健康信念模式創始於1950年代初期,當時美國公共衛生部門發現民眾普遍沒有疾病預防的觀念。於是為瞭解民眾對預防性健康行為的看法並促進民眾參與早期疾病篩檢計畫,Rosenstock等社會心理學家應用場域理論的概念並整合彼此的研究結果,提出健康信念模式。迄今,健康信念模式已被廣泛使用於醫療及衛生教育等領域,用以解釋及預測個人信念與健康相關行為之間的關係。護理人員位健康照護體系最前線,瞭解理論的發展背景與主要假說對提供符合理論概念的照顧至關重要。本文透過闡述Rosenstock健康信念模式理論發展的背景、目的、主要假說及概念,同時說明其在護理領域的應用,期待將更助於護理人員對Rosenstock健康信念模式的理解,並提供更有效的健康照顧。
The Health Belief Model was established in the early 1950s in response to the U.S. Public Health Service struggles with the effectiveness of disease prevention and screening efforts. To address this challenge, Rosenstock and other social psychologists applied the concepts of field theory to this domain and integrating their research findings to introduce the Health Belief Model, to explain and predict the relationship between individuals' beliefs and preventive health behaviors. To date, the Health Belief Model has found widespread use in various professional fields, including medicine and health education, to elucidate and forecast the relationship between personal beliefs and health-related behaviors. Nurses are at the forefront of the healthcare system, and it is crucial for them to understand the theoretical development background and major assumptions of the Health Belief Model. This understanding is essential for delivering care and nursing guidance that aligns with the theoretical concepts. Therefore, this article elucidates the historical background, purpose, main hypotheses, and concepts of Rosenstock's Health Belief Model while also explains its applications in the nursing field. It is expected that this article will enhance nurses' comprehension of the Rosenstock Health Belief Model, thereby facilitating more effective healthcare delivery.