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桃園市幼兒園家長對孩童使用3C產品的視力保健行為及其相關因素研究:健康信念模式之應用

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桃園市幼兒園家長對孩童使用3C產品

的視力保健行為及其相關因素研究:

健康信念模式之應用

楊心慈

*

陳政友

**

摘要

本研究採橫斷性調查研究法,探討桃園市幼兒園家長對孩童使用3C產品 的視力保健行為及其相關因素。以立意取樣的方式,選擇三所103學年度就讀 桃園市幼兒園之孩童家長為研究對象。利用自編結構式問卷進行資料蒐集, 獲得有效問卷524份。研究發現,研究對象對孩童使用3C產品的視力保健知 識、對孩童使用3C產品而患眼疾之自覺罹患性、自覺嚴重性、視力保健自覺 有效性、視力保健行動線索、視力保健自我效能及視力保健行為整體來說屬 中上程度,且視力保健自覺障礙性亦不高,屬中下程度;研究對象中,以高 社經地位者對孩童使用3C產品的視力保健行為執行度較佳。而孩童平均每日 使用3C產品時間與其視力保健行為呈顯著負相關,對孩童使用3C產品的視力 保健知識、視力保健健康信念、視力保健行動線索、視力保健自我效能與其 健康促進與衛生教育學報 第 44 期,頁 35-64,2015 年 12 月

Journal of Health Promotion and Health Education No. 44, pp. 35-64, December 2015 * 國立臺灣師範大學健康促進與衛生教育學系研究生 ** 國立臺灣師範大學健康促進與衛生教育學系教授(通訊作者),E-mail: t09004@ntnu. edu.tw 通訊地址:臺北市和平東路一段162號,聯絡電話:02-77341709 投稿日期:104年8月17日;修改日期:104年10月3日;接受日期:104年10月15日 DOI: 10.3966/207010632015120044002 04-2_陳政友_p035-064.indd 35 2016/1/20 上午 09:57:47

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36

健康促進

衛生教育

學報 第 44 期 視力保健行為皆呈顯著正相關;研究對象背景變項、對孩童使用3C產品的視 力保健健康信念、視力保健行動線索及視力保健自我效能能有效預測其視力 保健行為,並可解釋其總變異量之43.9%。在各預測變項互相控制後,孩童 平均每日使用3C產品時間愈短者、對孩童使用3C產品而患眼疾之自覺障礙性 愈低者、對孩童使用3C產品的視力保健行動線索愈多者及視力保健自我效能 愈高者,對孩童使用3C產品的視力保健行為執行度愈佳。本研究建議相關單 位應舉辦視力保健研習或親職講座,以及推動孩童定期視力檢查,進而提升 家長對孩童使用3C產品的視力保健行為。 關鍵詞:3C產品、幼兒園家長、視力保健行為、健康信念模式 04-2_陳政友_p035-064.indd 36 2016/1/20 上午 09:57:47

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學報 第 44 期

參 考 文 獻

一、中文部分

王瑞霞(1995)。國小學童健康行為及其相關因素探討。臺北市:中華民國行政 院國家科學委員會。 吳翠珍(2009)。2009年全國兒童媒體使用行為調查報告。臺北市:富邦文教基 金會。 沈希哲、陳政友、劉婉柔、黃世欣、盧玉玫、蔡宛珊、謝雅萍(2008)。臺北縣 家長對學童採取近視預防行為及其相關因素研究。健康促進暨衛生教育雜 誌,28,83-110。 邱惠絹(2014)。幼兒的視力保健知識與3C產品使用行為之研究—以新北市 六所幼兒園為例(未出版之碩士論文)。亞洲大學,臺中市。 陳雅文(2009)。健康信念模式應用於大學生隱形眼鏡保健行為及相關因素研 究—以國立臺灣師範大學為例(未出版之碩士論文)。國立臺灣師範大 學,臺北市。 教育部(2014)。視力保健實務工作手冊。教學資源—視力保健。取自http:// hpshome.giee.ntnu.edu.tw/Document/Document.aspx?mtype=4&type=67 教育部統計處(2015)。性別統計指標彙總性資料:學生—幼兒園幼生數—按 性別與學校所在縣市別分。取自https://stats.moe.gov.tw/files/gender/101-2.xls 彭秀英(2011)。學齡前兒童家長實施幼童近視防治行為與其相關因素研究。學 校衛生,58,83-102。 黃松元、林武雄、黃琪璘、陳政友、劉貴雲、王幼金、賴香如(1990)。影響臺 北市國小學童健康生活危險因子研究。臺北市衛生局與國立臺灣師範大學衛 生教育學系之研究報告。臺北市:國立臺灣師範大學衛生教育學系。 黃美溶(2003)。兒童近視與父母的知識態度行為相關因素探討(未出版之碩士 論文)。中國醫藥學院,臺中市。 04-2_陳政友_p035-064.indd 60 2016/1/20 上午 09:57:49

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楊心慈、陳政友 桃園市幼兒園家長對孩童使用3C產品的視力保健行為及其相關因素研究:健康信念模式之應用

61

黃淑貞、姜逸群、賴香如、洪文綺、陳曉玟、邱雅莉、袁寶珠(2003)。臺灣地 區國小學童健康行為現況及其與社會人口學變項之相關研究。衛生教育學 報,19,23。 劉乃昀、陳政友(2008)。臺北市家長對學童採取近視防治行為及其相關因素研 究—健康信念模式之應用。學校衛生,52,13-35。 衛生福利部國民健康署(2014)。近視歷年流行病學調查結果。取自http://www. hpa.gov.tw/BHPNet/Web/HealthTopic/TopicArticle.aspx?No=200712250418&par entid=200712250086 蘇巧雲(2010)。臺中縣主要照顧者視力保健態度與幼兒視力保健行為之相關研 究(未出版之碩士論文)。國立臺中教育大學,臺中市。 蘇雅慧(2009)。臺中縣市幼兒使用電腦現況及家長對幼稚園電腦融入教學態度 之調查研究(未出版之碩士論文)。國立臺中教育大學,臺中市。

二、英文部分

Algvere, P. V., Marshall, J., & Seregard, S. (2006). Age-related maculopathy and the impact of blue light hazard. Acta Ophthalmologica Scandinavica, 84(1), 4-15. American Academy of Pediatrics. (2013). Children, adolescents, and the media.

Pediatrics, 132(5), 4.

Champion, V. L., & Skinner, C. S. (2008). The health belief model. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory,

research, and practice (pp. 45-66). San Francisco, CA: Jossey-Bass.

Common Sense Media. (2013). Zero to eight: Children’s media use in America 2013. San Francisco, CA: Author.

Gerr, F., Marcus, M., & Monteilh, C. (2004). Epidemiology of musculoskeletal disorders among computer users: Lesson learned from the role of posture and keyboard use. Journal of Electromyography and Kinesiology, 14, 7.

Gillespie, R. M., Nordin, M., Halpern, M., Koenig, K., Warren, N., & Kim, M. (2006). CAKE (Computers and kids’ ergonomics): The musculoskeletal impact

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of computer and electronic game use on children and adolescents (Unpublished

doctoral dissertation). New York University, New York, NY.

Harris, C., & Straker, L. (2000). Survey of physical ergonomics issues associated with school children’s use of laptop computers. International Journal of Industrial

Ergonomics, 26, 10.

Ip, J. M., Huynh, S. C., & Robaei, D. (2007). Ethnic differences in the impact of parental myopia: Findings from a population-based study of 12-year-old Australian children. Investigative Ophthalmology & Visual Science, 48, 9.

Jacobs, K., & Baker, N. (2002). The association between children’s computer use and musculoskeletal discomfort. Work, 18, 6.

Jacobs, K., Hudak, S., & McGiffert, J. (2009). Computer-related posture and musculoskeletal discomfort in middle school students. Work, 32, 9.

Rosenstock, I. M. (1974). The health belief model and preventive health behavior.

Health Education Monographs, 2(4), 354-386.

Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15(2), 175-183.

Royster, B. (2002). A healthy approach to classroom computers: Preventing a generation of students from developing repetitive strain injuries. North Carolina

Law Review, 80, 40.

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Veldhuis, L., van Grieken, A., Renders, C. M., HiraSing, R. A., & Raat, H. (2014). Parenting style, the home environment, and screen time of 5-year-old children; the ‘be active, eat right’ study. Plos ONE, 9(2), 9.

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楊心慈、陳政友 桃園市幼兒園家長對孩童使用3C產品的視力保健行為及其相關因素研究:健康信念模式之應用

63

Study on the Parents’ Vision Care Behavior and

Its Related Factors Regarding the Usage of 3C

Products among the Kindergarden Children in

Taoyuan City, Taiwan: The Application of the

Health Belief Model

Hsin-Tzu Yang

*

Cheng-Yu Chen

**

Abstract

The main purpose of this study was to explore the parents’ vision care behavior and its related factors regarding the usage of 3C products among the kindergarden children in Taoyuan City with cross-sectional survey design. By using purposive sampling method, a sample of 644 parents of three kindergardens in Taoyuan City in 2014 academic year as the subjects of the study. Data collection with self-administered structured questionnaires, 524 valid questionnaires were obtained. The major findings of the study are as follows: Generally speaking, the findings were not bad that showed above the average scores in vision care knowledge, perceived susceptibility, perceived severity, perceived benefits of taking action, vision care cues to action, vision care self-efficacy, and vision care behavior among the subjects. Besides, the scores of perceived barriers of taking action were not high which below the average. In terms of the parents’ SES, the superior background participants had better vision care behavior than the others.

* Graduate Student, Department of Health Promotion and Health Education, National Taiwan Normal University

** Professor, Department of Health Promotion and Health Education, National Taiwan Normal University (Corresponding author), E-mail: [email protected]

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The average minutes of the children’s usage of 3C products in one day showed a significant negative correlation with vision care behavior. Vision care knowledge, vision care health beliefs, vision care cues to action, and vision care self-efficacy showed significant positive correlation with vision care behavior, respectively. The background variables, vision care health beliefs, vision care cues to action, and vision care self-efficacy could explain 43.9% of the total variance of vision care behavior. After controlling predict variables, it was found that the shorter the average minutes of the children’s usage of 3C products in one day, the lower the perceived barriers of taking action, the more the cues to action, and the more the self-efficacy, which could lead to the more positive vision care behavior. The study suggested that the related departments should hold vision care related curriculums or parent education programs and promote regular examination of visual acuity for children in order to upgrade parents’ vision care behavior regarding their children’s usage of 3C products.

Key words: 3C products, Parents of kindergarden, Vision care behavior, Health belief model

參考文獻

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