高血壓防治自我導向學習衛生教育推廣方法之初步研究

The Extension of Self Directed Learning Process for Hypertension Health Education

本研究為高血壓防治自我導向學習衛生教育初步推廣，希望藉由該計畫之推動，能促進民眾對高血壓防治知識的認知，改善飲食行為，並能累積不同的推廣經驗，作為自我導向學習衛生教育策略改進之參考。本計畫選擇在台北縣實施，即新店、三芝及樹林三個地區分別進行，由於主辦單位及人力資源配置的不同，依序為衛生所中心組、組織合作組與學校中心組。參與之工作人員均接受自我導向學習的訓練課程，介入過程包括體檢結果說明、學習需求評估、探究小組工作、成果呈現。參與的民眾共有169名，三地依序為60、25、84名，其知識、自我導向傾向在實驗後均明顯增加，而飲食行為的改變，則由於介入的對象、時間、內容 的不同，而各具特色。參與民眾對活動整體的感想是可以學到新的學習方法，而且學習過程受到尊重，希望能繼續健康相關主題的自我導向學習；參與之工作人員則認為自我導向學習需要相當的人力、物力的配合，但不失為一個可以提高民眾參與度的好方法。最後並針對研究設計、主辦單位、執行細節與衛生所的衛生教育業務提出適切的建議。

The main purposes were promoting the hypertension knowledge, the self-directed tendency, and improving the health education method through this intervention. We selected three spots in Taipei county- Shin-dian, Shang-chi and Shu-lin. According to the different sponsors and available human resources we built three extension models-the public health clinic, the cooperation and the school centered models. The facilitators received the courses of self-directed learning before the intervention. The intervention included the explanation of physical examination, needs assessment, small group works. 169 people participated in this program. The intervention had good results across three models. The program improved the participants' knowledge, self-directed tendency, and dieting behaviors. There was an increase in milk consumption, and a decrease in fat consumption. The participants said they had experienced a very excellent learning, and hoped to have another chance to learn about other health issues. The facilitators thought the self-directed learning technique was a good health education method even though it needed much resources to accomplish it.