以健康信念模式探討民眾參與社區衛教活動之意願–以骨質疏鬆症為例

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题名:	以健康信念模式探討民眾參與社區衛教活動之意願–以骨質疏鬆症為例 Applying the Health Belief Model to Investigate the Public's Willingness to Attend Community Health Education Activity in Case of Osteoporosis
作者:	林柔君 (LIN, JOU-CHUN)
贡献者:	企業實務管理數位碩士在職專班
关键词:	健康信念自覺行動利益社區衛教自覺行動障礙 health belief perceived benefit community health education perceived barrier
日期:	2018
上传时间:	2019-05-08 12:23:36 (UTC+8)
摘要:	本研究採用民眾對於自身的健康信念探究民眾參與骨質疏鬆症社區衛教推廣活動的意願。研究程序共分為預試與正式問卷兩階段。資料經信度分析後對預試問卷做適度修改成為正式問卷。第二階段為正式施測階段，採用問卷調查法，正式問卷針對基隆市及桃園市參與衛教活動之民眾做為施測對象進行資料蒐集，回收有效樣本為514人。並以SPSS來驗證本研究之假說。研究結果顯示，親友口碑、自覺行動利益確實對衛教參與意願產生正向顯著影響；自覺行動障礙對衛教參與意願產生負向顯著影響；而親友口碑、自覺嚴重性對於自覺威脅性產生正向顯著影響；自覺行動障礙對於自覺威脅性產生負向顯著影響。本研究發現親友口碑才是影響社區衛教推廣活動意願之最強預測因子，其次才是自覺嚴重性。而自覺威脅性則會受到自覺嚴重性、自覺行動障礙及親友口碑之影響，尤其以自覺嚴重性為最強預測因子。由本研究發現可知，若民眾感受到骨質疏鬆的嚴重性，將會對此疾病感受到威脅，但對於參與衛教推廣之意願仍無明顯關係。也許民眾並不知道參與社區衛教活動能增加自我對疾病的認知進而預防而降低威脅，故在宣導時應可加強設計及強力宣導加強骨質疏鬆的嚴重性，民眾將可以感受到此疾病對健康造成之威脅，加強其對健康的保健。 This study uses the public's own health beliefs to explore people's willingness to participate in community health education activities in case of osteoporosis. The re-search procedure is divided into two stages: pilot test and formal questionnaire. After the reliability analysis of the data, the pilot test questionnaire was modified to be a formal questionnaire. The second stage is the formal test stage, using questionnaire survey method, the formal questionnaire for the large Taipei area to participate in the community health education activities of the people as the target data collection, and recovery of valid samples of 514 people. The proposed hypotheses of this study were validated by SPSS. Research results show that the cues to action and the perceived benefits have pos-itive and significant influence on the participation intention to community health edu-cation, and the perceived barriers has negative influence on the participation intention. In the meanwhile, the cues to action and the perceived seriousness have positive in-fluence on the perceived threat, and the perceived barriers has negative influence on the perceived threat. This study found that the cues to action is the most influential predictor of the willingness to participate in community health education promotion activities, and the second is the perceived seriousness. And the perceived threat will be affected by the perceived seriousness, the perceived barriers and the cues to action, especially the perceived seriousness as the strongest predictive factor. From this study, it is found that if people feel the severity of osteoporosis, it will be a threat to the disease, but there is no significant relationship between the willingness to participate in the com-munity health education activities. Perhaps the public does not know that partici-pation in community health education activities can increase self-awareness of the disease and then prevent and reduce the threat, it should be advocated to strengthen the severity of osteoporosis, people will be able to feel the health threat of the disease and to strengthen their health care..
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