(專題)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
作者:國立陽明大學附設醫院護理部張丞淯、國立陽明大學護理學院許曉霈、國立陽明大學附設醫院護理部梁惠玉、國立陽明大學附設醫院新陳代謝科林冠宏、臺北榮民總醫院護理部陳淑芬
卷期:63卷第2期
日期:2018年6月
頁碼:25-43
DOI:10.6209/JORIES.201806_63(2).0002
摘要:
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。
關鍵詞:衛教指導、學習者分析、髖部骨折
《詳全文》
參考文獻:
- 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。取自http://www.toa1997.org.tw/download/2017_TOA_guideline-0615.pdf【The Taiwanese Osteoporosis Association. (2017). Taiwanese guidelines for the prevention and treatment of osteoporosis. Retrieved from http://www.toa1997.org.tw/download/2017_TOA_guideline-0615.pdf】
- 中華民國統計資訊網(2016)。103縣市政府統計資訊。取自http://statdb.dgbas.gov.tw/pxweb/ dialog/statfile9.asp【National Statistics, R.O.C. (2016). 103 statistical information of county and city. Retrieved from http://statdb. dgbas.gov.tw/pxweb/dialog/statfile9.asp】
- 內政部統計處(2017)。簡易生命表及平均餘命查詢。取自https://www.moi.gov.tw/stat/node.aspx?cate_sn=&belong_sn=5992&sn=6026【Ministry of the Interior Department of Statistics. (2017). Simple life table and average remaining life. Retrieved from https://www.moi.gov.tw/stat/node.aspx?cate_sn=&belong_sn=5992&sn=6026】
- 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(未出版碩士論文)。國立臺灣大學,臺北市。【Wu, C.-Y. (2012). Risk factors of survival after surgery in elderly patients with hip fracture (Unpublished master’s thesis). National Taiwan University, Taipei, Taiwan.】
- 吳凱文、張至宏、楊榮森(2012)。老年骨鬆性骨折患者之臨床照護。台灣老年醫學暨老年學雜誌,7(2),91-104。【Wu, K., Chang, C.-H., & Yang, R.-S. (2012). Orthogeriatric care and treatment of fragility fractures in the elderly. Taiwan Geriatrics & Gerontology, 7(2), 91-104.】
» 展開更多
- 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。取自http://www.toa1997.org.tw/download/2017_TOA_guideline-0615.pdf 【The Taiwanese Osteoporosis Association. (2017). Taiwanese guidelines for the prevention and treatment of osteoporosis. Retrieved from http://www.toa1997.org.tw/download/2017_TOA_guideline-0615.pdf】
- 中華民國統計資訊網(2016)。103縣市政府統計資訊。取自http://statdb.dgbas.gov.tw/pxweb/ dialog/statfile9.asp【National Statistics, R.O.C. (2016). 103 statistical information of county and city. Retrieved from http://statdb. dgbas.gov.tw/pxweb/dialog/statfile9.asp】
- 內政部統計處(2017)。簡易生命表及平均餘命查詢。取自https://www.moi.gov.tw/stat/node. aspx?cate_sn=&belong_sn=5992&sn=6026【Ministry of the Interior Department of Statistics. (2017). Simple life table and average remaining life. Retrieved from https://www.moi.gov.tw/stat/node.aspx?cate_sn=&belong_sn=5992&sn=6026】
- 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(未出版碩士論文)。國立臺灣大學,臺北市。【Wu, C.-Y. (2012). Risk factors of survival after surgery in elderly patients with hip fracture (Unpublished master’s thesis). National Taiwan University, Taipei, Taiwan.】
- 吳凱文、張至宏、楊榮森(2012)。老年骨鬆性骨折患者之臨床照護。台灣老年醫學暨老年學雜誌,7(2),91-104。【Wu, K., Chang, C.-H., & Yang, R.-S. (2012). Orthogeriatric care and treatment of fragility fractures in the elderly. Taiwan Geriatrics & Gerontology, 7(2), 91-104.】
- 林育任、邱柏榕、曾雅梅、高森永、張映雪、張耀文(2017)。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。【Lin, Y.-J., Chiu, B.-R., Tzeng, B.-M., Kao, S., Chang, Y.-H., & Chang, Y.-W. (2017). Risk factors of falling among community dwelling elders in Taipei City-A cross-sectional study using Taiwan version of falls risk for older people community setting (Tw-FROP-Com). Chinese Journal of Occupational Medicine, 24(2), 93-102.】
- 林美玲、何美達(2017)。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。doi:10.6215/FJPT.2017.73.P15【Lin, M.-L., & Ho, M.-D. (2017). Sixteen-week effectiveness of physical therapy for elder stroke patients who fell down. Formosan Journal of Physical Therapy, 42(2), 163-164. doi:10.6215/FJPT.2017.73.P15】
- 林碧珠、林麗嬋、林金真(1997)。成人教育理論與老人衛生教育。護理雜誌,44(2),81-86。doi:10.6224/JN.44.2.81【Lin, P.-C., Lin, L.-C., & Lin, J.-J. (1997). Andragogy and health education among the elderly. The Journal of Nursing, 44(2), 81-86. doi:10.6224/JN.44.2.81】
- 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。doi:10.6137/RECT.2016.113.0【Chiu, T.-J., & Yu, F.-Y. (2016). An action research on the development and implementation of a web-based materials on human rights education for elementary students. Research of Educational Communications and Technology, 113, 1-20. doi:10.6137/RECT.2016.113.01】
- 徐子雯、林芷、何宗翰、何啟傑、蕭珮琦、董莉貞、周偉倪(2014)。台灣老年髖骨骨折病患特色分析以及術後住院期間復健治療之使用狀況。台灣復健醫學雜誌,42(1),63-68。doi:10.6315/2014.42(1)07【Hsu, T.-W., Lin, W.-C., Ho, C.-H., Ho, C.-J., Hsiao, P.-C., Tung, L.-C., & Chou, W. (2014). The characteristics of elderly hip fracture patients and rehabilitation utilization after hip fracture surgery during admission in Taiwan. Taiwan Journal of Physical Medicine and Rehabilitation, 42(1), 63-68. doi:10.6315/2014.42(1)07】
- 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。doi:10.3760/ cma.j.issn.1672-7088.2014.05.022【Gao, J., Wu, C.-H., Bo, D.-H., Chang, H.-L., Yi, X., Chang, T., …Liu, H.-Y. (2014). The reliability and validity of the Tinetti Performance-Oriented Mobility Assessment-Chinese version in assessment of the falling risk of elderly people. Chinese Journal of Practical Nursing, 30(5), 61-63. doi:10.3760/cma.j.issn.1672-7088. 2014.05.022】
- 張德永、陳柏霖(2013)。高齡學習者學習行為觀察與評估。T&D飛訊,163,1-19。【Chang, T.-Y., & Chen, P.-L. (2013). Observation and assessment of the learning behaviors of elder learners. T&D Fashion, 163, 1-19.】
- 陸嘉玲(2015)。老人髖關節骨折術後恢復狀況之探討(未出版碩士論文)。國立臺北護理健康大學,臺北市。【Lu, C.-L. (2015). Factors affecting recover state after hip fracture in elderly (Unpublished master’s thesis). National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.】
- 黃珮茹、李淑杏(2012)。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。doi:10.6224/JN.59.6.45【Huang, P.-J., & Lee, S.-H. (2012). Case-control study of risk factors for hip fracture in the elderly. The Journal of Nursing, 59(6), 45-54. doi:10.6224/JN.59.6.45】
- 黃喜南、楊榮森(2010)。老年人髖部骨折手術前後的考量。台灣老年醫學暨老年學雜誌,5(1),22-35。【Ng, H.-N., & Yang, R.-S. (2010). Perioperative considerations for elderly patients with hip fractures. Taiwan Geriatrics & Gerontology, 5(1), 22-35.】
- 黃富順(2004)。高齡學習。臺北市:五南。【Huang, F.-S. (2004). Elder learning. Taipei, Taiwan: Wu-Nan Book.】
- 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。取自http://health99. hpa.gov.tw/educzone/edu_detail.aspx?CatId=21489【Health Promotion Administration, Ministry of Health and Welfare. (2007). A brochure of home environment safety. Retrieved from http://health99.hpa.gov.tw/educzone/edu_detail.aspx?CatId=21489】
- 衛生福利部統計處(2017)。衛生福利性別統計圖像。取自https://www.mohw.gov.tw/dl-37258-1f0f4a7f-d084-4d64-9433-890689650b45.html【Ministry of Health and Welfare. (2017). Gender statistics. Retrieved from https://www.mohw.gov.tw/dl-37258-1f0f4a7f-d084-4d64-9433-890689650b45.html】
- 魏大森(2008)。老年人跌倒的篩檢與評估。台灣老年醫學暨老年學雜誌,3(2),91-105。doi:10.29461/TGG.200805.0003【Wei, T.-S. (2008). Screening and evaluation of elderly patients who fall. Taiwan Geriatrics & Gerontology, 3(2), 91-105. doi:10.29461/TGG.200805.0003】
- 羅大維、郭亮君、唐憶淨(2012)。髖關節骨折患者入住中期照護之成效探討。台灣老年醫學暨老年學雜誌,7(1),15-26。doi:10.29461/TGG.201203.0002 【Luo, T.-W., Kuo, L.-C., & Tang, Y.-J. (2012). The effectiveness of intermediate care for hip-fracture patients. Taiwan Geriatrics & Gerontology, 7(1), 15-26. doi:10.29461/TGG.201203.0002】
- 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. doi:10.1016/j.maturitas.2013.02.009
- Auron-Gomez, M., & Michota, F. (2008). Medical management of hip fracture. Clinics in Geriatric Medicine, 24(4), 701-719. doi:10.1016/j.cger.2008.07.002
- 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. doi:10.1016/j.injury.2007.01.001
- 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. doi:10.1080/dre.25.1.45.50
- 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. doi:10.3109/09638288.2014.982832
- El-Kader, S. M. A., & Rahny, 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.
- 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. doi:10. 1177/2309499017754106
- 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. doi:10.1136/jech.2007.064147
- Heinich, R., Molenda, M., & Russell, J. D. (1982). Instructional media and technologies for learning (5th ed.). Upper Saddle River, NJ: Prentice Hall.
- 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. doi:10. 1093/aje/kwi047
- 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. doi:10.1001/jama.2012.4842
- Kim, D., & Downey, S. (2016). Examining the use of the ASSURE Model by K-12 teachers. Computers in the Schools, 33(3), 153-168. doi:10.1080/07380569.2016.1203208
- 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.
- 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. doi:10.1080/09593985.2017.1422206
- 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 Musculoskeletal Disorders, 12, 1-6. doi:10.1186/1471-2474-12-105
- Rajendran, V., & Jeevanantham, D. (2016). The elderly mobility scale. Journal of Acute Care Physical Therapy, 7(1), 3-4. doi:10.1097/JAT.0000000000000016
- 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. doi:10.1359/jbmr.1997.12.1.24
- 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.
- 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. doi:10.1191/0269215503 cr615oa
- Stevens, J. A., & Olson, S. (2000). Reducing falls and resulting hip fractures among older women. MMWR Recommendations and Reports, 49(RR-2), 3-12. doi:10.1067/mhc.2000. 109232
- 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. doi:10.1136/ip.2004.005835
- 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, 12(5), 290-295. doi:10.1136/ip.2005.011015
- Tinetti, M. E. (1986). Performance‐oriented assessment of mobility problems in elderly patients. Journal of the American Geriatrics Society, 34(2), 119-126. doi:10.1111/j.1532-5415.1986.tb05480.x
- Wong, C.-W., Yeh, C.-B., Chou, M.-C., & Chang, H.-C. (2008). Epidemiology and medical costs of patients with hip fracture at a medical center in central Taiwan. Journal of Taiwan Emergency Medicine, 10(3), 81-86.
- World Health Organization (2007). WHO global report on falls prevention in older age. Retrieved from http://www.who.int/ageing/publications/Falls_prevention7March.pdf
中文APA引文格式 | 張丞淯、許曉霈、梁惠玉、林冠宏、陳淑芬(2018)。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。教育科學研究期刊,63(2),25-43。doi:10.6209/JORIES.201806_63(2).0002 |
---|
APA Format | Chang, C. -Y., Hsu, H. -P., Liang, H. -Y., Lin, K. -H. & Chen, S. -F.(2018). Learner Analysis: Influence of Age, Gender, and Reading Ability on Postoperative Recovery Following Hip Fracture Among Older Adults. Journal of Research in Education Sciences, 63(2), 25-43. doi: 10.6209/JORIES.201806_63(2).0002 |
---|
Journal directory listing - Volume 63 (2018) - Journal of Research in Education Sciences【63(2)】June (Special Issue: Lifelong Learning and Senior Education)
(Special Issue) Learner Analysis: Influence of Age, Gender, and Reading Ability on Postoperative Recovery Following Hip Fracture Among Older Adults
Author: Cheng-Yu Chang (Department of Nursing, National Yang-Ming University Hospital), Hsiao-Pei Hsu (School of Nursing, National Yang-Ming University), Hui-Yu Liang (Department of Nursing, National Yang-Ming University Hospital), Kuan-Hung Lin (Division of Endocrinology and Metabolism, National Yang-Ming University Hospital), Shu-Fen Chen (Department of Nursing, Taipei Veterans General Hospital)
Vol.&No.:Vol. 63, No.2
Date:June 2018
Pages:25-43
DOI:10.6209/JORIES.201806_63(2).0002
Abstract:
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.
Keywords:health education, hip fracture, learner analysis