中文關鍵詞:文化安全；太魯閣族；疾病解釋模式；結核病

英文關鍵詞:cultural safety；explanatory models；the Truku；tuberculosis

本研究旨在發展符合原住民族文化安全原則的結核病預防及治療策略與行動，增加原住民族對結核病預防與治療介入的接受度。本研究將採取民族誌的研究取徑，以花蓮縣秀林鄉及萬榮鄉為研究場域，與二鄉的衛生所合作進行立意取樣，招募70位年滿20歲曾接受結核病治療的太魯閣族人與約20位目前或曾服務於二鄉的專業醫療人員及都治關懷員接受約1到1.5個小時的半結構式深度訪談，藉由記錄報導人對結核病的疾病敍事與醫療服務經驗，了解其對結核病的疾病解釋模式。此外，本研究亦將比較太魯閣族人、專業醫療人員及都治關懷員對結核病的疾病解釋模式的異同，藉此了解存在於目前存在於各種結核病預防及治療的問題，做為優化各項介入政策及行動的依據。最後，將根據研究結果，發展太魯閣族結核病衛教工具、衛教模組、醫療人員及都治關懷員文化安全訓練模組，應用於太魯閣族結核病防治及治療實務工作及醫療人員增能教育訓練。

For increasing indigenous acceptability of public health and medical interventions to tuberculosis (TB), the purpose of this study aims to create the strategies and action plans of preventing and treating TB from the perspectives of indigenous cultural safety. Researchers will carry out this study in two indigenous townships, Shioulin and Wanrung where are the hometowns of the Truku, in Hualien by adopting ethnographic approach. To explore the indigenous and medical professions’ explanatory models (EMs) of TB, semi-structural in-depth interviews will be conducted with 70 Truku who have the experiences of TB treatment, and 20 medical professions and local TB managers who are servicing in Shioulin and Wanrung, respectively. Each interviews will be about 1 to 1.5 hours. For improving the qualities of TB interventions, the comparisons of EMs among the Truku, medical professions, and local TB managers will be also carried out to identify the problems of TB preventions and treatments. Finally, the educational tools and programs, and the training materials of cultural safety will be created to apply in Truku communities for TB preventions and treatments in accordance with the research result.