| Abstract: | 目的：國人普遍感受COVID-19的威脅，致使2020年特殊嚴重傳染性肺炎疫苗施打率高達91%，此種預防疾病行為，雖然與國人每年丟棄約193公噸、近5億顆藥的疾病管理行為結果大相逕庭，然而兩者皆經由個人心理環境決定個人在某種情境下的行為，因此本研究意欲評值民眾願意施打COVID-19疫苗行為及遵從醫囑行為的相關性，及探討兩者形成過程因子，以應用於未來健康計畫工作。方法：本研究係屬回溯性研究設計，研究對象為20歲以上且可自行回答問卷之成年者，應用「健康信念模式」為架構，針對成年人在網路社團發放具信校度線上問卷，共計回收/發放438/450份問卷。問卷內容除了基本資料外，包括「遵從疫苗施打行為」與「遵從藥物醫囑行為」各自的認知、信念、自我效能、與行動線索；統計部分則採用SPSS 22.0軟體進行描述性統計與推論性統計（i.e., 卡方檢定、單因子變異數分析、二元邏輯斯迴歸分析）。結果：研究初步發現「遵從疫苗施打行為」與「遵從藥物醫囑行為」兩者雖無直接相關性，然而若對疾病有較高的正確認識（P<0.05）、自我病識感較高（P<0.05）、及處於自覺身體健康狀況不佳的情境下（P<0.05），則對於藥物醫囑的遵從性越高。結論：本研究雖無法由「遵從疫苗施打行為」推論至「遵從藥物醫囑行為」，但證實了較佳的健康識能（i.e.,獲得、瞭解、評判及應用健康資訊），再加上外部線索與內部線索的動機，只需要一點點的罹患性認知，即可以跨越產生疾病管理行動的閾值，以達到促進或改善生命歷程中的健康生活品質。
Objective：Chinese people generally feel the threat of COVID-19, resulting in a vaccination rate as high as 91% in 2020. Although this kind of disease prevention behavior is quite different from the disease management behavior that Chinese people discard about 193 metric tons and nearly 500 million medicines every year, the two Both of them determine the individual's behavior in a certain situation through the personal psychological environment. Therefore, this study intends to evaluate the correlation between the public's willingness to administer the COVID-19 vaccine and the behavior of following the doctor's advice, and to explore the formation process factors of the two, so as to apply Future health planning jobs. Methods：This research is a retrospective research design. The research objects are adults over 20 years old who can answer the questionnaire by themselves. Using the "Health Belief Model" as the framework, online questionnaires are distributed to adults in online communities. / Distributed 438/450 questionnaires. In addition to the basic information, the content of the questionnaire includes the cognition, belief, self-efficacy, and action clues of "compliance with vaccine administration behavior" and "compliance with doctor's orders". The statistical part uses SPSS 22.0 software for descriptive statistics and inferential statistics （i.e., chi-square test, one-way ANOVA, binary logistic regression analysis）. Result：The study found that although there is no direct correlation between "compliance with vaccination behavior" and "compliance with drug orders", if there is a higher correct understanding of the disease （P<0.05）, a higher self-awareness of the disease （P<0.05 ）, and in the context of perceived poor health （P<0.05）, the higher the compliance with the doctor's orders. Conclusion:Although this study cannot be inferred from "compliance with vaccine administration behavior" to "compliance with drug prescription behavior", it has confirmed better health awareness （i.e., obtaining, understanding, judging and applying health information）, coupled with external cues and Motivation from internal cues, requiring only a little aggressive cognition, can cross the threshold to generate disease management actions to promote or improve healthy quality of life throughout the life course. |
