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:282 下載:2 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
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.
中文部份
王淑芳(2000). 影響婦女孕期運動行為之相關因素研究. 國立台灣師範大學衛生教育研究所碩士論文
方淑娜(2002). 屏東縣居民口腔保健及牙科就醫行為之探討. 高雄醫學大學口腔衛生科學研究所碩士論文
李文儀(2002). 就醫影響因素之研究--以牙醫診所為對象. 義守大學管理科學研究所碩士論文
呂昌明(1994). 以健康信念模式分析公共衛生護理人員執行乳房自我檢查之意圖. 衛生教育論文集刊; 第七期: 142-53
呂昌明, 陳錫琦(1994). 應用最適化尺度法探測信念與態度間的關係.衛生教育論文期刊, 第8其:15-20.
呂宜珍、金繼春(1999). 國小高年級學童口腔衛生行為及其相關因素. 公共衛生26(2): 115-27
何佩玲(2005). 台北市某完全中學學生運動行為及其相關因素之研究. 國立台灣師範大學衛生教育研究所碩士論文
邵偉靈(1989). 婦幼口腔保健. 婦幼家庭出版社
林玉珍(2002). 高雄市居民口腔保健及牙科就醫行為之探討. 高雄醫學大學口腔衛生科學研究所碩士論文
林亭枝(2003). 口腔健康狀況與全身系統疾病相關性之探討. 高雄醫學大學口腔衛生科學研究所碩士論文
姚元青(1994). 國立台灣師範大學學生飲食行為及其影響因素之研究. 國立台灣師範大學衛生教育研究所碩士論文
洪文綺(1997). 高職女學生愛滋病防治教學介入效果研究. 國立台灣師範大學衛生教育研究所碩士論文
柯惠珍(1998). 台北市國中學生家中資源回收行為意圖及相關因素之研究. 國立台灣師範大學衛生教育研究所碩士論文
柯懿嬖(1996). 以健康信念模式分析某工作場所員工之大腸直腸癌糞便篩檢行為研究. 國立台灣師範大學衛生教育研究所碩士論文
吳芳菁(2001). 桃園縣國中學生飲用市售飲料狀況與相關因素探討. 國立台灣師範大學衛生教育研究所碩士論文
吳毓綺(1995). 某工專夜間部男生過量飲酒行為研究—理性行動理論與自我效能結合之驗證. 國立台灣師範大學衛生教育研究所碩士論文
馬子嬌(2003). 成人口腔保健行為與齲齒及牙周病相關性探討. 高雄醫學大學口腔衛生科學研究所碩士論文
郭其華(2002). 彰化縣居民口腔保健及牙科就醫行為之觀念調查. 高雄醫學大學口腔衛生科學研究所碩士論文
郭素玉(2004). 牙醫情況及項目與民眾社經地位相關之探討-以南區健保局為例. 高雄醫學大學口腔衛生科學研究所碩士論文
陳瑩睿(1998). 某專科學校學生機車超速駕駛意圖及行為之研究. 國立台灣師範大學衛生教育研究所碩士論文
陳麗麗、郭憲文、賴俊雄(1998): 中部三個地區學童口腔衛生知識、態度與行為之研究. 中國醫藥學院雜誌7(1):45-52
閔嘉娜、姜逸群、許權振、謝武勳(2004). 衛生教育學報21: 51-73
彭紋娟(2002). 澎湖縣居民口腔保健及牙科就醫行為之探討. 高雄醫學大學口腔衛生科學研究所碩士論文
游尚霖(2002). 高雄縣某國小高年級學童口腔衛生習慣之相關因素研究. 國立台灣師範大學衛生教育研究所碩士論文
張進順(2001). 從世界口腔談台灣. 21(12): 9-12
張淑芳、陳靜敏、陳品玲(2001). 衛生教育介入方式對於社區婦女在預防骨質疏鬆症知識、健康信念及行為成效之探討. 新台北護理期刊; 3(1): 79-89
張豔鈴(2001): 桃園市某國中學生餐後潔牙行為相關因素研究. 國立台灣師範大學衛生教育研究所碩士論文
黃婉茹(2003). 應用跨理論模式於職場女運動行為之研究.國立台灣師範大學衛生教育研究所碩士論文
曾春祺(1998). 阿蓮地區志願受檢民眾的口腔狀態及治療需求研究. 中華民國牙周病醫學會雜誌 3(3): 153-58
曾春祺(1998).台南市民眾的口腔狀態及治療需求研究. 中華民國牙周病醫學會雜誌 3(4): 205-212
楊惇祺(2003). 成人口腔保健及牙科就醫行為之探討. 高雄醫學大學口腔衛生科學研究所碩士論文
楊瑞珍、蘇秀娟、潘愷、王凌節、周適宏(2001): 某護理學院新生口腔健康狀況及口腔保健知識、態度、行為之探討. 醫護科技學刊3(2): 123-36
葉國樑(1996). 台北市國中學生垃圾分類行為意圖之研究. 衛生教育雜誌, 16: 1-19.
蔡佩珊(2001). 台北市某國中學生飲用含糖飲料行為及其影響因素之研究. 國立台灣師範大學衛生教育研究所碩士論文
廖正達(2003). 高雄縣桃源鄉四十歲以上成您人口腔健康狀況與健康危險因子相關探討. 高雄醫學大學碩士論文
劉玉菁(1999). 以自我效能, 社會支持探討某工廠吸菸員工之戒菸行為, 國立台灣大學護理學研究所碩士論文.
劉俐蓉(2003). 台北市立士林國中學生中重度身體活動量、運動階段及其相關因素之研究. 國立台灣師範大學衛生教育研究所碩士論文
劉翠薇(1995). 北縣某商專學生運動行為及其影響因素之研究. 國立台灣師範大學衛生教育研究所碩士論文
鄭智遠(1996). 高雄市大學生口腔狀況與其口腔衛生知識, 態度和行為之探討研究. 高雄醫學院口腔衛生科學研究所碩士論文.
鄭麗美(2003). 牙醫師人口比與民眾牙科就醫行為比較之探討-以台中縣為例. 高雄醫學大學口腔衛生科學研究所碩士論文
歐曉蓁(1995). 台北縣某國中男生嚼檳榔行為研究. 國立台灣師範大學衛生教育研究所碩士論文.
聶啟美(1998). 某國小學童母親低脂飲食行為及其影響因素之研究. 國立台灣師範大學衛生教育研究所碩士論文
鍾東蓉(2000). 台北市立高中導師運動行為及其影響因素調查研究. 國立台灣師範大學衛生教育碩士論文.
鍾美雲(1994). 某國小六年級學童西式速食攝食行為之意圖研究. 國立台灣師範大學衛生教育研究所碩士論文.
蕭雅娟(2000). 衛生教育方案介入對婦女執行乳房自我檢查之影響. 國立台灣師範大學碩士論文
蘇鳳足(2004). 台北縣某高職學生降低脂肪攝取飲食行為及其影響因素之研究. 國立台灣師範大學衛生教育研究所碩士論文
英文部分
Ahlqwist M, Bengtsson C, Grondahl H-G,& Lapidus L(1991) Social factors and tooth loss in a 12-year follow-up study of women in Gothenburg, Sweden. Community Dent Oral Epidemiol. 19: 141-6
Astrom AN., & Rise J.(1996) Analysis of adolescents’ beliefs about the outcome of using dental floss and drinking non-sugared mineral water. Community Dentistry & Oral Epidemiology. 24(3): 211-16.
Astrom AN., & Jakobsen R.(1996) The effect of parental dental health behavior on that of their adolescent offspring. Avta Odontologica Scandinavica. 54(4): 235-41.
Baelum V, Luan W-M, Chen X,& Fejerskov O(1997) Predictors of tooth loss over 10 years in adult and elderly Chinese. Community Den Oral Epidemiol. 25: 204-10
Bandura A.(1986) Social Learning Theory, N. J.: Prentice- Hall.
Barrera M, Sandier IN, & Ramsay TB.(1981) Preliminary development of a scale of social support: studies on college students. American Journal of Community Psychology. 9(4): 435-77
Becker MH.(1974) The health belief model and sick role behavior. Health Education Monographs. 2(4): 409-19
Bruhn JG., & Philips BU.(1984) Measuring social support: A synthesis of current approaches. Journal of Behavior Medicine. 7(2): 151-69
Calnan M, Almond S, & Smith N.(2003) Ageing and public satisdaction with the health service: an analysis of recent trends. Social Science & Medicine. 57,757-62.
Chen M.S, & Hunter P.(1996) Oral health and quality of life in New Zealand: a social perspective. Soc Sci Med. 43(8): 1213-22
Chestnutt. I.G, Binnie. V.I,& Taylor. M.M.(2000) Reasons for tooth extraction in Scotland. Journal of Dentistry. 28: 295-97
Copeland LB, Krall A, Brown LJ, Garcia RI,& Streckfus CF.(2004) Predictors of tooth loss in two US adult populations. Journal of Public Health Dentistry. 64(1): 31-37
Corah NL.(1969) Development of a Dental Anxiety Scale. Journal of Dental Research. 48: 96
Corah NL, O’Shea RM, Pace LF,& Seyrek SK.(1984) Development of a patient measure of satisfaction with the dentist: The Dental Visit satisfaction Scale. J Behav Med. 7: 367-73
David L., Cathy LW & Paul Lang(1996): Usefulness of multiple equation predicting preventive oral health behaviors. Health Education Quarterly. 23(4): 512-27.
Davis A, & Ware J.(1981) Measuring patient satisfaction with dental care. Social Science and Medicine. 15: 751-60
Dzewaltowski, DA.(1989) Toward a model of exercise motivation. Journal of sport and exercise Psychology. 11:251-69.
Elias A.C, & Sheiham A.(1999) The relationship between satisfaction with mouth and number, position and condition of teeth: studies in Brazilian adults. Journal of oral rehabilitation. 26: 53-71
Ekanayake L,& Mendis R.(2002) Self reported use of dental services among employed adults in Sri Lanka. International Dental Journal. 52: 151-55
Ettinger RL.(1984) Clinical decision making in the dental treatment of the elderly. Gerodontology. 3,157.
Fredricks AJ. & dossett DL.(1983) Attitude-behavior relations: a comparison of the Fishbein-Ajzen and the Bentler-Speckart models. Journal of Personality and Social Psychology. 45(3): 501-12.
Freeman R., Maizels J., Wyllie M. & Sheiham A. (1993): The relationship between health related knowledge, attitudes and dental health behaviors in 14-16-year-old adolescents. Community Dental Health. 10(4): 397-404.
Gilbert GH, Duncan RP, Crandall LA, Heft MW,& Ringelberg ML(1993) Attitudinal and behavioral characteristics of older Floridians with tooth loss. Community Dent Oral Epidemiol. 21:384-9
Gilbert GH, RP Duncan, MW Heft, & RT Coward.(1997) Dental health attitudes among dentate black and white adults. Medical Care. 35(3): 255-71
Gilbert GH, Duncan RP, Brent J.,& Shelton.(2003) Social determinants of tooth loss.Health Services Research. 38(6): 1843-60
Gilbert GH, GR Shan, BJ Shelton, MW Heft, EH Bradford Jr, & LS Chavers.(2002) Racial Differences in predictors of dental care use. Health Services Research. 37(6): 1487-507
Hakeberg M & Berggren U.(1992) Prevalence of dental anxiety in an adult population in a major urban area in Sweden. Commun Dent Oral Epidemiol. 20, 97.
Hamilton ME.,& Coulby WM. (1991): Oral health knowledge and habits of senior elementary school students. Journal of Public Health Dentistry. 51(4): 212-9
Hand JS, Hunt RJ,& Kohout JF.(1991) Five-year incidence of tooth loss in Iowans aged 65 and older. Community Dent Oral Epidemiol. 19: 48-51
Hanson BS, Liedberg B,& Owall B(1994). Social network, social support and dental status in elderly Swedish men. Community Dent Oral Epidemiol. 22: 331-7
Heaney CA, & Israel BA.(1997) Social network and social support. In Glanz K, Lewis F, Rimer BK. (Eds.), Health Behavior and Health Education. pp. 179-202. San Francisco: Jossey-Bass.
Heft MW, & Gilbert GH.(1991) Tooth loss and caries prevalence in older Floridians attending senior activity center. Community Dent Oral Epidemiol. 19: 228-32
Horst G,& Amsterdam C.(1993) Review of behavior research in dentistry 1987-1992: dental anxiety, dentist-patient relationship, compliance and dental attendance. International Dental Journal. 43: 265-78
Hunt RJ, Hand JS, Kohout FJ,& Beck JD.(1988) Incidence of tooth loss amoung elderly Iowans. Am J Public Health. 78: 1330-2
Janz NK,& Becker MH.(1984) The health belief: a decade later. Health Education Quarterly. 11(1): 1-47
Jones RE.(1990) Understanding paper recycling. Doctoral dissertation, Washington State University.
Kalsbeek H, Truin GJ, Burgersdi JK, RCW,& Van’t Hof MA.(1991) Tooth loss and dental caries in Dutch adults. Community Dent Oral Epidemiol. 19: 201-4
Kasen S., Vaughan RD.& Walter HJ.(1992) Self-efficacy for AIDS preventive behaviors among tenth grade students. Health education Quarterly. 19(2): 187-202.
Kassak KM., Dagher R.& Doughan B. (2001): Oral hygiene and lifestyle correlates among new undergraduate university students in Lebanon. Journal of American College Health. 50(1):15-20
Kiayak HA.(1989) Reducing barriers to older person’s use of dental services. International Dental Journal. 39, 95.
Lindsey AM.(1988) Social support:Conceptualizations and measurement instruments. In Marilyn, F.K(ed.) Instrument for Clinical Nursing Research. Appleton & Lange. Press. 107-110
Lo ECM & Schwarz E.(1998) Determinants for dental visit behavior among Hong Kong Chinese in a longitudinal study. Journal of Public Health Dentistry . 58(3): 220-27
Locker D,& Liddell A.(1991) Correlates of dental anxiety among older adults. Journal of dental Research. 70: 198-203
Locker D, Liddell A.,& Burman D.(1991) Dental fear and anxiety in an older adult population. Commun Dent Oral Epidemiol. 19, 120.
Locker D, Shapiro D,& Lindell A.(1996) Negative dental experience and their relationship to dental anxiety. Community Dental Health. 13: 86-92
Macgregor ID., Balding JW.& Regis D. (1998): Flossing behavior in English adolescents. Journal of Clinical Periodontology. 25(4): 291-6
Macrae FA, Hill DJ, St John DJB, Ambikapathy A,& Garner AF.(1984) Predicting colon cancer screening behavior from health belief. Preventive Medicine. 13: 115-26
Maddux JE.(1995) Tracking of physical activity and physical fitness across the lifespan. Research Quarterly for Exercise and Sport, 78, 48-57
Maupome G,& Macentee MI.(1998) Prosthodontic profiles relating to economic status, social network, and social support in an elderly population living independently in Canada. J Prosthet Dent. 80: 598-604
McCaul L.K, Jenkins W.M.M,& Kay E.J(2001). The reasons for the extraction of various tooth type in Scotland: a 15-year follow up. Journal of dentistry. 29: 401-7
McGrath C,& Bedi R.(2001) Can dentures improve the quality of life of those who have experienced considerable tooth loss? Journal of Dentistry. 29: 243-46
McGrath C,& Bedi R. (2002)Severe tooth loss among UK adults- who goes for oral rehabilitation? Journal of Oral Rehabilitation. 29:240-44
McGrath C,& Bedi R.(2002) Influences of social support on the oral health of older people in Britain. Journal of Oral Rehabilitation. 29:918-22.
Mendoza AR, Newscomb GM,& Nixon KC.(1991) Compliance with supportive periodontal therapy. J Periodont. 62: 731-36
Milgrom P, Fiset L, Melnick S,& Weinstein P.(1988) The prevalence and practice management consequences of dental fear in a major US city. J of American Dental Association. 116: 641-47
Miller Y,& Locker D.(1994) Correlates of tooth loss in a Candian adult population. 60(6): 549-555
Miller YD., Trost SG., & Brown WJ.(2002) Mediators of physical behavior change among women with young cjildren. American Journal of Preventive Medicine. 23(2): 8-103.
Moore R., Birn H., Kirkegaard E., Brodesgaard I.,& Scheutz F.(1993) Prevalence and characteristics of dental anxiety in Danish adults. Community Dental Oral Epidemiol. 21, 292.
Moore R., Brodesgaard I.,&Birn H.(1991)Manifestations, acquisition and diagnostic categories of dental fear in a self-referred population. Behav Res Ther. 29,51
Myer RE.,& Ross ES.(1994) Modeling adherence to colorectal cancer screening. Treventive Medicine. 1(23): 142-151.
Neverlien PO.(1990) Normative data for Corah’s dental anxiety scale(DAS) for the Norwegian adult population. Commun. Dent. Oral Epidemiol.18,162.
Paulander J, Axelsson P,& Lindhe J.(2003) Association between level of education and oral health status in 35-, 50-, 65- and 75-year-olds. J Clin Periodontol. 30: 697-704
Rodgers, WM.,& Brawlet LR.(1996) The influence of outcome expectancy and self-efficacy on the behavioral intentions of novice exercisers. Journal of Applied Psychology. 26(7), 618-34
Rosenstiel, Land,& Fujimoto.(1995) Contemporary fixed prosthodontics 2nd edition. Mosby
Rosenstock IM.(1974) Historical origins of the health belief model. Health Education Monographs. 2(4): 328-35
Sallis JF., Hovell MF., Hofstetter VR.,& Barrington E(1992). Explantation of vigorous physical activity during two years using social learning variables. Social science abd Medicine. 34(1): 25-32.
Sheeshka JD.,& Woolcott DM.(1993) Social cognitive theory as a framework to explain intentions to practice healthy eating behaviors. Journal of applied social psychology. 23(19): 1547-73.
Steele JG, Sanders AE, Slade GD, Allen PF, Lahti S, Nuttall N,& Spencer AJ.(2004) How do age and tooth loss affect oral health impacts and quality of life? A study comparing two national samples. Community Dent Oral Epidemiol. 32:107-14
Stewart JE, Wolfe GR, Maeder L,& Hartz GW.(1996) Changes in dental knowledge and self-efficacy scores following interventions to change oral hygiene behavior. Patient Education and Counseling. 27: 269-77
Suominen-Taipale AL, Widstrom E, Alanen P,& Uutela.(2000) Trends in self- reported use of dental services among Finnish adults during two decades. Community Dental Health. 17: 31-37
Tedesco LA., Keffer MA. & Fleck- Kandath C.(1991) Self-efficacy, reasoned action, andoral health behavior reports: a socialcognitive approach to compliance. Journal of Behavioral Medicine. 14(4):341-55
Tennstedt SL, Brambilla DL, Jette AM & McGuire SM.(1994) Understanding dental service use by older adults: Sociobehavioral factors vs need. Journal of Public Health Dentistry. 54(4): 211-19
Thomas LS., Bruce WT.,& Kevin C.(1992) An investigation of the patterns of self-efficacy, outcome expectation, outcome value, and performance across trials. Cognitive Therapy and Research. 16(3): 329-48.
Ugur ZA & Gaengler P.(2002) Utilization of dental services among a Turkish population in Written, Germany. International Dental Journal. 52: 144-50
Viglid M.(1989) A proposed model for oral health care for elderly in nursing homes with an estimate of the resources needed. Acta Odontologica Scandinavica. 47,199.
Walter, Wolf BH, Rieger C.& Boening KW.(2001) Prosthetic treatment need in a representative German sample. J of Oral Rehabilitation. 28: 708-16
Ward SE. Characterizing adolescent eating behaviors with Bandura’s social learning theory. University of Virginia. Unpublished dissertation.
Zimmerman R.(1998) The dental appointment and patient behavior. Differences in patient and practitioner preferences, patient satisfaction, and adherences. Medical Care. 26: 403-14