文化適切性衛教改變越籍母親發燒處理訊息動機與行為技能之成效

Efficacy of Cultural-Appropriate Health Education on Information, Motivation and Behavioral Skills of Fever Management for Children in New Immigrant Vietnamese Mothers

背景：發燒為兒童健康照護中最常見症狀，提供父母衛教資訊有助於提升其對發燒之認知與居家處理能力。新移民女性因婚嫁到台灣後身為人母，在提供兒童健康照護過程中，語言與異文化為其最大的問題。目的：探討藉由越南文發燒衛教輔助教材，指導越南籍新移民母親改變其處理子女發燒的訊息、動機、與行為技能之成效。方法：採雙組前後測實驗設計，以滾雪球方式於南台灣招募有6歲以下小孩之越南籍母親，經隨機分派，實驗組採越南文版發燒照護指導光碟及手冊作為文化適切性衛教輔助教材，對照組則採中文版光碟及手冊為輔助教材。結果：共完成實驗組31人，對照組30人。除了社會規範外，兩組在處理發燒訊息、態度、處理技能和自我效能皆有統計上顯著的進步，實驗組進步程度皆顯著大於對照組。證實提供母語之文化適切性衛教教材，有助於新移民傳遞衛教知識之效益。結論／實務應用：運用母語文字衛教輔助教材可有效導正新移民母親處理小兒發燒之認知、態度與自我效能。

Background: Fever is the most common symptom in pediatric healthcare. Providing parents with better information on childhood fever management can improve their cognition and home-care abilities. Vietnamese female spouse comprise the largest segment of women who have emigrated from Southeast Asia to Taiwan over the past two decades. After arrival to Taiwan, they have to encounter the events of pregnancy and being a mother. In health care services, language barriers and cultural issues are key healthcare-related barriers to the adaptation of these women to Taiwan society.Purpose: This study assessed the efficacy of using Vietnamese-language fever management education materials in changing the fever management behaviors of Vietnamese mothers living in Taiwan.Methods: This experimental study used a randomly assigned, pre- and post-test approach. A snowball method was used to recruit Vietnamese women living in southern Taiwan with children under 6 years of age. Participants were randomly assigned to experimental (n = 31, Vietnamese-language fever management brochure + VCD) and comparison (n = 30, Chinese-language brochure + VCD) groups.Results: Both groups achieved significantly improvement scores in (fever) information, attitudes, self-efficacy and skills, with improvements significantly higher in the experimental group than the comparison group.Conclusions / Implications for Practice: This study supports that fever management education presented in the recipient's primary language effectively improves recipient fever management knowledge, attitudes, skills, and self-efficacy.