研究生: |
曾珮翎 Pei-Ling Tseng |
---|---|
論文名稱: |
聽力保護教育對大學生預防噪音性聽力損失知識、態度及行為意向之影響研究 A Hearing Protection Program for Undergraduates’ Knowledge, Attitudes, and Intended Behaviors towards the Prevention of Noise-Induced Hearing Loss |
指導教授: |
董貞吟
Tung, Chen-Yin |
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 |
論文出版年: | 2010 |
畢業學年度: | 98 |
語文別: | 中文 |
論文頁數: | 149 |
中文關鍵詞: | 聽力保護 、噪音性聽力損失 、大學生 |
英文關鍵詞: | Hearing Protection, Noise-Induced Hearing Loss (NIHL), Undergraduates |
論文種類: | 學術論文 |
相關次數: | 點閱:245 下載:29 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究目的在瞭解大學生聽力保護行為及相關因素現況並探討「聽力保護教育課程」對其聽力保護知識、態度與行為意向的影響。研究對象為九十八學年度就讀於台北市某大學之大學生,自選修相同名稱通識教育課之班級中立意選取實驗組(n=95)進行二週共200分鐘的聽力保護教育課程介入,另選取一班(n=112)作為對照組。兩組於介入前後分別進行前測、後測。配對前後測樣本共得123份有效問卷,回收率約60%。研究結果發現過去一年內95.9%學生有使用耳機的習慣,且73.7%會於一週內使用3次以上;噪音性娛樂活動以音樂播放器居冠,每天使用者高達20.3%,26.8%每次平均使用時間長達2~3小時。聽力保護知識、態度與行為現況方面有83.7%學生於知識量表中,答錯一半以上題目,且22.0%學生從未自任何管道獲得相關知識,雖擁有正向的聽力保護態度,但20.0%學生從未執行任何聽力保護行為,而聽力保護教育課程介入後,對大學生的聽力保護知識、態度與行為意向均具有立即效果,依研究結果建議大學之健康、休閒、娛樂等相關課程,可加入聽力保護相關內容,並定期舉辦聽力保護相關衛教活動、加強學校宣導,以促進學生聽力健康。
The purposes of this study were to investigate undergraduates’ knowledge, attitudes, behaviors and other correlative factors in hearing protection, and to assess the effects of the educational hearing protection program. The subjects were selected from undergraduates who took the same General Education required courses. By using non-randomly assigned to the experiment group (95 samples) who received 200 minutes intervention curriculum in 2 weeks, and the control group (112 samples) who received nothing. A pre-test was administered before the intervention, and a post-test was administered after the intervention. Total 123 valid questionnaires were collected with 60% response rate. Results showed that 95.9% of the samples had the habit of using earphones and 73.7% of them used 3 times at least in one week; the favor noise recreational activity was using portable music player, 20.3% of the samples maintain every day usage and 26.8% of them keep 2-3 hours duration every time over the past year. Results indicated that 83.7% of the subjects have a lower score on the knowledge of hearing protection questionnaires. Among the selected students, 22.0% of them never learned the knowledge of hearing protection. For those who have positive attitudes towards the hearing protection, 20.0% of them did nothing in hearing protection. The effects of knowledge, attitudes and behaviors of hearing protection in the experimental group were significantly improved and outperformed than those in the control group after the intervention. Hence, we suggested university should put efforts on providing knowledge of hearing protection in the health or recreation courses, holding educational hearing protection activities regularly, and strengthening school advocacy to improve undergraduates’ hearing health.
一、 中文部分
白秋華(2003)。學校內部噪音對教師教學品質與學生學習效果之影響研究-以臺中縣瑞豐國小為例。國立台灣師範大學衛生教育學系碩士論文,未出版。台北。
行政院勞工委員會勞工安全衛生研究所(2002)。勞工聽力保護計畫指引 (第三版)。勞工安全衛生技術叢書,1.1-7.6。
行政院衛生署國民健康局、中華民國環境職業醫學會(2006)。噪音作業健康檢查指引。25種特別危害健康作業健康檢查指引,1-15。
行政院環境保護署噪音管制資訊網(2009)。噪音陳情案件現況。2009年9月10日。取自:http://ivy1.epa.gov.tw/noise/AA/A-04.htm?ctype=B&cid=AA&oid=www
李明洋(2004a)。國小學童聽力保健教育計畫實施方式之研究。國立高雄師範大學特殊教育學系碩士論文,未出版。高雄。
李明洋(2004b)。國小學童聽力保健課程實施成效之行動研究。中華民國特殊教育學會2003年刊,195-236。
李明洋(2004c)。從噪音型聽力損失談孩童的娛樂性噪音。中華民國特殊教育學會,365-84。
李明洋(2005)。從噪音對學童聽力的影響談聽力保健教育計畫的重要性。國教輔導,44,49-56。
吳明隆(2008)。量表項目分析。SPSS操作與應用問卷統計分析實務(第二版),227-76。台北:五南。
林政佑、林文貴(2007)。南台灣國、高中職在學青少年早期噪音聽損盛行率調查。國民健康局96年度科技研究發展計劃。台南市立醫院。台南。
林清山(2003)。共變數分析。心理與教育統計學。台北:東華書局。
范德鑫(1992)。共變數分析功能、假設及使用之限制。師大學報,37。133-63。
陳怡婷、林晏州(2007)。聲音對民眾環境情緒體驗之影響。臺灣園藝,55 (3),333-44。
董貞吟、黃乾全、曾馨儀(2003)。噪音特性、年齡與暫時性聽力損失關係之實驗研究。衛生教育學報,20,131-49。
董貞吟、劉殿楨(2008)。青少年學生娛樂性噪音暴露與早期噪音性聽損失關係之長期研究。行政院國家科學委員會專案研究。國立台灣師範大學健康促進與衛生教育學系。台北。
蕭雅文(2008)。聽力學導論。音叉試驗,71-90。台北:五南。
二、 英文部分
Airo E., Pekkarinen J., & Olkinuora P. (1996). Listening to music with earphones: An assessment of noise exposure. Acustica, 82 (6), 885-94.
Axelsson A., Jerson T., Lindberg U., & Lindgren F. (1981). Early noise-induced hearing loss in teenage boys. Scand Audiol, 10 (2), 91-6.
Bandura, A. (1986).The self system in reciprocal determinism. American Psychologist, 33, 344-58.
Biassoni E.C, Serra M.R., Richter U., Joekes S., Yacci M.R., Carignani J.A., Abraham S., Minoldo G., & Franco G. (2005). Recreational noise exposure and its effects on the hearing of adolescents. Part II: Development of hearing disorders. International Journal of Audiology, 44, 74-85.
Chermak, G. D. & Peters-McGarthy, E. (1991). The effectiveness of an educational hearing conservation program for elementary school children. Language, Speech, and Hearing Services in Schools, 22, 308-12.
DeVellis, R. F. (1991).Scale Development: Theory and Applications. London: SAGE.
Eileen, D. (2007). Noise and Hearing Loss: A Review. Journal of School Health, 77 (5), 225-31.
European Commission(2009). EU acts to limit health risks from exposure to noise from personal music players. 2009.10.5.Avalialbe : http://ec.europa.eu/enterprise/newsroom/cf/itemshortdetail.cfm?item_id=3670
Frank Rosanowski, Ulrich Eysholdt, & Ulrich Hoppe. (2006). Influence of leisure-time noise on outer hair cell activity in medical students. Int Arch Occup Environ Health, 80, 25-31.
Gail D. C., Lori C., & Anthony J. S. (1996). The Effectiveness of an Interactive Hearing Conservation Program for Elementary School Children. Language, Speech, And Hearing Services In School, 27, 29-38.
Gasaway, D. C. (1995). HEARING CONSERVATION IN SCHOOLS. Tech Directions, 54 (7), 41-7.
Gelfand, S. A. (2001). The effects of noise and industrial audiology. Essentials of Audiology, 2, 501-41.
Hellstrom P.A., Axelsson A., & Costa O. (1998). Temporary threshold shift induced by music. Scandinavian Audiology, 87-94.
Holmes A. E., Kaplan H. S., Phillips R. M., Kemker F. J., Weber F. T., & Isart F. A. (1997). Screening for hearing loss in adolescents. Lang Speech Hear Serv Sch, 28, 70-5.
Hsiaochuan C., Miniu H., & Jiuhunhwa W. (2009). Elementary school children's knowledge and intended behavior toward hearing conservation. Noise & Health, 11 (42), 54-8.
Hui-Juan Li, Wen-Bo Yu, Jing-Qiao Lu, Lin Zeng, Nan Li, & Yi-Ming Zhao. (2008). Investigation og Road-Traffic Noise and Annoyance in Beijing: A Cross-Sectional Study of 4th Ring Road. Archives of Environmental & Occupational Health, 63 (1), 27-33.
Jeannie H. C., Catherine M. D., John M., & Roland D. E. (2005). Evalution of Noise-Induced Hearing Loss in Young People Using a Web-Based Survey Technique. Pediatrics, 115 (4), 861-7.
Jokitulppo J.S., Bjork E.A., & Akaan-Penttila E. (1997). Estimated leisure noise exposure and hearing symptoms in Finnish teenagers. Scand Audiology, 26 (4), 257-62.
Karen G., Barbara K. R., & K. V. (2008). The Health Belief Model. Victoria L. C., & Celette S. S. (Eds.) , Health behavior and health education: Theory, research, and practice (4nd ed., 169-85). San Francisco: Jossey-Bass.
Knobloch, Mary Jo, Broste, & Steven K. (1998). A Hearing Conservation Program for Wisconsin Youth Working in Agriculture. Journal of School Health, 68 (8), 313-9.
Lewis D. A. (1989). A hearing conservation program for high-school-level students. Hear J., 42, 24-9.
Lundeen, C. (1991). Prevalence of hearing impairment among school children. Language , Speech , and Hearing Services in Schools, 22 (1), 269-71.
Mario R.S., Ester C.B., Maria H., Marta P., Jorge P. V., Carlos C., Gloria M., Silvia A., Jose M. B., Raul R., Maria E. B., Silvia J., & Maria R. Y. (2007). Program for the Conservation and Promotion of Hearing Among Adolescents. American Journal of Audiology, 16, 158-64.
Melnick, W. (1978). Temporary and permanent threshold shift. Noise and audiology, 83-107.
Meyer-Bisch C. (1996). Epidemiological evaluation of hearing damage related to strongly amplified music (personal cassette players, discotheques, rock concerts)--high-definition audiometric survey on 1364 subjects. Audiology, 35 (3), 121-42.
Minja B. M., & Machemba A. (1996). Prevalence of otitis media, hearing impairment and cerumen impaction among school children in rural and urban Dares Salaam, Tanzania. Int J Pediatr Otorhinolaryngol, 37, 29-34.
Niskar A.S., Kieszak S.M., Holmes A., Esteban E., Rubin C., & Brody D.J. (1998). Prevalence of hearing loss among children 6 to 19 years of age: the Third National Health and Nutrition Examination Survey. JAMA, 279 (14), 1071-5.
Niskar A.S., Kieszak S.M., Holmes A.E., Esteban E., Rubin C., & Brody D. J. (2001). Estimated prevalence of noise-induced hearing threshold shifts among children 6 to 19 years of age: the Third National Health and Nutrition Examination Survey, 1988-1994, Unite States. Pediatrics, 108, 40-3.
Robert L. F., Susan E. G., & William H. M. (2002). Hearing Conservation Education Programs for Children: A Review. Journal of School Health, 2, 51-7.
Robert L. Folmer. (2006). Noise-Induced Hearing Loss in Young People. Pediatrics, 117, 248-9.
Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education monogr, 2, 328-35.
Rosenstock, I. M., Strecher, V. J., Becker, M. H.(1988). Social Learning Theory and the Health Belief Model. Health Education Quarterly,15(2),175-82.
Schmuziger N., Patscheke J., & Probst R. (2006). Hearing in nonprofessional pop/rock musicians. Ear Hear, 27 (4), 321-30.
Scientific Committee on Emerging and Newly Identified Health Risks. (2008). Potential health risks of exposure to noise from personal music players and mobile phones including a music playing function. European commission.
Scrimgeour, K. & Meyer, S. E. (2002). Effectiveness of a hearing conservation and vocal hygiene program for kindergarten children. Special Services in the Schools, 18 (1/2), 133-50.
Serra M.R., Biassoni E.C., Richter U., Minoldo G., Franco G., Abraham S., Carignani J.A., Joekes S., & Yacci M.R. (2005). Recreational noise exposure and its effects on the hearing of adolescents. Part I: an interdisciplinary long-term study. Int J Audiol, 44, 65-73.
Stephen A. F., Debra J. W., Patrick V. H., Wendy J. H., & Dawn K-M. (2005). Hearing health and care: The need for improved hearing loss prevention and hearing conservation practices. Journal of Rehabilitation Research & Development, 42 (2), 45-62.
Susan E. G., Robert L. F., & William H. M. (2007). Effectiveness of “Dangerous Decibels,”a School-Based Hearing Loss Prevention Program. American Journal of Audiology, 16, 165-81.
Taylor, W., Pearson,J., Mair,A. & Burns,W. (1965). Study of noise and hearing in jute weaving. Journal of acoustical society of America (38), 113-20.
Westerberg B.D., Skowronski D.W., Stewart I.F., Stewart L., Bernauer M., & Mudarikwa L. (2005). Prevalence of Hearing loss in primary school children in Zimbabwe. Int J Pediatr Otorhinolaryngol, 69, 517-25.
William E. H., Jana M. R., & Ryan A. S. (2007). The Effects of Listening Environment and Earphone Style on Preferred Listening Levels of Normal Hearing Adults Using and MP3 Player. Ear & Hearing, 28 (3), 290-7.
William W. C., & Barbara A. B. (1999). Effects of Noise on Hearing. JAMA, 281, 1658-59.