研究生: |
何宜穎 He, Yi-Ying |
---|---|
論文名稱: |
運用 PRECEDE 模式探討教保服務人員防疫行為及其影響因素 Using the PRECEDE model to explore the epidemic prevention behavior of preschool educators and the influencing factors |
指導教授: |
董貞吟
Tung, Chen-Yin |
口試委員: |
陳富莉
Chen, Fu-Li 陳麗珠 Chen, Li-Chu 董貞吟 Tung, Chen-Yin |
口試日期: | 2023/12/18 |
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: | 186 |
中文關鍵詞: | PRECEDE模式 、教保服務人員 、防疫行為 |
英文關鍵詞: | PRECEDE model, preschool educators, infection prevention behaviors |
研究方法: | 調查研究 |
DOI URL: | http://doi.org/10.6345/NTNU202400087 |
論文種類: | 學術論文 |
相關次數: | 點閱:124 下載:0 |
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本研究旨在運用 PRECEDE 模式探討教保服務人員防疫行為及其影響因素。運用健康行為科學PRCEDE模式為基礎,參考過去文獻及已發展問卷,以研究者自編之「教保服務人員防疫行為現況及其影響因素調查問卷」做為研究工具。完成預試問卷初稿後,由5位專家進行預試問卷之題項內容效度審查,隨後由60位研究對象進行預試填答,再以項目分析及信度分析刪除不良題項,建立背景因素、傾向因素、增強因素、使能因素,以及防疫行為共64題項之正式問卷。本研究採便利取樣選取臺北市與新北市立案之公(私)立幼兒園教保服務人員為正式研究對象,人數共計190人。本研究所得結果以獨立樣本t檢定、單因子變異數分析、Pearson相關分析,以及階層迴歸方法進行分析。研究結果顯示,背景變項、傾向因素、增強因素,以及使能因素在階層迴歸分析逐層控制下,單獨對防疫行為可達到14%、13%、14%,以及12%之解釋力,並可解釋教保服務人員防疫行為達54.0%之總變異量。在所有影響的變項中,「使能因素」具有最大正向影響力(β=.46),其次依序為年齡51歲(含)以上(β=.23)、增強因素(β=.15),以及傾向因素-態度(β=.14)。本研究結果可供幼兒園及提升教保服務人員防疫行為之參考。
This study aims to apply the PRECEDE model to investigate infection prevention behaviors and their influencing factors among preschool educators service providers. Grounded in the health behavior science PRECEDE model and referencing existing literature, a researcher-developed survey titled "Survey on the Current Status of Infection Prevention Behaviors and Influencing Factors among preschool educators Service Providers" was used as the research tool. After the preliminary draft of the survey was completed, content validity was examined by five experts, followed by a pilot test with 60 participants. Item analysis and reliability analysis were conducted to eliminate problematic items, resulting in the establishment of a formal questionnaire comprising 64 items related to background factors, predisposing factors, reinforcing factors, enabling factors, and infection prevention behaviors. Convenience sampling was employed to select 190 preschool educators service providers from public and private kindergartens registered in Taipei City and New Taipei City as the study participants. The obtained data were analyzed using independent sample t-tests, one-way analysis of variance (ANOVA), Pearson correlation analysis, and hierarchical regression analysis. The results indicated that, when controlled layer by layer in the hierarchical regression analysis, background variables, predisposing factors, reinforcing factors, and enabling factors individually explained 14%, 13%, 14%, and 12% of the variance in infection prevention behaviors, respectively. Together, these factors accounted for 54.0% of the total variance in preschool educators service providers' infection prevention behaviors. Among all influencing variables, "enabling factors" exhibited the most significant positive impact (β=.46), followed by age 51 and above (β=.23), reinforcing factors (β=.15), and predisposing factors-attitude (β=.14). The findings of this study provide insights for kindergartens and strategies to enhance infection prevention behaviors among preschool educators service providers.
內政部(2019)。內政部統計處。取自https://ws.moi.gov.tw/001/Upload/OldFile/site_stuff/321/2/year/y02-01.xls
內政部(2021)。兒童及少年生活狀況調查-兒童報告書。取自https://www.mohw.gov.tw/dl-70442-d0dc910a-407a-4fc0-a112-5155f1932ed7.html
內政部(2023)。內政部統計處:111年國人死因統計結果。取自https://www.mohw.gov.tw/cp-16-74869-1.html
牛玉珍、劉潔心、邱詩揚、陳政友(2014)。健康促進國小建立家庭夥伴關係影響因素研究。台灣公共衛生雜誌,33(3),290-303。https://doi.org/10.6288/tjph201433103022
江東亮(2017)。公共衛生與預防醫學的區別:歷史觀點。台灣公共衛生雜誌,36(5),423-426。https://doi.org/10.6288/tjph201736106072
吳明隆、涂金堂(2014)。SPSS與統計應用分析。臺北市:五南圖書出版股份有限公司。
吳建煒、張栢菱、尹一橋、王慧(2022)。澳門博彩從業員新冠肺炎預防行為及影響因素分析。澳門護理雜誌,20(2),9-14。https://doi.org/10.6729/mjn.202205_20(2).002
李蘭(2010)。健康行為與健康教育。臺北市:巨流。https://books.google.com.tw/books?id=yV6sMwEACAAJ
林國甯、許銘能、胡益進、李思賢(2010)。私立幼托機構人員腸病毒通報意圖及其相關因素研究。台灣公共衛生雜誌,29(2),159-168。
張美雲、陳慧玲、曾如敏、沈滿華、陳韻如、賴佳菁、陳淑姬、張溢真、許瑛真、王資惠、卓美秀、詹惠婷、黃麗錦、周梅如、黃煒翔、馬藹屏、陳惠芳(2021)。幼兒健康與安全(五版)。臺中市:華格那出版股份有限公司。
教育部(2021)。學校衛生法。取自https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=H0020050
教育部(2022)。教育部統計處-幼兒園幼生數-按縣市別分。取自https://www.gender.ey.gov.tw/GECDB/Stat_Statistics_DetailData.aspx?sn=TINaWRp4rBfhQG5ygrwyiA%40%40&d=m9ww9odNZAz2Rc5Ooj%24wIQ%40%40
教育部(2022a)。幼兒教育及照顧法。取自https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=H0070031
教育部(2022b)。教保服務人員條例。取自https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=H0070071
陳乃菁、林育如、陳思豪(2022)。應用轉換型領導提升護理人員傳染病防治參與。感染控制雜誌,32(4),254-261。https://doi.org/10.6526/icj.202208_32(4).0004
陳建仁(2020)。流行病學:原理與方法。新北市:聯經出版事業公司。
陳慧玲、黃煒翔(2020)。教保服務人員對傳染病預防態度與幼兒對傳染病預防行為之關連性研究—以北部地區幼兒園為例。康大學報(10),1-18。
陳麗珠、張宥沁(2022)。後疫情時代幼兒防疫行為之研究。幼兒教育(333),34-48。
楊珉珊、吳宏蘭、張淑美、葉秋燕、蔡佳達、黃俊凱(2021)。運用PRECEDE模式探討某巿養護機構照顧服務員手部衛生之知識、態度、信念對於手部衛生行為的相關性。感染控制雜誌,31(1),1-16。https://doi.org/10.6526/icj.202102_31(1).0001
溫福星(2013)。社會科學研究中使用迴歸分析的五個重要觀念。管理學報,30(2),169-190。https://doi.org/10.6504/jom.2013.30.02.04
衛生福利部(2017)。傳染病防治法。取自https://law.moj.gov.tw/LawClass/LawAll.aspx?pcode=l0050001
衛生福利部疾病管制署(2019a)。教托育人員腸病毒防治手冊。取自https://www.cdc.gov.tw/Uploads/9e771614-fb98-4c56-a2fe-e1b1eb8d75ee.pdf
衛生福利部疾病管制署(2019b)。傳染病監視-年報。取自https://www.cdc.gov.tw/File/Get/sqrAKrJg_Uq8Ki5B0HtO3g?path=xhbhpb6Ay7rAjF8yn3VfXa8fyIW_LcGDdGEAkyvustpShwb8U9BLDe2TIQd1VU3X&name=ZxjV2WQ9UlUB8l4kR4qkDFuPA5wxQ0FKq_F4yvLYohi_8DzuxA4iz43BNo2GdjL86DrS7-BMxXkO-hQbaFVk0g
衛生福利部疾病管制署(2020)。急性傳染病流行風險監控與管理第三期計畫。取自https://www.cdc.gov.tw/Uploads/4c6bced2-6e73-4790-9aea-041505331c7c.pdf
衛生福利部疾病管制署(2023)。2023年5月1日起防疫降階,「嚴重特殊傳染性肺炎(COVID-19)」調整為第四類傳染病,指揮中心同日解編,由衛福部主政繼續整備應變工作。取自https://www.cdc.gov.tw/Bulletin/Detail/W65sFwVgfFn8ak3VVoh57Q?typeid=9
Ahmann, J. S., & Glock, M. D. (1981). Evaluating student progress: Principles of tests and measurements. Allyn & Bacon.
Araújo, L. A., Veloso, C. F., Souza, M. C., Azevedo, J. M. C., & Tarro, G. (2021). The potential impact of the COVID-19 pandemic on child growth and development: a systematic review. J Pediatr (Rio J), 97(4), 369-377.https://doi.org/10.1016/j.jped.2020.08.008
Aschwanden, D., Strickhouser, J. E., Sesker, A. A., Lee, J. H., Luchetti, M., Terracciano, A., & Sutin, A. R. (2021). Preventive behaviors during the COVID-19 pandemic: Associations with perceived behavioral control, attitudes, and subjective norm. Frontiers in public health, 9, 662835.
Barakat, A. M., & Kasemy, Z. A. (2020). Preventive health behaviours during coronavirus disease 2019 pandemic based on health belief model among Egyptians. Middle East Current Psychiatry, 27(1), 1-9.
Barkham, T., Zadoks, R. N., Azmai, M. N. A., Baker, S., Bich, V. T. N., Chalker, V., Chau, M. L., Dance, D., Deepak, R. N., van Doorn, H. R., Gutierrez, R. A., Holmes, M. A., Huong, L. N. P., Koh, T. H., Martins, E., Mehershahi, K., Newton, P., Ng, L. C., Phuoc, N. N., . . . Chen, S. L. (2019). One hypervirulent clone, sequence type 283, accounts for a large proportion of invasive Streptococcus agalactiae isolated from humans and diseased tilapia in Southeast Asia. PLoS Negl Trop Dis, 13(6), e0007421. https://doi.org/10.1371/journal.pntd.0007421
Castro-Sánchez, E., Chang, P. W. S., Vila-Candel, R., Escobedo, A. A., & Holmes, A. H. (2016). Health literacy and infectious diseases: why does it matter? International Journal of Infectious Diseases, 43, 103-110. https://doi.org/https://doi.org/10.1016/j.ijid.2015.12.019
Cauchemez, S., Bhattarai, A., Marchbanks, T. L., Fagan, R. P., Ostroff, S., Ferguson, N. M., Swerdlow, D., Group, P. H. N. W., Sodha, S. V., & Moll, M. E. (2011). Role of social networks in shaping disease transmission during a community outbreak of 2009 H1N1 pandemic influenza. Proceedings of the National Academy of Sciences, 108(7), 2825-2830.
Chanponga, S., Nakakasien, P., & Krinuwat, K. (2020). Predicting factors of preventive and control behaviorsof communicable diseases in children among teachers inchild care centers, Bangkok Metropolitan Administration. Chulalongkorn Medical Journal, 64(4), 417-424.
Chen, C.-Y., Ye, J.-J., Huang, T.-S., Lee, C.-C., Chen, Y.-T., Hsu, C.-K., Hsu, H.-J., Sun, C.-Y., Pan, H.-C., Chen, K.-S., Kao, H.-H., Ko, C.-C., She, Y.-H., Wu, C.-Y., Lai, C.-C., Hwang, S.-J., & Wu, I.-W. (2021). Effective Preventive Strategies to Prevent Secondary Transmission of COVID-19 in Hemodialysis Unit: The First Month of Community Outbreak in Taiwan. Healthcare, 9(9), 1173. https://www.mdpi.com/2227-9032/9/9/1173
Chen, H. L., Huang, W. H., & Liu, C. H. (2022). Exploring the factors affecting preschool educators’ health teaching capacity of life skills using the PRECEDE model: a study of preschool educators in northern Taiwan. BMC Public Health, 22(1), 1-13.
Chen, M. H., Deng, S. H., Wang, M. H., & Yan, X. K. (2023). Clinical characteristics and influencing factors of infectious diarrhea in preschool children: An observational study. Medicine (Baltimore), 102(17), e33645. https://doi.org/10.1097/md.0000000000033645
Christie, D., Rashid, H., El-Bashir, H., Sweeney, F., Shore, T., Booy, R., & Viner, R. M. (2017). Impact of meningitis on intelligence and development: A systematic review and meta-analysis. PLOS ONE, 12(8), e0175024. https://doi.org/10.1371/journal.pone.0175024
Cohen, J. (2013). Statistical power analysis for the behavioral sciences. Academic press.
Comrey, A. (1973). 1973: A first course in factor analysis. New York: Academic Press.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. psychometrika, 16(3), 297-334.
Donaldson, A. L., Hardstaff, J. L., Harris, J. P., Vivancos, R., & O’Brien, S. J. (2021). School-based surveillance of acute infectious disease in children: a systematic review. BMC Infectious Diseases, 21(1). https://doi.org/10.1186/s12879-021-06444-6
Ebel, R. L., & Frisbie, D. A. (1972). Essentials of educational measurement.
Fielding, J. E. (2022). Health program planning, implementation, and evaluation: creating behavioral, environmental, and policy change. JHU Press.
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of marketing research, 18(1), 39-50.
Fukuda, Y., Ando, S., & Fukuda, K. (2021). Knowledge and preventive actions toward COVID-19, vaccination intent, and health literacy among educators in Japan: An online survey. PLOS ONE, 16(9), e0257552. https://doi.org/10.1371/journal.pone.0257552
Gaski, J. F., & Nevin, J. R. (1985). The differential effects of exercised and unexercised power sources in a marketing channel. Journal of marketing research, 22(2), 130-142.
Gielen, A. C., McDonald, E. M., Gary, T. L., & Bone, L. R. (2008). Using the precede-proceed model to apply health behavior theories. Health behavior and health education: Theory, research, and practice, 4, 407-429.
Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2015). Health behavior: Theory, research, and practice. John Wiley & Sons.
Green, L., & Kreuter, M. (1999). The precede–proceed model. Health promotion planning: an educational approach. 3rd ed. Mountain View (CA): Mayfield Publishing Company, 32-43.
Hay, D. F., Caplan, M., & Nash, A. (2018). The beginnings of peer relations.
HHS. (2023). Vaccines Protect You. Retrieved from https://www.hhs.gov/immunization/basics/work/prevention/index.html
Hsu, C.-Y., Chen, H.-T., Wang, E.-T., Liu, H.-R., & Yang, C.-H. (2020). The Measures and Achievement of Community Epidemic Prevention against COVID-19 in Taiwan. Taiwan Centers for Disease Control. https://doi.org/10.6525/TEB.202008_36(15).0003
Jeng, C., Sheu, P.-Y., Chen, C.-M., Chen, S.-R., & Tseng, G. (2001). Clinical validation of the related factors and defining characteristics of impaired swallowing for patients with stroke. Journal of Nursing Research, 9(4), 105-115.
Khorsandi, M., Ghofranipour, F., Hidarnia, A., Faghihzadeh, S., & Ghobadzadeh, M. (2012). The effect of PRECEDE PROCEED model combined with the health belief model and the theory of self-efficacy to increase normal delivery among nulliparous women. Procedia-Social and Behavioral Sciences, 46, 187-194.
Khubchandani, J., Sharma, S., Price, J. H., Wiblishauser, M. J., Sharma, M., & Webb, F. J. (2021). COVID-19 vaccination hesitancy in the United States: a rapid national assessment. Journal of community health, 46, 270-277.
Layeghiasl, M., Kaveh, M. H., Karimi, M., & Mirahmadizadeh, A. (2022). Components Affecting the Promotion of COVID-19 Disease Prevention Behaviors among Iranian Students: A Qualitative Study by Using the PRECEDE Model. Biomed Res Int, 2022, 7807401. https://doi.org/10.1155/2022/7807401
Lestari, P. W., Agestika, L., & Dewi, G. K. (2023). Predisposing, Enabling, and Reinforcing Factors of COVID-19 Prevention Behavior in Indonesia: A Mixed-methods Study. Journal of Preventive Medicine and Public Health, 56(1), 21-30. https://doi.org/10.3961/jpmph.22.340
Liu, X., Wang, Y., Chen, C., & Liu, K. (2021). Mycoplasma pneumoniae infection and risk of childhood asthma: A systematic review and meta-analysis. Microb Pathog, 155, 104893. https://doi.org/10.1016/j.micpath.2021.104893
Mausner, J. S., & Bahn, A. K. (1974). Epidemiology. an introductory text.
Mora, C., McKenzie, T., Gaw, I. M., Dean, J. M., von Hammerstein, H., Knudson, T. A., Setter, R. O., Smith, C. Z., Webster, K. M., Patz, J. A., & Franklin, E. C. (2022). Over half of known human pathogenic diseases can be aggravated by climate change. Nat Clim Chang, 12(9), 869-875. https://doi.org/10.1038/s41558-022-01426-1
Moradi, A., Soltani, R., Shamsi, M., & Moradzadeh, R. (2023). Effects of online social media on improving mothers’ behaviors towards preventing their children’s otitis media based on the PRECED model: a randomized educational intervention trial. BMC pediatrics, 23(1), 216.
Nejhaddadgar, N., Azadi, H., Mehedi, N., Toghroli, R., & Faraji, A. (2021). Teaching adults how to prevent COVID-19 infection by health workers: The application of intervention mapping approach. Journal of Education and Health Promotion, 10.
Okueso, S. A., Kalesanwo, O. O., & Awoleye, B. R. (2021). SCHOOL HEALTH EDUCATION FOR COVID-19 PROTOCOL ADHERENCE: APPLICATION OF PRECEDE-PROCEED AND HEALTH BELIEF MODELS BY HEALTH RESEARCHERS. African Journal of Science and Nature, 12, 15-26.
Ottawa Public Health. (2022). Chain of infection. Retrieved from https://www.ottawapublichealth.ca/en/professionals-and-partners/chain-of-infection.aspx
Ottawa Public Health. (2023). Child care providers Retrieved from https://www.ottawapublichealth.ca/en/professionals-and-partners/child-care-providers.aspx
Park, S., & Oh, S. (2022). Factors associated with preventive behaviors for COVID-19 among adolescents in South Korea. Journal of pediatric nursing, 62, e69-e76.
Reno, C., Maietti, E., Fantini, M. P., Savoia, E., Manzoli, L., Montalti, M., & Gori, D. (2021). Enhancing COVID-19 vaccines acceptance: results from a survey on vaccine hesitancy in Northern Italy. Vaccines, 9(4), 378.
Saulle, R., Sinopoli, A., De Paula Baer, A., Mannocci, A., Marino, M., De Belvis, A. G., Federici, A., & La Torre, G. (2020). The PRECEDE-PROCEED model as a tool in Public Health screening: a systematic review. Clin Ter, 171(2), e167-e177. https://doi.org/10.7417/CT.2020.2208
Sechrest, L. (1963). Incremental validity: A recommendation. Educational and psychological measurement, 23(1), 153-158.
Seok, N. Y., Yoon, C. Y., Lee, M. S., & Jeon, M. Y. (2023). Factors Affecting Practice of COVID-19 Infection Preventive Behaviors in University Students: The Use of the Extended Health Belief Model (HBM) and Theory of Planned Behavior (TPB). Journal of the Korean Society of School Health, 36(1), 9-19.
Seong, M., & Bae, K. (2022). A Study of Pandemic Prevention Health Behavior in Adults. International Journal of Environmental Research and Public Health, 19(13), 8181. https://doi.org/10.3390/ijerph19138181
Servidio, R., Malvaso, A., Vizza, D., Valente, M., Campagna, M. R., Iacono, M. L., Martin, L. R., & Bruno, F. (2022). The intention to get COVID-19 vaccine and vaccine uptake among cancer patients: An extension of the theory of planned behaviour (TPB). Supportive Care in Cancer, 30(10), 7973-7982. https://doi.org/10.1007/s00520-022-07238-5
Statistics, C. N. C. f. H. (2023). Infectious Disease. Retrieved from https://www.cdc.gov/nchs/fastats/infectious-disease.htm
Taghrir, M. H., Borazjani, R., & Shiraly, R. (2020). COVID-19 and Iranian medical students; a survey on their related-knowledge, preventive behaviors and risk perception. Archives of Iranian medicine, 23(4), 249-254.
Troiano, G., & Nardi, A. (2021). Vaccine hesitancy in the era of COVID-19. Public health, 194, 245-251.
WHO. (2011). Pandemic influenza preparedness. Retrieved from https://apps.who.int/gb/pip/index.html
WHO. (2020). WHO Director-General's opening remarks at the media briefing on COVID-19. 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
WHO. (2023a). Preventing epidemics and pandemics. Retrieved from https://www.who.int/activities/preparing-and-preventing-epidemics-and-pandemics
WHO. (2023b). World health statistics 2023: monitoring health for the SDGs, sustainable development goals. Retrieved from https://www.who.int/publications/i/item/9789240074323
Yıldırım, M., & Güler, A. (2022). COVID-19 severity, self-efficacy, knowledge, preventive behaviors, and mental health in Turkey. Death studies, 46(4), 979-986.