災難健康照顧課程改善對社區民眾災難知識、技能成效之探討

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題名:	災難健康照顧課程改善對社區民眾災難知識、技能成效之探討 The Effectiveness of Education Program on the Improvement of Community Residents’ Knowledge and Skill of Disaster Health Care
作者:	陳柏安 Bor-An
關鍵詞:	PRECEDE-PROCEED模式;防災教育;災難;社區民眾;健康照護;PRECEDE-PROCEED model;disaster education;disaster health care;community residents;hazard mitigation education;disaster prevention
日期:	2013-01-22
上傳時間:	2018-11-22 12:36:34 (UTC+8)
摘要:	世界銀行指出台灣有73％面積和人口經常暴露在三種以上的自然災害，如土石流、颱風、地震，近年來台灣發生九二一大地震與納莉、桃芝及莫拉克等風災之後的災害經驗，造成災區民眾重大傷亡與災區相關醫療健康照顧問題，目前政府相關單位推動地方性防災計畫，缺乏以民眾為主的醫療與健康照顧面向之災難教育計畫實施，因此加強社區民眾因應災難健康照護的知識與技能是重要的一環。本研究主要目的了解社區民眾災難健康照顧知識與操作技能現況，發展與架構災難健康照顧課程與探討實施成效。研究方法採類實驗單組前後測設計研究，立意取樣基隆市社區民眾為研究對象，實際收案數共207位，比較災難健康教育課程實施前後知識與操作技能之成效，以PRECEDE-PROCEED模式為課程設計與評值架構。研究結果顯示課程實施前研究對象整體災難健康照顧知識與操作技能起始分數遍低。課程實施後，整體知識平均分數增加且達顯著差異影響(t=35.16 , p <.001)，進步百分比達62.75%，災難整體知識進步量之預測因子為個人經歷災難事件(影響)，其進步量解釋力僅為3.1%；整體操作技能平均分數增加且達顯著差異影響(t=48.75.16 , p <.001)，進步百分比達822.86%，整體操作技能進步量之預測因子為是否曾接受災難(急救)訓練及年齡，其進步量解釋力為9%。由本研究結果建議，1.未來可擴大運用PRECEDE-PROCEED MODEL於災難健康照顧課程設計，廣泛應用在不同對象和不同地區；2.民眾災難教育政策之制定；3.未來災難相關研究可以本研究為藍圖，在不同區域或不同族群進行研究，繼續驗證PRECEDE-PROCEED MODEL設計災難課程教育實施之實用性，以作為災難健康教育計畫發展之模式。 The World Bank reported that 73 % of territory and population of Taiwan were exposed to more than three type of nature disasters like mudflows, typhoon and earthquake. The disaster of 921 earthquake, Nari, Toraji & Morakot typhoon casualties and related health care problems in the affected areas. Although the government has implemented local response and education plans, there is a pitfall of lacking plans community-based disaster health care education plan. Therefore, it is critical to strengthen disaster health care knowledge and skill of community residents. The main purpose of this study was to investigate the status of community resident’s disaster health care knowledge and skills, develop and construct the disaster health care education program, and explore the effectiveness of the implementation of this disaster health care education program for community residents. The quasi-experiment study employed a single-group pre and posttest with, 207 purposively sampled participants community residents of keelung city to compare the progress of disaster health care knowledge and skills as well as the effectiveness of the disaster health care education program that is base on the PRECEDE-PROCEED model for program design and assessment framework development. The pretest results indicated the poor overall disaster health care knowledge and skill of community residents. The progress of education program implementation has increased significantly (t = 35.16, p <.001) with, the average improvement scores of 62.75%. The predictor of disaster health care knowledge progress was participants’ with the explanatory power of 3.1%. The progress of overall disaster health skill has increased significantly ( t=48.75 , p<.001 )with, the averages improvement scores of 822.86%. The predictor of overall disaster health care skill is age and disaster (first aid) training with the explanatory power of 9.0%. Suggestions derived from this study are:1. The PRECEDE-PROCEED Model will could be expanded to disaster health care education program and researches on different population and communities. ; 2. The crucial need to be regulating disaster health care education for community residents in the future.; 3. This study results could be taken as a blueprint along with the PRECEDE-PROCEED model for continuious verification of this model on the development of of disaster health education programs.
描述:	碩士指導教授-鄭綺指導教授-賴甫誌委員-紀玫如委員-陳麗糸委員-章淑娟
資料類型:	thesis
顯示於類別:	[護理學系] 博碩士論文

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