查詢結果分析
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頁籤選單縮合
題名 | A Test of the Bruhn and Parcel Model of Health Promotion=「Bruhn和Parcel健康促進模式」之測試 |
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作者 | 邱慧洳; | 書刊名 | The Journal of Nursing Research |
卷期 | 13:3 民94.09 |
頁次 | 頁184-196 |
分類號 | 429.5 |
關鍵詞 | 雙親影響力; 青少年發展特色; 遵從行為; 第一型糖尿病; 模式測式; Parental influences; Adolescents' developmental characteristics; Adherence; Type 1 diabetes; Model testing; |
語文 | 英文(English) |
中文摘要 | 本研究的目的為測試「Bruhn和Parcel健康促進模式」(BPMHP)(1982),此模式指出家庭影響力與兒童之發展特色會影響兒童之健康行為。本研究係採描述性與相關性研究調查法,研究者根據「糖尿病青少年受益計劃」之研究對象--117位第一型糖尿病青少年-之資料進行二度分析。結構方程式分析顯示雙親的態度較佳與採用正向的溝通模式,青少年會出現較高的自我效力與較少的憂鬱症狀,而青少年若有較高的自我效力與較少的憂鬱症狀,則會出現較高之遵從行為;但是,雙親態度與溝通模式則不會直接影響青少年的遵從行為。本研究之結果並沒有完全支持「Bruhn和Parcel健康促進模式」。此外,反映發展特色的指標--年齡、田納分期--被排除於“青少年發展特色”此一概念外,因此BPMHP (1982)中所稱的“發展特色”也許該稱之為“心理社會特色”較恰當。為了更進一步探討BPMHP (1982)的效度,日後仍須以研究再次測試此概念架構。 |
英文摘要 | The purposes of this study were to test the Bruhn and Parcel Model of Health Promotion (BPMHP) (1982), which explains how family influences and children's developmental characteristics interact to affect child health behaviors. The descriptive, correlational study was conducted using secondary data from the 117 adolescents included in Adolescents Benefit from Control of Diabetes Study. The results of structural equation modeling analysis indicated that greater parental modeling and positive parental interaction patterns were correlated with higher self-efficacy and lower levels of depressive symptoms among adolescents, which had a direct impact on better adherence. However, more parental modeling and interaction patterns did not have a separate direct effect on better adherence. Thus, the model generated by our data was significantly different from and so only partially supportive of the original BPMHP (1982). In addition, age and Tanner stages that can reflect changes in developmental characteristics were deleted from the concept called "developmental characteristics" in the BPMHP (1982), it may be that that concept should have been termed "psychosocial characteristics" rather than "developmental characteristics". In order to further explore the validity of the BPMHP (1982), future studies should be conducted to re-test this model. |
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