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研究生: 蕭雅純
Hsiao, Ya- Chun
論文名稱: 影響缺牙患者復治療意圖之相關因素研究--以台北縣新店市某四所牙醫診所為例
Factors Influencing Prosthodontic Treatment Intention of Tooth Loss Patients
指導教授: 呂昌明
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: 2006
畢業學年度: 94
語文別: 中文
論文頁數: 114
中文關鍵詞: 缺牙復治療意圖自我效能結果期待社會支持障礙性認知牙科焦慮
英文關鍵詞: loss tooth, prosthodontic treatment, intention, self-efficacy, outcome expectancy, social support, perceived barriers, dental anxiety
論文種類: 學術論文
相關次數: 點閱:283下載:2
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  • 本論文的主要目的在於了解缺牙患者接受復治療的意圖現況,並進一步探討個人因素、社會心理因素與其復治療意圖的關係。本研究以民國94年9至11月在台北縣新店市某四所牙醫診所就診之成年缺牙病患為收案對象,並利用自填式問卷方式進行資料收集,成功收案共計192人。所得資料以t檢定、單因子變異數分析、點二系列相關分析、皮爾森積差相關、複迴歸分析等統計方法進行分析,重要結果歸納如下:

    一、62.5%的人認為自己在未來兩個月內會開始進行復治療。
    二、研究對象對缺牙及復治療的相關知識偏低、對復治療的結果期待屬正向、對復治療的障礙性認知及牙科就醫焦慮偏高、所獲得的復治療社會支持偏高、對復治療的自我效能偏低。
    三、復治療意圖在個人背景因素方面:外省籍高於台閩籍、缺牙5~10年的患者高於10年以上者、有復經驗者高於無經驗者,過去復治療狀況普通及良好者高於不好者;口腔健康自覺狀況不好者高於普通及良好者;而嚼食檳榔的人,其復意圖較低。
    四、在社會心理因素方面,復治療結果期待、社會支持與自我效能均與治療意圖呈現正相關;而復治療障礙性則與治療意圖呈現負相關。至於缺牙/ 復相關知識、牙科就醫焦慮則與治療意圖無顯著相關。
    五、籍貫、嚼檳榔習慣、缺牙時間、有無復治療經驗、口腔健康自覺狀況、復治療結果期待、復治療障礙性認知、復治療的社會支持與自我效能等九個變項對復治療意圖的預測力達46.5%(Adjusted R2=42.6%),其中「復治療的自我效能」對研究對象之復治療意圖解釋力最大,其次為「口腔健康自覺狀況不好」、「缺牙五至十年」、「復治療結果期待」、「嚼檳榔習慣」,這五個變項均對復治療意圖有顯著預測力。

    The main purpose of this study was to identify factors (including selected demographic characteristics & psychosocial variables) that may influence prosthodontic treatment intention of tooth loss patients. By using a purposeful sampling method, 192 adult dental patients who at least lost one tooth were selected to participate in this survey. The data was collected by a self-administrated questionnaire in 4 dental clinics in Xindian City from Sep. to Nov. 2005. T-test, one-way ANOVA, point- biserial correlation, Pearson’s product-moment correlation & multiple regression were used to analyze the data. The results indicated that:

    1.62.5% of the subjects had positive intention for prosthodontic treat- ment in the future 2 months.
    2.The subjects’ Outcome Expectancy & Social Support for pros- thodontic treatment were positive, but Knowledge & Self-efficacy was poor. Besides, Perceived Barriers & Dental Anxiety were high.
    3.The following subjects had poorer treatment intention: Taiwanese, betal nut chewer, positive perceived oral health, had lost tooth for more than 10 years & had no or bad prosthodontic experience.
    4.Outcome Expectancy, Perceived Barriers, Social Support & Self- efficacy were significantly associated with treatment intention.
    5.The related variables explained 46.5% of the variance in treatment intention. Among them, Self-efficacy, Perceived Oral Health, the Period since tooth was lost, Outcome Expectancy & Betal-nut Chewing were significant predictors of prosthodontic treatment intention.

    第一章 緒論……………………………………………………… 1 第一節 研究動機……………………………………………… 1 第二節 研究目的……………………………………………… 4 第三節 研究問題……………………………………………… 5 第四節 研究假設 …………………………………………… 6 第五節 重要名詞界定………………………………………… 7 第六節 研究限制……………………………………………… 8 第二章 文獻探討………………………………………………… 9 第一節 缺牙及其造成的問題………………………………… 9 第二節 國內外成人缺牙現況及復情形…………………… 12 第三節 缺牙問題的個人因素探討 ……………………… 14 第四節 影響口腔健康行為與牙科就醫行為的因素………… 19 第三章 研究方法………………………………………………… 39 第一節 研究架構……………………………………………… 39 第二節 研究對象 …………………………………………… 39 第三節 研究工具……………………………………………… 40 第四節 研究步驟……………………………………………… 48 第五節 資料處理與分析……………………………………… 49 第四章 研究結果與討論………………………………………… 55 第一節 研究對象個人背景因素分布情形…………………… 55 第二節 研究對象社會心理因素分布情形…………………… 61 第三節 研究對象復治療意圖之現況……………………… 72 第四節 個人因素、社會心理因素與復治療意圖的關係… 73 第五節 個人背景因素與社會心理因素的關係……………… 91 第六節 研究變項對復治療意圖之預測情形……………… 107 第五章 結論與建議……………………………………………… 110 第一節 結論………………………………………………… 110 第二節 建議………………………………………………… 113 附錄一:開放式引導問卷…………………………………… I 附錄二:問卷初稿…………………………………………… II 附錄三:內容效度專家名單………………………………… VII 附錄四:專家邀請函及評分表………………………………VIII 附錄五:正式問卷……………………………………………XVII

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