衛生教育診斷評價（PRECEDE-PROCEED）模式於社區肝炎防治之成效

病毒性肝炎為全球重大公共衛生問題，雖疫苗和抗病毒治療減少病毒傳播，但民眾防治知識不足及篩檢參與率低，是防疫重要挑戰。本文應用「PRECEDE-PROCEED」模式，對基隆市安樂區某社區「肝炎防治之照護能力不足」及「肝炎篩檢政策之醫療利用不佳」兩大健康問題，進行介入計畫。根據實證文獻設計多元教育介入策略，包括面對面健康講座，提供防治知識，利用影片講述，增強健康意識和促使採取健康行為，並透過結構式問卷，評估肝炎防治知識、態度和行為意向的變化。結果顯示：知識正確率由27.90%提升至71.18%，態度由2.88分提升至3.62分，行為意向由3.13分提增至4.56分，均具顯著性(p< 0.001)。防治教育需持續進行與監測行為長期變化，建議定期舉辦互動性教育課程，以達肝炎防治目標。

Viral hepatitis remains a significant global public health concern. While vaccines and antiviral treatments have contributed to reducing virus transmission, insufficient public knowledge about prevention and control, along with low participation rates in screening, remain critical challenges in disease prevention and control. This study employs the PRECEDE-PROCEED model to design an intervention plan aimed at addressing two major health issues in a community in Anle District, Keelung City:“inadequate care capacity for hepatitis prevention”and“suboptimal medical utilization of hepatitis screening policies.”Based on evidence-based literature, multiple educational interventions were designed, including face-to-face health lectures to provide prevention knowledge, video presentations to enhance health awareness and promote healthy behaviors, and structured questionnaires to assess changes in knowledge, attitudes, and behavioral intentions regarding hepatitis prevention and treatment. The results showed that the knowledge accuracy rate increased from 27.90% to 71.18%, attitudes improved from 2.88 to 3.62 points, and behavioral intentions rose from 3.13 to 4.56 points, all showing statistically significant improvements (p < 0.001). Preventive education should be continuously implemented, and long-term behavioral changes should be monitored. Regularly organizing interactive educational programs is recommended to achieve the goals of hepatitis prevention and control.