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頁籤選單縮合
題名 | The Maternal and Child Healthcare Needs of New Immigrants in Taipei=臺北市新移民婦幼健康照護需求調查 |
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作者 | 陳美如; 湯澡薰; 鄭惠美; 邱文祥; Chen, Mei-ju; Tang, Chao-hsiun; Jeng, Huey-mei; Allen Chiu, Wen-hsiang; |
期刊 | The Journal of Nursing Research |
出版日期 | 20081200 |
卷期 | 16:4 2008.12[民97.12] |
頁次 | 頁307-320 |
分類號 | 412.58 |
語文 | eng |
關鍵詞 | 新移民; 照護需求; 跨文化能力; Immigrants; Healthcare needs; Transcultural competence; |
中文摘要 | 本研究目的旨在瞭解臺北市新移民來臺後的健康照護需求,其結果可檢視現行政府提供健康照護之服務並進一步思考公共衛生護理人員是否需建立健康照護品質以符合新移民之需求。本研究以臺北市十二個行政區為單位,進行分層隨機抽樣,有大陸籍1,068位與東南亞籍1,068位新移民經面訪後,共有1,829份問卷回收。結構式問卷內容包括婦幼健康照護資訊之需求(共十項目)、心理調適變項、新移民與臺灣配偶之人口學變項、居住臺北市之時間、婚姻時間、教育程度、經濟狀況、與自覺現在健康狀況等變項。統計分析方法除採用描述性統計與卡方檢定外,並以邏輯斯迴歸分析健康照護需求(共十項目)。越南籍新移民幾乎在所有變項都與大陸籍有顯著差異,特別是就醫時協助溝通的需求(p<.001)與健康服務中心的協助(p<.001)。而印尼籍新移民在就醫時協助溝通的需求上較大陸籍新移民為高且達顯著意義(p<.001)。因應新移民議題,公共衛生護士在繼續教育中之跨文化能力養成不能被忽視。公部門亦需要在社區中建立公私部門的合作夥伴關係。本研究結果建議公共衛生護士應體認新移民的健康照護需求,以幫助新移民融入臺北的社會。 |
英文摘要 | The primary aim of this study was to evaluate the maternal and child healthcare needs of new immigrants in Taiwan. Results will be used to reflect upon the services which the government is currently providing, and to determine if further investigation may be required to establish whether or not the health care quality currently provided by public health nurses succeeds in meeting the needs of new immigrants. Face-to-face interviews were undertaken by public health nurses on 1,068 women from Mainland China, and a further 1,068 women from other Southeast Asian countries, all of whom were randomly selected from the 12 administrative districts of Taipei. Information on the healthcare information needs of mothers and children (10 items), psychological distress variables, health status and socio-demographic variables of both the new immigrants and their Taiwanese spouses were collected via a structured questionnaire, of which a total of 1,829 completed copies were returned. Chi-square tests were performed to examine differences in both healthcare needs and psychological distress levels amongst different new immigrant ethnic groups. Logistic regressions were subsequently performed with the adjusted odds ratios (ORs) then being calculated to examine the differential effects of the healthcare needs of the different ethnic groups of new immigrants. The needs of the Vietnamese immigrants were found to be significantly different from those of the Mainland Chinese immigrants in all items, with the former needing Chinese communication assistance particularly at those times when they received medical treatment (p<.001) and assistance from local health centers (p<.001). Amongst the group of new Indonesian immigrants, the need for Chinese communication assistance when receiving medical treatment (p<.001) was the only item significantly different from the group of Mainland Chinese immigrants. Cultural competence in public health nursing education should not be deemphasized in Taiwan. Within the public sector, there is a clear need to create and implement partnerships between the public and private sectors on the overall issue of new immigrants within the community. Results strongly suggest that public health nurses should be aware of how to meet the healthcare needs of different new immigrant ethnic groups in order to help them integrate into Taipei society. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。