信賴、有效的E化更年期健康評估工具。方法:本研究分為四個階段,分別為評估與分析期、設計期、發展期與前驅測試期,來檢視E化更年期健康篩檢系統的開發成效。結果:E化更年期健康篩檢系統的信、效度顯示,專家效度為.97–.99與使用者評鑑內容效度為.99;且兼具良好的再測信度:Pearson’s correlation介於.80–.96及組內相關係數(intraclass correlation)介於.79–.96。結論/實務應用:本研究結合護理、醫學與資訊工程等跨領域共同合作,建立一套適用於更年期婦女的E化健康風險評估系統,並通過信效度考驗。透過E化系統提供立即性與便利性的資料分析與專屬個人量身訂作之衛教建議,有助於提供護理人員衛教諮詢的依據與醫師診療的輔助參考。
Background: Menopausal women are in a transitional phase between health and sickness. Although the highest standards of menopausal care include clinical assessment and patient education on menopausal symptoms, current practices lack integrated care that aim to prevent chronic diseases for which menopause is a predisposing factor. Purpose: To integrate menopausal disturbances; to evaluate the risk factors for osteoporosis, cardiovascular disease, and diabetes; and to create a reliable and effective electronic menopausal health screen system (EMHSS). Methods: The research was conducted in the four stages of assessment and analysis, design, development, and pretest stage in order to explore the effectiveness of the developed EMHSS. Results: The EMHSS has a high degree of reliability and validity. Analysis found an expert validity of .97~.99, content validity of .99, and test-retest reliabilities of .80~.96 (Pearson’s correlation) and .79~.96 (intra-class correlation). Conclusions / Implications for Practice: The EPMHSS was developed using cross-disciplinary collaboration among nursing staff, medical practitioners, and information engineers in order to screen menopausal women. The EPMHSS provides tailored health education content for patients in a timely manner and compiles historical assessment data that may be referenced by nursing staff when providing health consultations and by physicians when delivering diagnoses and treatment.
期刊論文
1.劉影梅、卓俊辰、姚開屏、蔣立琦、黃鏈華(20081200)。Selection of Appropriate Chinese Terms to Represent Intensity and Types of Physical Activity Terms for Use in The Taiwan Version of IPAQ。The Journal of Nursing Research,16(4),252-263。new window  new window
2.曹麗英、周碧琴、洪麗玲、張淑紅、高月梅、蕭冰如、孫淑惠、安奇(20020900)。更年期婦女自覺不確定感及健康行為之探討。長庚護理,13(3)=39,228-239。new window  延伸查詢new window
3.Cho, G. J.、Lee, J. H.、Park, H. T.、Shin, J. H.、Hong, S. C.、Kim, T.、Kim, S. H.(2008)。Postmenopausal status according to years since menopause as an independent risk factor for the metabolic syndrome。Menopause: The Journal of the North American Menopause Society,15(3),524-529。  new window
4.de Nooijer, J.、de Vries, N. K.(2007)。Monitoring health risk behavior of Dutch adolescents and the development of health promoting policies and activities: The E-MOVO project。Health Promotion International,22(1),5-10。  new window
5.Hardiker, N. R.、Grant, M. J.(2011)。Factors that influence public engagement with eHealth: A literature review。International Journal of Medical Informatics,80(1),1-12。  new window
6.Kobrinskii, B. A.(2014)。E-health and telemedicine: Current state and future steps。E-Health Telecommunication Systems and Networks,3(4),50-56。  new window
7.Lee, P. S.、Lee, C. L.、Hu, S. T.、Tsao, L. I.(2014)。Relieving my discomforts safely: The experiences of discontinuing HRT among menopausal women。Journal of Clinical Nursing,23(17/18),2481-2490。  new window
8.Lloyd-Jones, D. M.、Hong, Y.、Labarthe, D.、Mozaffarian, D.、Appel, L. J.、Van Horn, L.、Rosamond, W. D.(2010)。Defining and setting national goals for cardiovascular health promotion and disease reduction: The American Heart Association's strategic impact goal through 2020 and beyond。Circulation,121(4),586-613。  new window
9.Neville, L. M.、O'Hara, B.、Milat, A. J.(2009)。Computertailored dietary behaviour change interventions: A systematic review。Health Education Reserch,24(4),699-720。  new window
10.The Diabetes Prevention Program Research Group(2005)。Role of insulin secretion and sensitivity in the evolution of type 2 diabetes in the diabetes prevention program: Effects of lifestyle intervention and metformin。Diabetes,54(8),2404-2414。  new window
11.Tsao, L. I.、Huang, K. E.(2004)。Effectiveness of a perimenopausal health education intervention for mid-life women in northern Taiwan (#MS03-21-LW)。Patient Education and Counseling,54(3),321-328。  new window
12.Yates, T.、Davies, M. J.、Sehmi, S.、Gorely, T.、Khunti, K.(2011)。The Pre-diabetes Risk Education and Physical Activity Recommendation and Encouragement (PREPARE) programme study: Are improvements in glucose regulation sustained at 2 years?。Diabetic Medicine,28(10),1268-1271。  new window
13.曹麗英、蘇美禎、安奇(20040200)。中年期之健康照護:多重衝擊的人生過渡期。護理雜誌,51(1),9-13。new window  延伸查詢new window
14.黃惠玲、張元玫、歐李美智、湯慎元、李亭亭(20110200)。資訊科技在護理應用--應用決策支援系統於門診護理指導資訊系統。護理雜誌,58(1),79-84。new window  延伸查詢new window
學位論文
1.陳宜菁(2010)。健康管理平台介入對代謝症候群危險因子之職業婦女健康行為及健康指標成效之探討(碩士論文)。國立臺北護理健康大學,臺北市。  延伸查詢new window
2.吳承翰(2012)。電子化更年期健康篩檢系統之實作與資料分析(碩士論文)。國立臺灣大學。  延伸查詢new window
3.邱豊喻(2012)。電子化更年期健康篩檢系統設計(碩士論文)。國立臺灣大學。  延伸查詢new window
4.蘇美禎(2013)。E化健康管理網路平台介入對代謝症候群高危險群之青少女健康成效的探討(博士論文)。國立臺北護理健康大學。  延伸查詢new window
其他
1.行政院衛生署國民健康局(2011)。2007年台灣地區高血壓、高血糖、高血脂之追蹤調查研究,http://www.hpa.gov.tw/BHPNet/Portal/File/ThemeDocFile/201102140310199776/2007%e4%b8%89%e9%ab%98%e5%b0%88%e8%bc%af_%e7%b0%a1%e5%96%ae%e7%89%88_20121218%e4%bf%ae.pdf。  new window
2.衛生福利部食品藥物管理署(2011)。每日飲食指南,http://health99.hpa.gov.tw/media/public/zip/11932.zip。  延伸查詢new window
3.衛生福利部國民健康署(2014)。骨質疏鬆症臨床治療指引手冊,http://www.hpa.gov.tw/Bhpnet/Web/Books/Files/005/%E9%AA%A8%E8%B3%AA%E7%96%8F%E9%AC%86%E7%97%87%E6%B2%BB%E7%99%82%E6%8C%87%E5%BC%95.pdf。  new window
 
 
 
 
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