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Author: 魏麗玉
Wei, Li-Yu
Thesis Title: 新北市某國小中高年級學童餐後潔牙行為意圖及相關因素研究
Post-meal Teeth Cleaning Behavior Intention and Related Factors for 4th,5th and 6th Grade Students in a Primary School in New Taipei City
Advisor: 葉國樑
Yeh, Gwo-Liang
曾治乾
Tseng, Chie-Chien
Degree: 碩士
Master
Department: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
Thesis Publication Year: 2020
Academic Year: 108
Language: 中文
Number of pages: 170
Keywords (in Chinese): 健康信念模式自我效能餐後潔牙行為意圖中高年級學童
Keywords (in English): Health Belief Model, Self-efficaay, intention of cleaning teeth after meals, 4th,5th and 6th grade students
DOI URL: http://doi.org/10.6345/NTNU202001048
Thesis Type: Academic thesis/ dissertation
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  • 本研究應用健康信念模式加入自我效能理論,探討國小學童餐後潔牙行為意圖及相關因素研究。研究對象為108學年度第一學期就讀新北市某
    國小中高年級學生,採自填問卷調查,取得有效問卷322份,回收率95.5%,研究結果如下:
    一、研究對象之「口腔保健知識」、「自覺罹患齲齒的可能性」「自覺罹患齲齒的嚴重性」、「餐後潔牙利益性」、「餐後潔牙行動線索」認知偏向中上程度;「餐後潔牙障礙性」認知偏向低程度。
    二、研究對象之口腔保健知識,四年級優於高年級,五年級優於六年級,擔任幹部、導師的潔牙指導、正確使用貝氏刷牙法刷牙有顯著差異。建立完整性教學,以強化齲齒疾病及潔牙保健的認知。
    三、研究對象之餐後潔牙健康信念,認知為中上程度,由自覺罹患齲齒之嚴重性、自覺餐後潔牙行為利益性方面,四年級比高年級有認同感,而自覺餐後潔牙行為障礙,以高年級比中年級有障礙。研究顯出班級潔牙狀況和研究對象之餐後潔牙信念有顯著相關性,提升教師口腔保健素養為導向,建立學童有正確潔牙的態度。
    四、研究對象之「餐後潔牙行為自我效能」、「餐後潔牙行為意圖」,顯示為中等程度,高社經地位家庭其餐後潔牙行為自我效能表現顯優,四年級學童餐後潔牙行為自我效能優於高年級學童、五年級餐後潔牙行為意圖優於四、六年級學童。研究顯出班級推動潔牙、導師指導刷牙以及正確的潔牙方法與餐後潔牙行為效能及行為意圖有正相關,在學校執行餐後潔牙是勢在必行的健康行為活動。
    五、研究經複迴歸分析結果,研究對象之「班級有推動含氟牙膏刷牙」、、「班級主要潔牙地點」、「餐後潔牙行動線索」、「餐後潔牙自我效能」呈現顯著相關,對「餐後潔牙行為意圖」的解釋變異量為48.5%,其中以「餐後潔牙自我效能」最具影響力。

    This study applied the health belief model and self-efficacy theory to explore the intention and related factors of post-prandial tooth cleaning behaviors in primary school children. The research objects were 4th,5th and 6th grade students enrolled in a primary school in New Taipei City in the first semester of 2019 academic year. Self-administered questionnaire survey was applied and a total of 322 valid questionnaires were obtained with a recovery rate of 95.5%. The followings are results of the study:
    1. The participants' knowledge of "oral health knowledge", "the possibility of consciously suffering from dental decay", "the severity of consciously suffering from dental decay", "the benefit of cleaning teeth after meals", and "the clues of action after cleaning teeth" ara in middle-high level. The perception of "after-meal tooth cleaning disorder" tends to be low.
    2. The fourth grader's oral health knowledge is better than the 5th and 6th grader; whereas the 5th grader is better than the 6th grader. There are significant differences in oral health knowledge for students with cadre experiences, with teacher instruction, and with correct use of the Bayesian brushing method. Comprehensive oral health teaching is needed to strengthen cognition of caries disease and dental care.
    3. The participants' postprandial dental cleaning is good. Fourth graders' awareness of the seriousness of caries, and the benefit of post-prandial tooth cleaning are better than senior graders. Senior graders have more trouble in post-prandial tooth cleaning. There is a significant correlation between participants' teeth cleansing status and their belief in cleansing teeth after meals. Therefore, enhance teacher's oral health literacy can help students to establish correct attitude of cleaning teeth.
    4. Participants' "self-efficiency in post-meal tooth-cleaning behavior" and "intention of post-meal tooth-cleaning behavior" are in moderate level. Participants' families with high socioeconomic status have excellent self-efficiency in post-meal tooth-cleaning behavior. Forth graders' self-efficacy of post-meal tooth cleaning behavior is better than those senior graders. Fifth graders' intention of post-meal tooth cleaning behavior is better than the 4th and 6th grade students. Our research showed tooth cleaning promotion, brush instruction and correct tooth cleaning methods are positively correlated to post-meal tooth cleaning performance and behavioral intentions. Post-meal tooth cleaning at school is an imperative healthy behavioral activity.
    5.Multiple regression analysis showed that "fluoride toothpaste brushing","teeth cleaning site", "teeth cleaning action clues" and "after meal teeth cleaning self efficacy" are significantly correlated to teeth cleaning behavior intention and can explain 48.5% of the variation. Among all the factors, "after meal teeth cleaning self efficacy" is the most influential.

    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 6 第三節 研究問題 7 第四節 研究假設 7 第五節 名詞釋義 8 第六節 研究限制 12 第二章 文獻探討 13 第一節 國內外學童齲齒現況分析 13 第二節口腔保健行為的應用 21 第三節 影響餐後潔牙之相關因素 33 第四節健康信念模式及其應用 38 第五節餐後潔牙自我效能應用 43 第三章 研究方法 45 第一節 研究架構 45 第二節 研究對象 46 第三節 研究工具 47 第四節 研究進度與步驟 54 第五節 資料處理與分析 57 第四章 研究結果與討論 61 第一節研究對象基本變項之描述性統計分布 61 第二節研究對象餐後潔牙健康信念之分布 70 第三節研究對象餐後潔牙行動線索、餐後潔牙自我效能及餐後潔牙行為意圖之分布 80 第四節研究對象基本變項與口腔保健知識、餐後潔牙健康信念、餐後潔牙行為自我效能、餐後潔牙行為意圖之相互關係 89 第五節 影響研究對象之餐後潔牙行為意圖之相關因素探討 105 第六節 研究對象之餐後潔牙行為意圖之預測力情形 109 第五章 結論與建議 115 第一節 結論 115 第二節 建議 117 參考文獻 122 壹、中文部份 122 貳、英文部分 131 附錄 138 附錄一:研究工具內容效度考驗專家名單 138 附錄二:致專家效度考驗信函及評分說明 139 附錄三:專長內容效度結果與建議 153 附錄四:正式問卷 160

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