以社群媒體提升中醫失智症健康識能研究

Using Social Network Software to Improve Traditional Chinese Medicine Health Literacy-The Prospective Observation Research

前言：健康識能是獲得、了解、判讀及應用健康資訊的能力，也是想要擁有健康生活的現代人必備技能。特別是在資訊爆炸的現代社會，如何推廣正確的健康知識，並且讓患者有理解學習的能力益發重要。本研究的目的為研究如何透過社群媒體如Facebook、Blogger等方法，並針對代表受眾作問卷訪談，以了解推廣成效。方法：本研究分為兩階段進行，在第一階段由五人組成的焦點小組進行文獻回顧，制定初始的中醫失智症衛教圖文，並於Facebook粉絲專頁以及Blogger中分享，並分析圖文傳播的量化結果。在第二階段中，我們總共招募了42位失智症主要照護者，進行問卷訪談，以了解衛教圖文對於中醫知識和照護技巧的健康識能推廣成效。結果：本研究共製作並分享了13篇中醫失智相關的照護圖文，於2019年年共累積了45294次觸及人數、30357次互動次數，以及2769分享次數。對部落格年齡階層的分析發現，主要受眾為青壯年（25-45歲）以及女性（61.1%）較多。閱覽媒介以手機（74.1%）最多。後續問卷訪談發現大部分照護者對於圖文知識分享抱持正向的意見，以五點式評估資訊有用程度，平均得分為4.6分。結論：本研究是第一個利用網路分享與問卷訪談方式，為中醫健康識能分享進行量化分析與問卷訪談的研究，結果發現網路圖文宣傳是個有效率的健康識能推廣方式，供臨床中醫師參考。

Introduction: Health literacy is the ability to obtain, understand, interpret, and apply health information. It is crucial to promote the right knowledge of health and the ability to understand and learn. The purpose of this research is to study using social network software to improve traditional Chinese medicine health literacy. We used questionnaire interviews to clarify results. Methods: This study conducted in two stages. In the first stage, a five-person focus group reviewed the literature, developed initial TCM dementia pictures, and shared them on Facebook fan pages and Blogger. In the second phase, we recruited a total of 42 major caregivers of dementia and conducted questionnaire interviews to understand the effectiveness of health education literacy in promoting TCM health literacy. Results: This study produced and shared 13 pieces of information related to TCM dementia. In 2019, a total of 45,294 contacts, 30,357 interactions, and 2,769 shares were accumulated. The analysis of the age group of the blog found that the primary audiences were young adults (25-45) and females (61.1%). Most of the reading devices were mobile phones (74.1%). Questionnaire interviews found that most caregivers have a favorable opinion on the sharing of graphic and textual knowledge. The five-point assessment of the usefulness of information has an average score of 4.6. Conclusion: This study is the first to conduct quantitative research on TCM health consciousness by using online sharing and questionnaire interviews. We have found that online graphic promotion is an effective health promotion method for clinical TCM practitioners.