高中體重過重新生代謝症候群預防行為之研究--健康信念模式之應用

A study on the metabolic syndrome preventive behavior of the overweight students in senior high school— The application of Health Belief Model

何唯美(Wei-Mei Ho)

指導教授 ： 賴香如

國立臺灣師範大學/教育學院/健康促進與衛生教育學系/碩士(2012年)

摘要

本研究旨在探討高中體重過重新生代謝症候群預防行為與背景變項、健康信念、行動線索及自我效能的關係。以臺北市四行政區之公立高中體重過重新生為母群體，採分層隨機抽樣法抽出樣本，再以結構式自填問卷進行調查，總計發出424份問卷，得有效問卷306份，回收率72.2％。本研究結果如下：
一、 研究對象從事預防代謝症候群行為的得分（45.24分）高於中間值，顯示其預防行為偏正。
二、 研究對象之「代謝症候群知識」為中等程度（68.9％），自覺代謝症候群嚴重性和利益性偏高，但罹患性和預防代謝症候群自我效能偏低，且預防代謝症候群的行動線索偏少（x= 3.86），主要以電視和媒體為主。
三、 研究對象預防代謝症候群行為與自覺代謝症候群罹患性（r= -.176）及障礙性（r= -.365）呈負相關，但與代謝症候群知識（r= .145）、自我效能呈正相關（r= .406）。
四、研究對象背景變項、健康信念、行動線索及自我效能可共同解釋預防代謝症候群行為28.4％的變異量，其中重要變異量為性別、父親職業、代謝症候群知識、預防代謝症候群的障礙性及自我效能，又以自我效能影響力最高。

關鍵字

代謝症候群 ； 自我效能 ； 健康信念模式

並列摘要

Based on Health Belief Model, this study explored the relationships between background, health beliefs, cues to action, self-efficacy and metabolic syndrome prevention behaviors. The subjects were selected from overweight students in public senior high schools in four administrative regions of Taipei by stratified random sampling. The data was collected through structured questionnaires, a total of 424 questionnaires distributed and 306 effective ones returned, with a return rate of 72.2%. The results of this study are:
1. The prevention behavior of metabolic syndrome of the subject (45.24) was higher than median showing a positive preventive behavior.
2. The knowledge of metabolic syndrome among the subjects was moderate (68.9％). The scores of the perceived severityand the perceived benefits of metabolic syndrome were high, but the scores of perceived susceptibility and self-efficacy of metabolic syndrome were e low. The cues to action of metabolic syndrome preventive behavior were less than 4, and television and media were the main resources.
3. Metabolic syndrome preventive behavior was negatively correlated with the perceived susceptibility (r= -.176) and the perceived barriers (r= -0.365). But the preventive behavior was positively correlated with the knowledge (r= .145) and self-efficacy (r= .406).
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4. Background variables, health beliefs, cues to action, and self-efficacy could explain 28.4% variance of the preventive behavior. The significant predictors were gender, father’s occupation, knowledge, the perceived barriers, and self-efficacy, and self-efficacy was the most important one.

並列關鍵字

Metabolic syndrome ； self-efficacy ； Health Belief Model

參考文獻

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