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研究生: 林國甯
Kuo-Ning Lin
論文名稱: 私立托兒所、幼稚園執行腸病毒通報行為意向及相關因素之研究~以台北縣及苗栗縣為例
The study of the behavioral intention of enterovirus notification: a case study of child care workers and educational staffs at private preschool hospital in Taipei and Miaoli County
指導教授: 李思賢
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: 2009
畢業學年度: 97
語文別: 中文
論文頁數: 94
中文關鍵詞: 私立幼稚園及托兒所腸病毒通報計畫行為理論
英文關鍵詞: private preschool, enterovirus notification, Theory of planned behavior
論文種類: 學術論文
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  • 摘 要
    本研究旨在運用Ajzen(1985)的計畫行為理論架構,來預測及解釋某縣私立幼托機構負責人、管理人、老師及教保人員執行腸病毒通報行為意向及其相關因素。本研究採立意抽樣私立幼托機構人員847人,有效樣本共501份。本研究使用兩種研究工具,一採用開放式引導問卷,再依據開放式引導問卷填答結果編制成結構式問卷。收集的資料以皮爾森積差相關、單因子變異數分析及複迴歸、MANOVA(Hotelling’s T2)等統計方法進行分析。本研究結果如下:
    一、本研究對象有執行腸病毒通報之意向者占整體86.2%。
    二、本研究對象執行腸病毒通報的態度、主觀規範對意向的解釋力為
    25.3%,加入知覺行為控制變項後,顯著地增加執行腸病毒通報意向
    9.2%的變異量,總解釋力提升為34.5%。
    三、研究對象執行腸病毒通報的態度與行為信念、結果評價的交乘積和達中
    正相關(r=.610);主觀規範與規範信念、依從動機的交乘積和達高度
    正相關(r=.818);而知覺行為控制與控制信念、發生強度的交乘積和
    相關性稍低(r=.375)。
    四、研究對象執行腸病毒通報之行為信念、結果評價、規範信念、依從動
    機、及發生強度等各子信念,與意向呈顯著相關。
    五、本研究結果可提供相關單位執行腸病毒防治宣導及政策參考。

    關鍵字:私立幼稚園及托兒所、腸病毒通報、計畫行為理論

    Abstract
    The purposes of this study were predict and explain the child care workers and educational staff’s intention of enterovirus notification at private preschool. The Theory of Planned Behavior provided the framework for the study (Ajzen, 1985). The 501 employees were purposed samples from Taipei and Miaoli County on March of 2009. Two research tools were applied the open-ended elicitation and the structured questionnaire. The collected data was analyzed by Pearson product-moment correlation, one-way ANOVA, multiple regression and MANOVA(Hotelling’s T2). There are five major findings as the following:
    1. Around 86.2% of respondents showed the positive
    behavioral intention to enterovirus notification.
    2. The attitude and subjective norm explained 25.3% of
    variance of intention for enterovirus notification; the
    perceived behavior control added 9.2% explanation power.
    Thus, the explanation power of these three variables
    accounted for 34.5%.
    3. The attitude of respondents was moderately positive
    related to the product of behavioral beliefs multiplied
    by evaluations of outcomes. The subiective norm of
    respondent was highly positive related to the product of
    normative beliefs multiplied by motivations to comply.
    The perceived behavior control of respondent was
    somewhat-low related to the control beliefs multiplied
    by power.
    4. The behavior beliefs, outcome evaluation, normative
    beliefs, motivation to comply and power of respondent
    were positive related to behavioral intention.
    5.The result of the study may offer relevant units
    references to enterovirus infection prevention and to
    form the policy.

    Key words:private preschool, enterovirus notification,
    Theory of planned behavior.

    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……………………………………………4 第四節 研究假設……………………………………………5 第五節 重要名詞界定………………………………………6 第六節 研究限制……………………………………………8 第二章 文獻探討……………………………………………..9 第一節 腸病毒相關知識及政策分析………………………9 第二節 傳染病監視通報系統.……………………………12 第三節 計畫行為理論的形成與概念……………………..16 第三章 研究方法…………………………………………….23 第一節 研究架構...…………………………………………23 第二節 研究對象……………………….…………………..25 第三節 研究工具...…………………………………………26 第四節 研究步驟...…………………………………………31 第五節 資料處理與分析.…………………………………..33 第四章 結果與討論………………………………………….39 第一節 研究對象的背景資料……………………………...39 第二節 態度、主觀規範、知覺行為控制與其構成信念 的關係..................................42 第三節 不同意向在各信念上的差異.…………………....51 第四節 執行腸病毒通報行為意向及其影響因素.………57 第五節 對政府單位之建議…………………….…………..63 第六節 理論模式應用的合適性……………….…………..63 第七節 討論…………………….…………………………..65 第五章 結論與建議………………………………………….69 第一節 結論…………………………………………...……69 第二節 建議……………………………………………...…69 參考文獻……………………………….……………………..73 一、中文文獻...………………………………………………73 二、英文文獻………………………………………….……..75 【附錄一】開放性引導問卷………………………………….79 【附錄二】正式問卷………………………………………….80 【附錄三】「專家效度」學者專家名單一覽表..……………89 【附錄四】臺北縣公私立學校及幼托機構腸病毒通報流程及作業規定…90

    一、中文文獻
    王國川(1997a)。青少年預防事故傷害發生之自我效能量表的發展與評估。衛生教育論文集刊,10,107-26 。
    王國川(1997b)。計劃行為理論各成份量表之信、效度評估--以青少年搭機車戴安全帽之研究為例。國立中正大學學報社會科學分冊, 8(1), 95-121。
    王國川(1998)。計劃行為理論各成份量表之設計、發展與建立─以青少年無照騎車行為之研究為例。師大學報,43,67-91。
    白華枝 (2006)。幼稚園教師、幼兒家長對於腸病毒的認知、防治意見與預防行為之研究-以臺南縣巿為例。臺南:國立臺南大學幼兒教育學系碩士論文(未出版)。
    行政院衛生署疾病管制局(2009)。國內重要疫情摘要報告,25 (5),346-347。
    行政院衛生署疾病管制局(2009)。URL:http://www.cdc.gov.tw/sp.asp?xdurl=disease/disease_content.asp&id=1662&mp=1&ctnode=1498
    行政院衛生署疾病管制局(2009)。URL:http://www.cdc.gov.tw/ct.asp?xItem=15503&CtNode=1955&mp=1
    行政院衛生署疾病管制局(2009)。URL:http://www.cdc.gov.tw/lp.asp?ctNode=59&CtUnit=53&BaseDSD=7&mp=1
    呂昌明(1995)。大學生捐血行為的研究---計畫行為理論的應用。衛生教育論文集刊,8,1-13。
    李秉穎(2000)。腸病毒震撼。臺北市:遠流。
    金傅春 (2006)。傳染病流行後的省思、因應作為與未來策略規劃-賀「疫情報導」二十一週年年慶。疫情報導, 22(1),14-29。
    洪維謙(2004)。從全球SARS疫情的衝擊論我國防疫觀念與政策的改變。臺中:東海大學公共事務研究所碩士論文(未出版)。
    張上淳(1990)。法定傳染病通報定義。院內感控雜誌,10(2),124-131。
    湯仁彬(1999)。腸病毒群感染。臨床醫學,43,144-150。
    趙偉翔、楊淑真、何麗莉與王宗曦 (2008)。台灣地區5歲以下幼童照顧者之腸病毒知識、態度與行為調查。疫情報導, 24(6),396-407。
    臺北縣政府衛生局(2005)。URL:http://www.tpshb.tpc.gov.tw
    劉淑芬、徐嫦娥與趙秀琳(1996)。台灣地區醫療院所對傳染病監視系統之態度與執行調查研究。公共衛生,23(3), 135-145。
    蕭博文(1999)。如何預防腸病毒群感染。台灣衛生,366,19-21。

    二、英文文獻
    Ajzen, I.(1985). From Intentions to Actions:A Theory of Planned Behavior. p 11-39.(J. Kuhl & J. Beckman Eds.). Berlin: Springer-Verlag.
    Ajzen, I.(1991). The Theory of Planned Behavior. Organizational Behavior and Human Decision Processes, 50, 179-211.
    Ajzen, I. , and Driver, B.L.(1992).Application of the theory of planned behavior to leisurechoice. Leisure Research, 24,. 207-224.
    Ajzen, I. and Fishbein, M.(1980). Understanding attitudes and predicting social behavior.(Englewood Cliffs eds, ISBN: 0139364358.)New Jersey: Prentice-Hall, Inc.
    Bentler, P.M., and Speckart, G.(1979). Models of at¬titude behaviors: a structure equation analysis. Psychology Review, 86,452-64.
    Chang, L.Y., King, C.C., Hsu, K.H., Ning, H.C., Tsao, K.C., Li, C.C., Huang, Y.C., Shih, S.R., Chiou, S.T., Chen, P.Y., Chang, H.J., Lin, T.Y.(2002)Risk factors of enterovirus 71 infection and associated hand, foot, and m outh disease/herpangina in children during an epidem ic in Taiwan. Pediatrics ,109(6),88.
    Chang, L.Y., Hsia, S.H., and Wu, C.T.(2004a). Outcome of E.V .71 infection with or without stage-based management, 1998-2002. Pediatrics Infectious Disease Journal , 23,327-331.
    Chang, L.Y., Tsao, K.C., and Hsia, S.H.(2004b).Transmission and clinical features of enterovirus 71 infections in household contacts in Taiwan. Journal of the American Medical Association , 2,222-227.
    Charng, H.W., Piliavin, J.A., and Callero, P.L.(1988). Role identity and reasoned action in the pre¬diction of repeated behavior. Social Psychology. ,51,303-17.
    Chompook, P., Todd, J., and Wheeler, J.G.(2006). Risk factors for shigellosis in Thailand. International Journal of Infectious Disease.,10,425-433.
    Colby, J.(2006).Special problems of children with myalgic encephalomyelitis/chronic fatigue syndrome and the enteroviral link. Journal of Clinical Pathology. , 60,125-128.
    Dennis, DE. L., and Audrey A.(1995).Evaluation of a School-Based Influenza Surveillance System. Public Health Reports.,110(3),333-337.
    Fischler, G.E., Fuls J.L., and Dail E.W.(2007). Effect of hand wash agents on controlling the transmission of pathogenic bacteria from hands to food. Journal of Food Protection. ,70,2873-2877.
    Fishbein, M., and Ajzen, I.(1974). Attitude toward objects as predictors of single and multiple be¬havioral criteria. Psychology Review., 81(1),59-74.
    Fredricks, A.J.,and Dossett, D.L.(1983). Attitude-behavior relations: a comparison of the Fish¬bein-Ajzen and the Bentler-Speckart models. Journal Persona Social Psychology. ,45(3),501-12.
    Godin, G., and Kok, G..(1996). The theory of planned behavior: a review of its applications to health related behaviors. American Journal of Health Promotion., 11,87-98.
    Hayato, F., Hiroshi, T., Takkki, O., Kinuyo, H., and Shigeto, S.(2002). Evaluation of the School Health Surveillance System for Influenza. Tokyo, 1999-2000. Japanese Journal of Infectious Disease. , 55,97-99.
    Huang, C.Y.(2007). Epidemiological simulations and assessments for the efficacies of school closing, wearing of masks, and hand-washing policies on Taiwan’s enterovirus epidemics. (Report of research grants program of Taiwan CDC No.50)Taiwan ,CDC.
    Krejcie, R.V., and Morgan, D.W. (1970). Determining sample size for research activities. Educational and Psychological Measurement, 30 (3),607-610.
    Layla J.(1996).Infectious Disease Surveillance in Schoolchildren in Oman. Health Journal., 2(1),151-154.
    Lu C.Y., Lee C.Y., and Kao C.L.(2002). Incidence and case-fatality rates resulting from the 1998 enterovirus 71 outbreak in Taiwan. Journal of Medical Virology.,67,217-23.
    Moran, K., Bo Y. C., and Hye, K.I.(2003, November). Development and Evaluation of a School-based Sentinel Surveillance System in South Korea. The 131st Annual Meeting of A.P.H.A..
    Nelson, K. E., Williams, C. M., and Graham, N. (2001).Infectious Disease Epidemiology: Theory and Practice (Hardcover ed.). Maryland, USA.: Aspen.
    Pai, H.H., Hong, Y.J., and Hsu, E.L.(2006). Impact of a short-term community-based cleanliness campaign on the sources of dengue vectors: an entomological and human behavior study. Journal of Environmental Health. ,68, 35-39.
    Stephen, B. T., Keewhan, C., and Brachman, P. S.(1983)The surveillance of infectious diseases. Journal of the American Medical Association., 249(9), 1181-1185.
    Steven, M. T., and Churchill, R.E.(2000). Principles and Practice of Public Health Surveillance(2nd ed.). New York: Oxford Press.
    Timmins, P., Gallois, C., Terry, D.J., McCamish, M., and Kashima, Y.(1993). Theory of reasoned ac¬tion and the role of perceived risk in the study of safer sex. New York,: Pergamon. p 153-67.

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