簡易檢索 / 詳目顯示

研究生: 樊敏康
FAN, Min-Kang
論文名稱: 學齡前兒童照顧者對兒童視力保健知識、態度、行為及其相關因素之研究:以臺北市中山區為例
A Study on the Knowledge, Attitudes, Behaviors, of Caregivers of Preschool Children Regarding Children's Vision Health and Its Related Factors: A Case Study in the Zhongshan District of Taipei City
指導教授: 胡益進
Hu, Yih-Jin
李子奇
Lee, Tzu-Chi
口試委員: 胡益進
Hu, Yih-Jin
李子奇
Lee, Tzu-Chi
陳政友
Chen, Cheng-Yu
口試日期: 2024/07/09
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系健康促進與衛生教育碩士在職專班
Department of Health Promotion and Health Education_Continuing Education Master's Program of Health Promotion and Health Education
論文出版年: 2024
畢業學年度: 112
語文別: 中文
論文頁數: 52
中文關鍵詞: 學齡前兒童照顧者視力保健知識視力保健態度視力保健行為
英文關鍵詞: Preschool children, caregivers, vision care knowledge, vision care attitudes, vision care behaviors
研究方法: 調查研究
DOI URL: http://doi.org/10.6345/NTNU202401806
論文種類: 學術論文
相關次數: 點閱:101下載:0
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
  • 本研究針對臺北市中山區的374名學齡前兒童照顧者進行調查,探討照顧者背景變項(如性別、教育程度和職業)與學齡前兒童視力保健知識、態度及行為之間的關係。調查結果顯示,女性照顧者佔87.3%,其中母親佔多數(80.9%)。
    研究結果顯示,研究對象對於視力保健的知識水平屬於中上程度,平均答對率超過60%,但許多照顧者對兒童視力發展的具體標準了解不足。關於視力保健態度,大多數照顧者持有正向態度,尤其是對於戶外活動及充足睡眠對視力保健的重要性,其認同度最高(平均數4.67)。然而,對於使用3C產品作為獎勵或陪伴工具這一問題,有70位照顧者表示態度中立,顯示出對此問題的態度分歧。
    在行為方面,大部分照顧者表現出良好的視力保健行為,其中最常見的行為是提醒孩子在閱讀、寫字及使用3C產品時保持適當的距離和正確的姿勢(平均數4.61)。然而,仍有相當比例的照顧者(平均數3.86)使用3C產品作為獎勵或陪伴工具,這反映出數位時代中3C產品對兒童視力發展的潛在影響。
    進一步的分析顯示,照顧者的教育程度顯著影響其視力保健知識、態度及行為,教育程度較高的照顧者在這些方面表現更為優異。此外,視力保健知識與態度之間存在正相關,態度越正向的照顧者,其視力保健行為也越佳。然而,視力保健知識的增加未必伴隨行為的改善,這可能暗示在知識傳授的同時,行為改進的支持仍需加強。

    This study surveyed 374 caregivers of preschool children in the Zhongshan District of Taipei City to investigate the relationships between caregivers' background variables (such as gender, education level, and occupation) and their knowledge, attitudes, and behaviors regarding vision care for preschool children. The survey revealed that female caregivers accounted for 87.3% of the participants, with mothers representing the majority (80.9%).
    The results showed that the respondents had a moderately high level of knowledge about vision care, with an average accuracy rate exceeding 60%. However, many caregivers were unclear about the specific standards of vision development for children. In terms of attitudes, the majority of caregivers had a positive outlook on vision health, especially regarding the importance of outdoor activities and adequate sleep, which received the highest level of agreement (mean score of 4.67). Notably, 70 caregivers expressed neutral opinions on the use of electronic devices as a reward or tool for child accompaniment, indicating divided attitudes on this issue.
    Regarding behavior, most caregivers demonstrated good practices in vision care, with the most common behavior being reminding children to maintain proper distance and posture while using their eyes (mean score of 4.61). However, a significant number of caregivers (mean score of 3.86) still used electronic devices as a reward or accompaniment for children, reflecting the impact of digital devices on children's vision development in the digital age.
    Further analysis revealed that caregivers' education levels significantly influenced their knowledge, attitudes, and behaviors related to vision care. Caregivers with higher education levels showed better performance in these areas. Additionally, a positive correlation was observed between vision care knowledge and attitudes, where more positive attitudes corresponded with better vision care behaviors. However, an increase in knowledge did not necessarily lead to improved behavior, suggesting that while knowledge is crucial, additional support is needed to translate it into practice.

    目 錄 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 3 第三節 研究問題 3 第四節 研究假設 3 第五節 名詞定義 4 第六節 研究限制 5 第二章 文獻探討 6 第一節 學齡前兒童視力保健之現況 6 第二節 學齡前兒童照顧者對學齡前兒童視力保健知識、態度及行為之探討 7 第三節 影響視力保健知識、態度及行為之因素 10 第三章 研究方法 12 第一節 研究架構 12 第二節 研究對象 13 第三節 研究工具 13 第四節 問卷的信度與效度分析 15 第五節 研究步驟 17 第六節 資料處理與分析 18 第四章 研究結果與討論 20 第一節 研究對象及學齡前兒童背景變項、對學齡前兒童知識、態度及行為之分佈 20 第二節 研究對象背景變項與對學齡前兒童視力保健知識、態度與行為之關係 25 第三節 研究對象對學齡前兒童視力保健知識、態度和行為間之關係 30 第四節 研究對象背景變項、視力保健行為之預測力 31 第五節 討論 33 第五章 結論與建議 37 第一節 結論 37 第二節 建議 37 參考文獻 39 一、中文部分 39 二、英文部分 42 附件 46 附件一、專家效度審查名單(依姓氏筆畫順序) 46 附件二 、正式調查問卷 47

    丁怡方、吳澈娥、池易釧、游文長、苗其志、魏川淵、張麗春(2011)。北部某地區低年級國小學童家長協助孩童視力保健行為與學童近視之相關性。醫護科技期刊,13(1),25-37。
    李玉惠(2016)。家長對兒童使用3C產品看法與態度之研究。學校行政,(103),118-139。
    李佳芳(2018)。國民小學近視與非近視學童之家長視力保健、知識、態度與行為的差異:以高雄地區為例[未出版之博士論文]。國立高雄大學。
    李靜、王芳 (2020)。家長對學齡前兒童視力保健的態度與實踐。兒童保健雜誌,13(4),150-154。
    呂威揚(2014)。良好視力保健 從小開始。彰基院訊,31(6),6-7。
    林宜勳. (2023). 淺談執行功能技巧融入學前課室之成效. 臺灣教育評論月刊, 12(4), 147-151。
    林宛臻(2023)。主要照顧者對學童採取視力保健行為、護眼策略介入與學童視力不良之研究—以高雄市某國小一年級為例[未出版之博士論文]。樹德科技大學。
    沈希哲、陳政友、劉婉柔、黃世欣、盧玉玫、蔡宛珊、謝雅萍(2008)。臺北縣家長對學童採取近視預防行爲及其相關因素研究。健康促進暨衛生教育雜誌,(28),83-110。
    張志文、楊鈞、李文文 (2021)。父母視力健康教育對學齡前兒童視力保健知識、態度及行為的影響。中國學齡前兒童健康雜誌, 15(2),23-28。
    彭秀英、林隆光、吳仁宇(2010)。國小及幼稚園教師對學童視力保健知識、態度、行爲效能的相關因素研究。學校衛生,(56),21-38。
    彭秀英(2011)。學齡前兒童家長實施幼童近視防治行爲與其相關因素研究。學校衛生,(58),83-102。
    陳政友、沈希哲、劉婉柔、盧玉玫、謝雅萍(2009)。國小學童家長近視預防親職教育介入成效研究。健康促進與衛生教育學報,(32),1-23。
    陳芳喻(2017)。臺灣地區主要照顧者視力保健態度與幼兒視力保健行為之相關研究[未出版之博士論文]。國立臺中教育大學。
    黃莉、陳婷 (2019) 。不同文化背景下家長對兒童視力保健認識的比較。華人健康研究。11(1),45-50。
    劉乃昀、陳政友(2008)。台北市家長對學童採取近視防治行為及其相關因素研究-健康信念模式之應用。學校衛生,(52),13-35。
    楊瑞珍、熊鯤苓. (2000)。台北市某國中一年級學生視力不良狀況及其相關因素初探。醫護科技學刊, 2(2),123-136.。
    楊靜昀、張彩秀、劉潔心(2013)。視力保健單元教學對國小中年級學童視力保健知識、態度、行為之成效研究。學校衛生護理期刊,(23),61-75。
    謝之華、張鳳琴、邱瓊慧(2017)。臺北市國小五年級學童3C產品使用的視力保健行為。學校衛生,(70),81-97。
    蘇巧雲(2010)。主台中縣家長視力保健態度與幼兒視力保健行為之相關研究[未出版之博士論文]。國立台中教育大學
    視力與口腔衛生習慣調查問卷分析. (2017). 臺北市學童高度近視防治網. http://vision.health.gov.tw/s_prog/index.asp
    臺北市幼兒園健康篩檢 3月5日全面啟動 把握發育關鍵期 爸爸媽媽好放心. (2018). 臺北市政府衛生局. https://health.gov.taipei/Mobile/Detail.aspx?tabid=36&mid=442& ItemID=42092
    室外活動 打敗惡視力 拒3C當保母 讓孩子好「視」多. (2016). 衛生福利部國民健康署. https://www.mohw.gov.tw/fp-2628-19096-1.html
    幼童手機使用率超過4成 近視防治 家長動起來. (2018). 衛生福利部國民健康署. https://www.mohw.gov.tw/cp-3795-41749-1.html
    學齡前兒童整合性社區篩檢系統. (2020). 臺北市政府衛生局. http://public.health.gov.tw
    兒童視力篩檢及矯治指引. (2018). 衛生福利部國民健康署. https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=609&pid=1077
    Alrahili, N. H. R., Jadidy, E. S., Alahmadi, B. S. H., Abdula'al, M. F., Jadidy, A. S., Alhusaini, A. A., Mojaddidi, M. A., & Al-Barry, M. A. (2017). Prevalence of uncorrected refractive errors among children aged 3-10 years in western Saudi Arabia. Saudi medical journal, 38(8), 804–810. https://doi.org/10.15537/smj.2017.8.20412
    Ahmad, M., & Mustapha, N. (2022). Development and validation of parental knowledge, attitude and practice in eye problem among children questionnaire (PEPC-KAPQ). PLOS ONE, 17(7), e0272231. https://doi.org/10.1371/journal.pone.0272231
    Blindness and Vision Impairment. (2016, October 17). World Health Organization. http://www.who.int/zh/news-room/fact-sheets/detail/blindness-and-visual- impairment
    Chang, F. L., Lee, Y. C., Chen, N., Hsieh, H. P., Li, Y. H., Yang, Y. Y., & Sheu, M. M. (2014). The prevalence of ocular diseases in primary and junior high school students on Orchid Island. Tzu Chi Medical Journal, 26(4), 166-169.
    Dudovitz, R. N., Izadpanah, N., Chung, P. J., & Slusser, W. (2016). Parent, Teacher, and Student Perspectives on How Corrective Lenses Improve Child Wellbeing and School Function. Maternal and child health journal, 20(5), 974–983. https://doi.org/10.1007/s10995-015-1882-z
    Eye Care, Vision Impairment and Blindness. (2024). World Health Organization. https://www.who.int/health-topics/blindness-and-vision-loss#tab=tab_1
    Guo, Y., Liu, L. J., Tang, P., Lv, Y. Y., Feng, Y., Xu, L., & Jonas, J. B. (2017). Outdoor activity and myopia progression in 4-year follow-up of Chinese primary school children: The Beijing Children Eye Study. PloS one, 12(4), e0175921. https://doi.org/10.1371/journal.pone.0175921.
    He, M., Piché, L., Beynon, C., & Harris, S. (2010). Screen-related sedentary behaviors: children's and parents' attitudes, motivations, and practices. Journal of nutrition education and behavior, 42(1), 17-25.
    Holden BA, Fricke TR, Wilson DA, Jong M, Naidoo KS, Sankaridurg P, Wong TY, Naduvilath TJ, Resnikoff S. Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology. 2016 May;123(5):1036-42. doi: 10.1016/j.ophtha.2016.01.006. Epub 2016 Feb 11. PMID: 26875007.
    Hrynchak PK, Mittelstaedt A, Machan CM, Bunn C, Irving EL. Increase in myopia prevalence in clinic-based populations across a century. Optom Vis Sci. 2013 Nov;90(11):1331-41. doi: 10.1097/OPX.0000000000000069. PMID: 24100476.
    Hsu, C. C., Huang, N., Lin, P. Y., Tsai, D. C., Tsai, C. Y., Woung, L. C., & Liu, C. J. (2016). Prevalence and risk factors for myopia in second-grade primary school children in Taipei: A population-based study. Journal of the Chinese Medical Association : JCMA, 79(11), 625–632. https://doi.org/10.1016/j.jcma.2016.02.011.
    Jiang, N., Chen, J., Cao, H., Liu, Y., Zhang, Y., Wang, Q., Wang, T., Zhao, H., Lu, H., Yang, L., & Wang, J. (2022). Parents' intentions toward preschool children's myopia preventive behaviors: Combining the health belief model and the theory of planned behavior. Frontiers in public health, 10, 1036929. https://doi.org/10.3389/fpubh.2022.1036929
    Ku, P. W., Steptoe, A., Lai, Y. J., Hu, H. Y., Chu, D., Yen, Y. F., Liao, Y., & Chen, L. J. (2019). The Associations between Near Visual Activity and Incident Myopia in Children: A Nationwide 4-Year Follow-up Study. Ophthalmology, 126(2), 214–220. https://doi.org/10.1016/j.ophtha.2018.05.010
    Li Y, Liu J, Qi P. The increasing prevalence of myopia in junior high school students in the Haidian District of Beijing, China: a 10-year population-based survey. BMC Ophthalmol. 2017 Jun 12;17(1):88. doi: 10.1186/s12886-017-0483-6. PMID: 28606071; PMCID: PMC5468969.
    Luo, Y. F., Yang, S. C., Chou, K. Y., & Lee, H. T. (2023). Taiwanese parents' perspectives on young children's use of information communication technology. Frontiers in psychology, 14, 1248863. https://doi.org/10.3389/fpsyg.2023.1248863
    Matamoros E, Ingrand P, Pelen F, Bentaleb Y, Weber M, Korobelnik JF, Souied E, Leveziel N. Prevalence of Myopia in France: A Cross-Sectional Analysis. Medicine (Baltimore). 2015 Nov;94(45):e1976. doi: 10.1097/MD.0000000000001976. PMID: 26559276; PMCID: PMC4912270.
    Melaku, W., & Yirga, K. (2023). Exploring the knowledge, attitudes, and practice towards child eye health: A qualitative analysis of parent experience focus groups. PLOS ONE, 18(6), e0293595. https://doi.org/10.1371/journal.pone.0293595
    Miguel-Berges, M. L., Santaliestra-Pasias, A., Mouratidou, T., & Manios, Y. (2020). Parental perceptions, attitudes, and knowledge on European preschool children’s total screen time: The ToyBox-study. European Journal of Public Health, 30(1), 105-110. https://doi.org/10.1093/eurpub/ckz155
    Rainey, L., Elsman, E. B. M., van Nispen, R. M. A., van Leeuwen, L. M., & van Rens, G. H. M. B. (2016). Comprehending the impact of low vision on the lives of children and adolescents: a qualitative approach. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 25(10), 2633–2643. https://doi.org/10.1007/s11136-016-1292-8.
    Tao, Z. Y., Chen, S. Q., Tang, Y., Zhao, J., Wang, J., Lin, Z. H., & Deng, H. W. (2022). The Influence of Parents' Background and Their Perception on the Progression of Myopia in Children. International journal of clinical practice, 2022, 4123470. https://doi.org/10.1155/2022/4123470
    Tsai DC, Fang SY, Huang N, Hsu CC, Chen SY, Chiu AW, Liu CJ. Myopia Development Among Young Schoolchildren: The Myopia Investigation Study in Taipei. Invest Ophthalmol Vis Sci. 2016 Dec 1;57(15):6852-6860. doi: 10.1167/iovs.16-20288. PMID: 28002845.
    Tsai TH, Liu YL, Ma IH, Su CC, Lin CW, Lin LL, Hsiao CK, Wang IJ. Evolution of the Prevalence of Myopia among Taiwanese Schoolchildren: A Review of Survey Data from 1983 through 2017. Ophthalmology. 2021 Feb;128(2):290-301. doi: 10.1016/j.ophtha.2020.07.017. Epub 2020 Jul 15. PMID: 32679159.
    World Health Organization. (2019). World report on vision.
    Wu, P. C., Chen, C. T., Lin, K. K., Sun, C. C., Kuo, C. N., Huang, H. M., Poon, Y. C., Yang, M. L., Chen, C. Y., Huang, J. C., Wu, P. C., Yang, I. H., Yu, H. J., Fang, P. C., Tsai, C. L., Chiou, S. T., & Yang, Y. H. (2018). Myopia Prevention and Outdoor Light Intensity in a School-Based Cluster Randomized Trial. Ophthalmology, 125(8), 1239–1250. https://doi.org/10.1016/j.ophtha.2017.12.011
    Zhou, S., Yang, L., Lu, B., Wang, H., Xu, T., Du, D., Wu, S., Li, X., & Lu, M. (2017). Association between parents' attitudes and behaviors toward children's visual care and myopia risk in school-aged children. Medicine, 96(52), e9270. https://doi.org/10.1097/MD.0000000000009270

    無法下載圖示 電子全文延後公開
    2029/08/14
    QR CODE