研究生: |
李昇達 Lee, Sheng Ta |
---|---|
論文名稱: |
某公司員工之COVID-19防疫行為現況及相關因素研究—健康信念模式為例 Study on prevention behavior of COVID-19 and related factors of employees of a company: an example on health belief model |
指導教授: |
胡益進
Hu, Yih-Jin |
口試委員: |
苗迺芳
Miao, Nae-Fang 李子奇 Lee, Tzu-Chi 胡益進 Hu, Yih-Jin |
口試日期: | 2022/07/05 |
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: | 2022 |
畢業學年度: | 110 |
語文別: | 中文 |
論文頁數: | 142 |
中文關鍵詞: | 員工 、防疫行為 、健康信念模式 、自我效能 |
英文關鍵詞: | employees, prevention behaviors, health belief model, self-efficacy |
研究方法: | 調查研究 |
DOI URL: | http://doi.org/10.6345/NTNU202201381 |
論文種類: | 學術論文 |
相關次數: | 點閱:163 下載:36 |
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本研究應用健康信念模式來探討位於臺灣北部某公司員工之COVID-19防疫行為現況及相關影響因素,以立意抽樣法進行網路問卷調查,最終回收問卷共計384份。本研究方法採用獨立樣本t檢定、單因子變異數分析、皮爾森積差相關分析以及多元階層回歸分析來瞭解研究對象之社會人口學變項、COVID-19健康信念與防疫行為之間的關係。
本研究結果發現,研究對象之防疫行為表現處於良好的水準,介於總是及經常採取防疫行為,且COVID-19健康信念各構面得分皆在中上程度。獨立樣本t檢定、ANOVA結果指出,研究對象不因社會人口學的不同而有不一樣的防疫行為。皮爾森積差相關分析指出,研究對象的防疫行為與自覺罹患性、自覺嚴重性、自覺行動利益、行動線索、防疫行為之自我效能呈顯著正相關,與自覺行動障礙呈顯著負相關。多元階層回歸分析結果顯示,社會人口學變項及COVID-19健康信念可共同解釋防疫行為78.4%。防疫行為之自我效能、行動線索、自覺行動障礙以及自覺罹患性皆是防疫行為之顯著預測變項,其中,防疫行為之自我效能擁有最強的預測力。
This research applies Health belief model to explore the prevention behavior of COVID-19 and related factors of employees of a company in Taiwan north area. An online questionnaire conducted by the purposive sampling, and a total of 384 questionnaires were finally received. Statistical analysis were performed using Independent Sample test, ANOVA, Pearson Product-Moment Correlation and Multiple hierarchical regression to realize the relationship of participants’ sociodemographic variable, COVID-19 health belief and prevention behaviors.
The results showed that most participants’ prevention behaviors were at an good level, they often or always performed the prevention behaviors, and COVID-19 health belief construct was also showed a middle-high level. The result of the Independent Sample test and ANOVA revealed that there was no significant different between sociodemographic and prevention behaviors. Pearson Product-Moment Correlation revealed that participants’ Perceived Susceptibility, Perceived Seriousness, Perceived Benefits, cues to action, prevention behaviors’ self-efficacy was positively associated with prevention behaviors, while Perceived Barries was negatively associated with prevention behaviors. Multiple hierarchical regression indicated that sociodemographic variable and COVID-19 health belief could together explain prevention behaviors about 78.4%. Prevention behaviors’ self-efficacy, cues to action, Perceived Barries and Perceived Susceptibility were significant predictors of prevention behaviors, and prevention behaviors’ self-efficacy was the strongest predictors.
王國川(1998)。修改後健康信念模式測量理論基礎之探討—以青少年無照騎車之研究為例。教育心理學報,30(2),101-121。doi:10.6251/BEP.19980927.1
石玲如(2004)。臺北市國中學生SARS信念、行為及其相關因素之研究(未出版碩士論文)。國立臺灣師範大學衛生教育研究所碩士論文,臺北市。 取自https://hdl.handle.net/11296/z6xsu8
古博文、田甜、王湘、陳俐蓉(2020)。COVID-19大流行期間的身體活動建議。臺灣公共衛生雜誌,39(4),364-372。doi:10.6288/TJPH.202008_39(4).109057
行政院衛生福利部(2021)。COVID-19 防疫關鍵決策時間軸。2021年5月19日取自https://covid19.mohw.gov.tw/ch/sp-timeline0-205.html。
李幸倫(2012)。臺灣中部地區懷孕婦女H1N1新型流感疫苗接種行為及相關因素探討(未出版碩士論文)。國立臺灣大學護理學研究所碩士論文,臺北市。 取自https://hdl.handle.net/11296/czu54f
呂美華(2021)。以健康信念模式分析臺灣民眾新冠肺炎之預防行為(未出版碩士論文)。弘光科技大學健康事業管理研究所碩士論文,臺中市。 取自https://hdl.handle.net/11296/9nzh4a
何麗莉、趙偉翔、黃惠萍、楊淑真、劉士豪(2011)。H1N1流感大流行初期之民眾認知、行爲改變及口罩購買相關因素調查。疫情報導,27(1),1-7。doi:10.6524/EB.201101_27(1).0001
林生傳(2000)。教育社會學。臺北市:巨流。
金融監督管理委員會銀行局(2022)。金融機構員工人數【原始數據】。取自https://www.banking.gov.tw/ch/home.jsp?id=157&parentpath=0,4&mcustomize=bstatistics_view.jsp&serno=201105120001
邱皓政(2019)。量化研究與統計分析。臺北市:五南圖書出版公司。
官蔚菁(2004)。臺灣健康信念模式研究之統合分析(未出版碩士論文)。國立成功大學護理學系碩博士班碩士論文,臺南市。取自https://hdl.handle.net/11296/g49ug7
施琮仁(2021)。新冠肺炎的日常防疫行為:媒體、情緒與風險認知的作用。新聞學研究,(148),153-196。doi:10.30386/MCR.202107.0017
陳木琳(2004)。臺北縣國小教師SARS信念、預防行為意向與教學意向相關因素研究(未出版碩士論文)。國立臺灣師範大學衛生教育研究所碩士論文,臺北市。 取自https://hdl.handle.net/11296/6d74yv
陳威宏(2017)。不同背景之國中生對於流感的認知、健康信念及實際健康行為之相關性研究(未出版碩士論文)。亞洲大學生物資訊與醫學工程學系碩士在職專班碩士論文,臺中市。 取自https://hdl.handle.net/11296/7m84np
陳清文(2010)。應用健康信念模式-探討國軍衛生部隊官兵H1N1疫苗接種意願及其影響因素(未出版碩士論文)。臺北醫學大學醫務管理學研究所碩士論文,臺北市。 取自https://hdl.handle.net/11296/s38p84
陳曉悌、李怡娟、李汝禮(2003)。健康信念模式之理論源起與應用(未出版碩士論文)。臺灣醫學,7(4),632-639。[Chen, H.T., Li, I.C., Lee, J.L. (2003). Health Belief Model of Theory Origins and Application. Formosan Journal of Medicine, 7(4), 632-639.]
陳必芳、施函君、賴淑寬、闕于能、陳秋美、許建邦…劉定萍(2020)。國內外COVID-19疫情研析及風險評估。疫情報導,36(15),214-225。doi:10.6524/EB.202008_36(15).0001
張婷婷(2014)。國際志工旅遊傳染病預防行為研究: 健康信念模式觀點(未出版碩士論文)。大仁科技大學休閒事業管理研究所碩士論文,屏東縣。 取自https://hdl.handle.net/11296/wuq4sj
張翠珊(2016)。以人格特質及健康信念模式探討學校教職員對於預防登革熱認知行為之研究-嘉義縣國小為例(未出版碩士論文)。南華大學資訊管理學系碩士論文,嘉義縣。 取自https://hdl.handle.net/11296/69kbe9
游亞純(2013)。東南亞出國旅客的腸道傳染病知識與健康信念模式 對預防行為之影響(未出版碩士論文)。國立臺北護理健康大學旅遊健康研究所碩士論文,臺北市。 取自https://hdl.handle.net/11296/6cbdds
勞動部勞動及職業安全衛生研究所(2021)。疫世代 職業安全衛生新模式。勞動及職業安全衛生研究季刊,29(3),3-3。https://www.airitilibrary.com/Publication/alDetailedMesh?DocID=P20150527003-202109-202110280007-202110280007-3-3
趙恩、陳國緯、李思賢(2021)。臺灣公民面對新冠肺炎疫情初期之焦慮症狀與防疫作為之趨勢。臺灣衛誌,40(1),83-96
http://dx.doi.org/10.6288%2fTJPH.202102_40(1).109115
衛生福利部疾病管制署(2020)。嚴重特殊傳染性肺炎疾病介紹。2020年4月27日取自https://www.cdc.gov.tw/Category/Page/vleOMKqwuEbIMgqaTeXG8A
衛生福利部疾病管制署(2021)。落實「持續營運指引」,降低疫情對企業之衝擊。新聞稿。2021年5月16日取自https://www.cdc.gov.tw/Bulletin/Detail/gpA474HUlvCQ-IfZ5FMj5A?typeid=9
衛生福利部疾病管制署(2022a)。嚴重特殊傳染性肺炎 本土病例及境外移入病例趨勢圖。2022年6月21日取自https://nidss.cdc.gov.tw/nndss/disease?id=19CoV
衛生福利部疾病管制署(2022b)。新增56,404例COVID-19確定病例,分別為56,339例本土及65例境外移入。新聞稿。2022年6月21日取自https://www.cdc.gov.tw/Category/ListContent/EmXemht4IT-IRAPrAnyG9A?uaid=OgzXfe0hNpLlWVcBB33Ypw
衛生福利部疾病管制署(2022c)。COVID-19全球疫情地圖。2022年6月22日取自https://sites.google.com/cdc.gov.tw/2019ncov/taiwan
Alagili DE, Bamashmous M. The Health Belief Model as an explanatory framework for COVID-19 prevention practices. J Infect Public Health. 2021 Oct;14(10):1398-1403. doi: 10.1016/j.jiph.2021.08.024. Epub 2021 Aug 25. PMID: 34462221; PMCID: PMC8386094.
Ammar A, Brach M, Trabelsi K, Chtourou H, Boukhris O, Masmoudi L,…, Hoekelmann A. Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients. 2020 May 28;12(6):1583. doi: 10.3390/nu12061583. PMID: 32481594; PMCID: PMC7352706.
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. https://doi.org/10.1037/0033-295X.84.2.191
Becker, M. H. (1974). The Health Belief Model and Sick Role Behavior. Health Education Monographs, 2(4), 409–419. https://doi.org/10.1177/109019817400200407
Barakat, Ayah & Kasemy, Zeinab. (2020). Preventive health behaviours during coronavirus disease 2019 pandemic based on health belief model among Egyptians. Middle East Current Psychiatry. 27. 10.1186/s43045-020-00051-y.
Bish, A., & Michie, S. (2010). Demographic and attitudinal determinants of protective behaviours during a pandemic: a review. British journal of health psychology, 15(Pt 4), 797–824. https://doi.org/10.1348/135910710X485826
Centers of Disease Control and Prevention. (2022). How to Protect Yourself & Others.https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html.
Chan Sun, M., Jeetun, B., Neerunjun, D., & Cheeneebash, J. (2021). Need to investigate COVID-19 beliefs for tailor-made sensitisation campaigns. Public health in practice (Oxford, England), 2, 100156. https://doi.org/10.1016/j.puhip.2021.100156
Chen, Y., Zhou, R., Chen, B., Chen, H., Li, Y., Chen, Z., …Wang, H. (2020). Knowledge, Perceived Beliefs, and Preventive Behaviors Related to COVID-19 Among Chinese Older Adults: Cross-Sectional Web-Based Survey. Journal of medical Internet research, 22(12), e23729. https://doi.org/10.2196/23729
Delshad Noghabi, A., Mohammadzadeh, F., Yoshany, N., & Javanbakht, S. (2021). The prevalence of preventive behaviors and associated factors during the early phase of the COVID-19 pandemic among Iranian People: Application of a Health Belief Model. Journal of preventive medicine and hygiene, 62(1), E60–E66. https://doi.org/10.15167/2421-4248/jpmh2021.62.1.1622
Dubey, S., Biswas, P., Ghosh, R., Chatterjee, S., Dubey, M. J., Chatterjee, S., …Lavie, C. J. (2020). Psychosocial impact of COVID-19. Diabetes & metabolic syndrome, 14(5), 779–788. https://doi.org/10.1016/j.dsx.2020.05.035
Fathian-Dastgerdi, Z., Khoshgoftar, M., Tavakoli, B., & Jaleh, M. (2021). Factors associated with preventive behaviors of COVID-19 among adolescents: Applying the health belief model. Research in social & administrative pharmacy : RSAP, 17(10), 1786–1790. https://doi.org/10.1016/j.sapharm.2021.01.014
Harrison, J. A., Mullen, P. D., & Green, L. W. (1992). A meta-analysis of studies of the Health Belief Model with adults. Health education research, 7(1), 107–116. https://doi.org/10.1093/her/7.1.107
Hsu, K. W., Chao, J. C., & Hsu, C. Y. (2021). Environmental Risk Perception and Preventive Behavior during the COVID-19 Pandemic in Central Taiwan. International journal of environmental research and public health, 18(18), 9920. https://doi.org/10.3390/ijerph18189920
Janz, N. K., & Becker, M. H. (1984). The Health Belief Model: a decade later. Health education quarterly, 11(1), 1–47. https://doi.org/10.1177/109019818401100101
Jones, C. L., Jensen, J. D., Scherr, C. L., Brown, N. R., Christy, K., & Weaver, J. (2014). The Health Belief Model as an Explanatory Framework in Communication Research: Exploring Parallel, Serial, and Moderated Mediation. Health Communication, 30(6), 566 576. https://doi.org/10.1080/10410236.2013.873363
Jose, R., Narendran, M., Bindu, A., Beevi, N., L, M., & Benny, P. V. (2021). Public perception and preparedness for the pandemic COVID 19: A Health Belief Model approach. Clinical epidemiology and global health, 9, 41–46. https://doi.org/10.1016/j.cegh.2020.06.009
Krejcie, R. V., & Morgan, D. W. Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30(3), 607–610. https://doi.org/10.1177/001316447003000308
Lima, C., Carvalho, P., Lima, I., Nunes, J., Saraiva, J. S., de Souza, R. I., …Neto, M. (2020). The emotional impact of Coronavirus 2019-nCoV (new Coronavirus disease). Psychiatry research, 287, 112915. https://doi.org/10.1016/j.psychres.2020.112915
Lippi, G., Henry, B. M., & Sanchis-Gomar, F. (2020). Physical inactivity and cardiovascular disease at the time of coronavirus disease 2019 (COVID-19). European journal of preventive cardiology, 27(9), 906–908. https://doi.org/10.1177/2047487320916823
Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35 (6), 382-385.
Mullen, P. D., Hersey, J. C., & Iverson, D. C. (1987). Health behavior models compared. Social science & medicine (1982), 24(11), 973–981. https://doi.org/10.1016/0277-9536(87)90291-7
Mahindarathne P. P. (2021). Assessing COVID-19 preventive behaviours using the health belief model: A Sri Lankan study. Journal of Taibah University Medical Sciences, 16(6), 914–919. https://doi.org/10.1016/j.jtumed.2021.07.006
Nunnally, J.C. (1978) Psychometric theory. 2nd Edition, McGraw-Hill, New York.
Qin, F., Song, Y., Nassis, G. P., Zhao, L., Dong, Y., Zhao, C., Feng, Y., & Zhao, J. (2020). Physical Activity, Screen Time, and Emotional Well-Being during the 2019 Novel Coronavirus Outbreak in China. International journal of environmental research and public health, 17(14), 5170. https://doi.org/10.3390/ijerph17145170
Rosenstock, I. M. (1974). Historical Origins of the Health Belief Model. Health Education Monographs, 2(4), 328–335. https://doi.org/10.1177/109019817400200403
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the Health Belief Model. Health education quarterly, 15(2), 175–183. https://doi.org/10.1177/109019818801500203
Sameer, A. S., Khan, M. A., Nissar, S., & Banday, M. Z. (2020). Assessment of Mental Health and Various Coping Strategies among general population living Under Imposed COVID-Lockdown Across world: A Cross-Sectional Study. Ethics, medicine, and public health, 15, 100571. https://doi.org/10.1016/j.jemep.2020.100571
Shahnazi, H., Ahmadi-Livani, M., Pahlavanzadeh, B., Rajabi, A., Hamrah, M. S., & Charkazi, A. (2020). Assessing preventive health behaviors from COVID-19: a cross sectional study with health belief model in Golestan Province, Northern of Iran. Infectious diseases of poverty, 9(1), 157. https://doi.org/10.1186/s40249-020-00776-2
Syed, M. H., Meraya, A. M., Yasmeen, A., Albarraq, A. A., Alqahtani, S. S., Kashan A Syed, N., …Alam, N. (2021). Application of the health Belief Model to assess community preventive practices against COVID-19 in Saudi Arabia. Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society, 29(11), 1329–1335. https://doi.org/10.1016/j.jsps.2021.09.010
Šuriņa, S., Martinsone, K., Perepjolkina, V., Kolesnikova, J., Vainik, U., Ruža, A., …Rancans, E. (2021). Factors Related to COVID-19 Preventive Behaviors: A Structural Equation Model. Frontiers in psychology, 12, 676521. https://doi.org/10.3389/fpsyg.2021.676521
Song, Y., Ren, F., Sun, D., Wang, M., Baker, J. S., István, B., & Gu, Y. (2020). Benefits of Exercise on Influenza or Pneumonia in Older Adults: A Systematic Review. International journal of environmental research and public health, 17(8), 2655. https://doi.org/10.3390/ijerph17082655
Tadesse, T., Alemu, T., Amogne, G., Endazenaw, G., & Mamo, E. (2020). Predictors of Coronavirus Disease 2019 (COVID-19) Prevention Practices Using Health Belief Model Among Employees in Addis Ababa, Ethiopia, 2020. Infection and drug resistance, 13, 3751–3761. https://doi.org/10.2147/IDR.S275933
World Health Organization. (2020a). Naming the coronavirus disease (COVID-19) and the virus that causes it. Retrieved from: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/naming-the-coronavirus-disease-(covid-2019)-and-the-virus-that-causes-it
World Health Organization. (2020b). WHO Director-General's opening remarks at the media briefing on COVID-19 - 11 March 2020. Retrieved from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020
World Health Organization. (2020c) WHO Guidelines on Physical Activity and Sedentary Behaviour.
World Health Organization. (2021). COVID-19 transmission and protective measures. Retrieved from: https://www.who.int/westernpacific/emergencies/covid-19/information/transmission-protective-measures
World Health Organization. (2022a) WHO Coronavirus Disease (COVID-19) Dashboard. Retrieved from: https://covid19.who.int/?gclid=Cj0KCQiAjKqABhDLARIsABbJrGkQa94gDQJSFf34yDb_MYtPLunCqZ0n0RZ-89zzG0FvuVyLFLr5vzEaAtzGEALw_wcB
https://www.who.int/westernpacific/emergencies/covid19/information/transmission-protective-measures
World Health Organization. (2022b). Weekly epidemiological update on COVID-19 - 15 June 2022. Retrieved from: https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---15-june-2022
Zandifar, A., & Badrfam, R. (2020). Iranian mental health during the COVID-19 epidemic. Asian journal of psychiatry, 51, 101990. https://doi.org/10.1016/j.ajp.2020.101990
Zheng, C., Huang, W. Y., Sheridan, S., Sit, C. H., Chen, X. K., & Wong, S. H. (2020). COVID-19 Pandemic Brings a Sedentary Lifestyle in Young Adults: A Cross-Sectional and Longitudinal Study. International journal of environmental research and public health, 17(17), 6035. https://doi.org/10.3390/ijerph17176035