| Summary: | 碩士 === 長榮大學 === 醫務管理學系(所) === 99 === Purpose: The Bureau of Health Promotion, Department of Health, R.O.C. beginning
established the groups of the hospital and the public health bureau from 91 year, but
the majority groups stopped the operation. This research wants to discuss the initiation
of menopause self-help group, and understood that its model, development and
function. Then discussion about the effect factor of sustainable management for
group.
Method: The multiple case research were used in this study. Using undertake
organization and the year the group established as theory-base sampling, interviews
with ten group undertakers. Undertakers including the hospital and the public health
bureau. The group including before the counseling plan, the object of the counseling
plan, after the counseling plan form the Bureau of Health Promotion, Department of
Health, R.O.C.. The study collected data by conducting semi-structured interview.
Interview guide in accordance with pilot study, five aspects including the initiation
process of group, the operation model of group, the participation of member, the
member''s change and effect after participate in the group, the present and future
situation. Form the transcripts of the interviews, we proceeded to coding and category,
discussion about the deviant case, found category system and case group. According
to variable analysis and combined case analysis form the multiple case analysis
method. The case analysis''s purpose was wanted to understand the motive developing
process of the case, the variable analysis''s purpose is was wanted to find effect factor.
Result: This research discovery the functions of menopause group were cognitive and
ability was promoted, the sisterhood was built and empowerment. The cognitive will
be different because of the undertaker’s professional field. The medical professional
emphasis on the medicine knowledge, the social worker and the religious hospital
emphasis on psychosocial / soul health, the menopausal women emphasis on multiple category, the subject according to needs assessment emphasis on health promotion
and health care. The hospital model of group has not compared medicalization.
Majority groups (including community model) stress medicine course in initial period,
after long-term management, expands the multiple subjects and types, from
medicalization tend to empowerment model. The sisterhood was maintains the
members continue to participate in the group. The medical professional leads the
group easily to become question and answer, was just group form, but not member
interaction; the social worker leads or the religious hospital emphasis on discussion
experience and mutually support; Each of group leader leads discussion experience
and social activity emphasis on sisterhood building, then the member obtain the
psychological support and the concern. The group diversity and the member
participate in operating decisions was the key of empowerment. The group has the
multiple functions to be able to promote the attendance of the member, urges the
group to be easy to operate continually. Relatively, only has the sole function not to be
easy to maintain the operation.
Conclusion: The effect factors of sustainable management for menopause self-help
group were that the initiator or undertaker of group to perceive and be concerned the
menopausal women’ needs, the hospital and the public health bureau to approve its
importance and integrates with conventional business, the women did participate in
the operating decisions process. The effect factors of sustainable management for
menopause self-help group have nothing to do with the organization is hospital, the
group is the Bureau of Health Promotion, Department of Health, R.O.C. counseling
object.
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