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博碩士論文 etd-0725116-233147 詳細資訊
Title page for etd-0725116-233147
論文名稱
Title
探討死亡焦慮與健康相關因素對於傳染病健康預防行為之影響
The Effects of Death Anxiety and Health-Related Factors on Health Prevention of Communicable Diseases
系所名稱
Department
畢業學年期
Year, semester
語文別
Language
學位類別
Degree
頁數
Number of pages
110
研究生
Author
指導教授
Advisor
召集委員
Convenor
口試委員
Advisory Committee
口試日期
Date of Exam
2016-08-18
繳交日期
Date of Submission
2016-08-31
關鍵字
Keywords
健康預防行為、死亡焦慮、健康意識、健康控制歸因
health prevention, health locus of control, death anxiety, health consciousness
統計
Statistics
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The thesis/dissertation has been browsed 5935 times, has been downloaded 60 times.
中文摘要
傳染病無國界的大流行,為最重大的衛生安全問題,顯示傳染病與國家安全及經濟競爭力的重要性,健康預防行為對於傳染病的預防與死亡率的降低是不可或缺的因素之一。本研究主要目的是結合「恐懼管理理論」、「健康控制歸因理論」與「預防性健康照護行為模式」,以探討個人面臨生命受到威脅引發的死亡焦慮、健康意識、健康控制歸因(內在/外在/機運)與健康預防行為之關係。本研究運用便利取樣的問卷調查方法,於高雄國際航空站大廳進行問卷調查,共計收取316位旅客,採用自填式問卷,問卷內容包含健康控制歸因、健康意識、死亡焦慮、健康預防行為,利用SPSS 20.0軟體進行層級迴歸分析驗證假說。研究結果顯示,當旅客的死亡焦慮感較高時,健康預防行為較高;而死亡焦慮感較低時,健康預防行為則較低。旅客的健康意識對健康預防行為有正向顯著影響,旅客的健康意識愈高,健康預防行為愈佳。內在健康控制歸因、重要他人健康控制歸因會正向顯著的影響旅客的健康預防行為,而機運健康控制歸因者有負向的健康預防行為。此外,本研究發現文獻的缺口,加入健康控制歸因、健康意識因素來探討不同型態的健康控制歸因、健康意識的程度與死亡焦慮對健康預防行為的調節效果。實證顯示機運健康控制歸因對死亡焦慮與健康預防行為之關係具有調節效果;旅客的健康意識對死亡焦慮與健康預防行為之關係亦具有調節效果。最後,本研究的結果在衛生政策管理實務的意涵上,可提供公共衛生的健康宣導、健康預防行為與健康促進領域之參考,運用死亡焦慮強化民眾對傳染病的認知,非柔性衛生教育宣導的方式,將民眾對死亡焦慮的引發、針對不同健康控制歸因的型態傾向、健康意識的強化,來提升民眾的健康預防行為。
Abstract
Objectives: According to the integration of terror management theory, health locus of control, and the preventive health care behavior model, the study presented a health promotion perspective on exploring how health consciousness and health locus of control have an impact on the relationships between death anxiety and health prevention behavior. Methods: Three hundred and sixteen passengers participated in this study at an international airport and were asked to fill out questionnaires including questions on death anxiety, health consciousness, health locus of control, and health prevention. Results: The results showed that death anxiety was positively related to health prevention behavior. Besides, health consciousness and chance health locus of control would moderate the effect of death anxiety on health prevention behavior. That is, when passengers had lower level of health consciousness or higher level of chance health locus of control, death anxiety would reinforce them to perform more health prevention behaviors. Conclusions: The study contributes to a better understanding of how death anxiety concerns, health locus of control, and health consciousness are related to health prevention behavior. Therefore, this study provided support to develop strategies to facilitate health promotion for the prevention and control of communicable diseases.
目次 Table of Contents
目錄
論文審定書 i
誌 謝…. ………………………………………………………………………ii
中文摘要 iii
Abstract………………… iv
圖次……………. x
表次……………. xi
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 4
第二章 概念性架構與假設 5
第一節 健康預防行為 5
一、 傳染病與全球化之健康議題 5
二、 健康預防行為 8
第二節 恐懼管理理論相關研究 12
一、 恐懼管理理論 12
二、 死亡焦慮 14
第三節 健康控制歸因理論相關研究 16
第四節 健康意識相關理論研究 21
第五節 探討健康預防行為、死亡焦慮、健康控制歸因與健康意識之間的關係 23
第三章 研究方法 26
第一節 研究架構 26
第二節 研究變數的操作性定義與測量工具 27
一、 測量工具之效度 27
二、 研究變數的操作性定義與測量工具 28
第三節 抽樣與資料蒐集方法 31
一、 研究對象 31
二、 資料蒐集過程 31
第四節 資料處理方法 32
一、 描述性統計 32
二、 獨立樣本t檢定 32
三、 單因子變異數分析 32
四、 信度分析 33
五、 相關分析 33
六、 層級迴歸模式(hierarchical regression models) 34
第四章 研究結果與分析 35
第一節 樣本結構分析 35
第二節 量表信度與結果之分析 38
一、 量表信度分析 38
二、 旅客對死亡焦慮的衡量方面 39
三、 旅客對健康控制歸因的衡量方面 40
四、 旅客對健康意識衡量方面 42
五、 旅客對健康預防行為的衡量方面 43
第三節 人口學變項與各變項之差異性分析 44
一、 死亡焦慮在人口學變項上之差異性分析 44
二、 健康控制歸因在人口學變項上之差異性分析 46
三、 健康意識在人口學變項上之差異性分析 52
四、 健康預防行為在人口學變項上之差異性分析 54
第四節 相關分析 56
第五節 假設檢定 57
一、 死亡焦慮會正向影響健康預防行為 57
二、 健康控制歸因型態會影響健康預防行為 59
三、 健康意識會正向影響健康預防行為 60
四、 健康控制歸因會調節死亡焦慮與健康預防行為之間的關係 61
五、 健康意識會調節死亡焦慮與健康預防行為之間的關係 64
第五章 討論與建議 67
第一節 旅客的死亡焦慮、健康控制歸因、健康意識與健康預防行為之影響 67
一、 人口學變項與各變項之關係 67
二、 死亡焦慮與健康預防行為之影響 68
三、 健康控制歸因與健康預防行為之影響 69
四、 健康意識與健康預防行為之影響 71
第二節 旅客的健康控制歸因、健康意識對死亡焦慮與健康預防行為之調節影響 72
一、 健康控制歸因對死亡焦慮與健康預防行為之間的調節效果 72
二、 健康意識對死亡焦慮與健康預防行為之間的調節效果 74
第三節 結論 75
第四節 建議 76
第五節 研究限制與未來研究建議 78
參考文獻 79
一、中文部份 79
二、英文部份 83
附錄一………….. 91
附錄二…………… 94
附錄三………. 95
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