以PRECEDE模式分析老人健康檢查的行為

Utilizing the PRECEDE Model to Predict Health Examination Behavior of the Elderly

邱啟潤(Chii-Jun Chiou) ； 吳瓊滿(Chiung-Man Wu) ； 王瑞霞(Ruey-Hsia Wang) ； 李淑婷(Sue-Ting Lee)

《The Kaohsiung Journal of Medical Sciences》 15卷6期 (1999/06) Pp. 348-358

https://doi.org/10.6452/KJMS.199906.0348

摘要

由於老人健檢有其健康上的意義與必要性，但健檢率卻一直在30%以下，因此本研究希望以PRECEDE模式來探討預測老人健檢的機要因素，以求改善之道。研究道象來自高雄市11個行政區，採配額隨機抽出1200位研究對象及備用樣本，由已訓練之訪員利用家訪完成1193份問卷。樣本的性別、年齡、健檢率與母群體資料經檢定是具有代表性。研究發現PRECEDE模式的個人前置因素、家庭增強因素、政府的促成因素，可以用來預測老人的健檢行為，主要包含有下七個變項，即個人前置因素中的「罹患慢性病數目」、「健檢的認知」、過去曾做的檢查、和「平日的保健行為」；政府促成因素中的「健康服務的宣導」和「健檢服務的方便性」；增強因素中的「家人對健檢的態度」 。因此，吾人將從學術研究、實務變羷、行政措施等各方面找出因應之道。

並列摘要

Health examination of the elderly itn Taiwan, the reported rates of health examination of the elderly were always below30%. In order explore the predictors related to the behavior of health examination of the elderly, the PRECEDE model was adopted for this study. Both the 1200participants had been completed by home interview. Sample size was based on the distribution of the elderly in the whole city and the stratified sampling method was applied. There was no significant difference after comparing the rates of gender, age and examination between sample and population. The results showed that seven factors could be used to predict the behavior of health examination of the elderly. In the individual predisposing factors, “numbers of chronic diseases”, “knowledge of health examination”, and “health promotion be havior” were related to the behavior of health examination of the elderly. In
The reinforcing factors, “attitude of family members for health examination”, and in enabling factors “the guide and the convenience of health-exmained services” also showed significantly affecting examination behavior. Therefore, referring to the improvement to be the examination rate, we can interverne or do something throught academic, practical and administrative approaches.

並列關鍵字

elderly ； health examination ； PRECEDE model