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研究生: 張桂禎
Kuei-chen Chang
論文名稱: 師大 B型肝炎帶原學生參與肝功能檢查之行為研究
Factors Associated with the Participation of Hepatitis B Carriers at National Taiwan Normal University in the Liver Function Test
指導教授: 姜逸群
Chiang, I-Chyun
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
畢業學年度: 87
語文別: 中文
論文頁數: 146
中文關鍵詞: B型肝炎肝功能檢查健康信念主觀規範健康控握
英文關鍵詞: hepatitis B, liver function test, health belief, subjective norm, health locus of control
論文種類: 學術論文
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  • 本研究之主要目的在探討國立台灣師範大學B型肝炎帶原學生參與肝功能檢查之相關因素,以提供台灣師大健康中心作為推行健康服務上的參考。本研究採前瞻性研究設計,以八十七學年度一至三年級B型肝炎帶原學生為對象,於87年12月中旬以自編式結構問卷進行調查,其後台灣師大健康中心於88年3月9~11日間提供免費肝功能檢查,同時追蹤參與肝功能檢查行為,得有效樣本459名。所得資料以描述性統計、卡方檢定、t檢定、單因子變因數分析、賀得臨考驗、區別分析等方法進行分析。重要結果如下︰
    1. 不同人口學變項之B型肝炎帶原學生,其參與肝功能檢查行為的差異情形皆未達統計上的顯著水準,而當年級 不同時,研究對象參與肝能檢查之行為有顯著差異存在,以一年級參與肝功能檢查者較多。另外,研究對象亦 不因結構變項上的不同,其參與肝功能檢查之行為有顯著差異存在。
    2. 在健康信念方面,發現知覺嚴重性較強、知覺有效性較強,而知覺障礙性弱者較會參與肝功能檢查;在健康動 機方面則以健康動機較強者較會參與肝功能檢查;在主觀規範方面亦以主觀規範較強者較會參與肝功能檢查; 在B型肝炎健康控握方面,較傾向重要他人外控者較會參與肝功能檢查,而較傾向機運外控者較不會參與肝功 能檢查。進一步發現「如果因B型肝炎,而使我無法上課」之知覺嚴重性、對「疾病防治之相關基金會」之主 觀規範、對「醫護人員」之主觀規範、「我覺得做肝功能檢查可以減少我們因肝功能不佳而死亡的機率」之知 覺有效性、「我會去尋求與自己健康有關的資訊」對於參與肝功能檢查之行為較具影響力。
    3. 不同行動線索之研究對象,其參與肝功能檢查的差異情形皆未達統計上的顯著水準。
    根據本研究結果,建議在教育上可由健康信念、主觀規範與健康控握等方面著手,行政上可透過電子郵件發送肝功能檢查通知。在未來研究上,可擴大研究對象,並進行教育介入研究。

    This study is to investigate the factors which influence the students, hepatitis B carriers at National Taiwan Normal University (NTNU), to take liver function test (GOP and GTP tests). It is expected that the findings of this present study, a prospective research design, can provide references of health service development for the Health Center at NTNU.
    The samples included 459 freshmen, sophomores, and seniors who were hepatitis B carriers at NTNU in 1998. Questionnaire survey was adopted. The Health Center at NTNU provided free liver function tests three months later. Descriptive analysis, chi-square, t-test, one-way ANOVA, Hotelling's T2, and discriminant analysis were used for analysis. The major findings were concluded as follows:
    1.Demographic variables did not significantly influence the subjects' participation in the liver function tests. However, the variable of grades significantly influenced their participation. Most of the participants were first-year students. With regard to structure variables, whether they took the test or not was non-significantly different.
    2.The subjects who perceived more severity, and benefits of the action, less barriers of the action, more health motivation, subjective norm and power others control, and less chance control took the check.
    3.The main influences on the subjects' participation in the checks came from: (1) The perceived severity of " I can't go to school because I infected hepatitis B" (2) the subjective norm toward funds concerning disease prevention; (3) the subjective norm toward medical professionals; (4) the perceived benefit of " I think that taking the liver function test could prevent me from death" (5) the motivation to seek for information concerning health.
    4.With regard to cues to action, whether they took the test or not was non-significantly different.

    第一章 緒論 第一節 研究動機與重要性…………………………………………………1 第二節 研究目的……………………………………………………………4 第三節 研究問題……………………………………………………………4 第四節 研究假設……………………………………………………………5 第五節 名詞界說……………………………………………………………6 第六節 研究限制……………………………………………………………10 第二章 文獻探討 第一節 健康行為與衛生教育………………………………………………11 第二節 B型肝炎概述 ………………………………………………………12 第三節 影響健康行為因素之探討…………………………………………18 第三章 研究方法 第一節 研究架構……………………………………………………………35 第二節 研究對象……………………………………………………………36 第三節 研究工具……………………………………………………………36 第四節 研究步驟……………………………………………………………47 第五節 資料處理與分析……………………………………………………50 第四章 研究結果 第一節 研究對象背景變項…………………………………………………55 第二節 參與肝功能檢查行為及其相關因素………………………………60 第三節 預測參與肝功能檢查之重要因子…………………………………87 第四節 B型肝炎知識需求與管道 …………………………………………90 第五章 討論 第一節 背景因素與參與肝功能檢查行為間的關係………………………93 第二節 社會心理因素與參與肝功能檢查行為……………………………95 第三節 行動線索與參與肝功能檢查行為…………………………………102 第四節 B型肝炎知識需求與管道 …………………………………………104 第六章 研究結論與建議 第一節 研究結論……………………………………………………………109 第二節 建議…………………………………………………………………110 參考文獻 …………………………………………………………………………………113 附錄 附錄一 專家效度名單………………………………………………………123 附錄二 預試問卷……………………………………………………………124 附錄三 預試試題分析………………………………………………………133 附錄四 正式問卷……………………………………………………………137 附錄五 本次肝功能檢查之行動線索與未參與之因………………………147 附錄六 肝功能檢查通知單…………………………………………………148

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