擴展PRECEDE-PROCEED模式分析護理師參與健康檢查行為因素之研究

An Extended PRECEDE-PROCEED Model for Analyzing Behavioral Factors Influencing Nursing Staff Participation in Health Examinations

目的：本研究目的旨在發展一個概念模型來瞭解護理師參與健康檢查行為意圖和幸福感之影響因素。為解釋和預測影響行為意圖和幸福感的因素，本研究以PRECEDEPROCEED模型為基礎，結合計畫行為理論(Theory of Planned Behavior, TPB)、知覺價值、休閒活動、知覺健康狀況以發展理論模型。方法：研究參與者來自雲林縣某地區教學醫院175位護理師。研究工具是問卷，結構方程模式用於數據分析。結果：實證結果表明：(1)知覺健康狀況、行為意圖、休閒活動是影響幸福感的重要因素；(2)休閒活動直接影響知覺健康狀況；(3)知覺價值、態度、主觀規範、知覺行為控制對行為意圖有顯著正向影響。結論：提升護理師對健康檢查的知覺價值與態度，有助於增強其參與健康檢查的行為意圖，進而提升整體幸福感。本研究結果可為醫院相關單位提供具體建議，以促進護理師參與健康檢查並提升其幸福感。

Objectives: This study developed a conceptual model to examine factors influencing the behavioral intentions and well-being of nursing staff participating in health examinations. Grounded in the PRECEDE-PROCEED model, the framework incorporated elements from the theory of planned behavior and the variables of perceived value, leisure activity, and selfassessed health status to explain and predict behavioral intention and well-being. Methods: A total of 175 nursing staff from a teaching hospital in Yunlin County were recruited. Data were collected using questionnaires and analyzed through structural equation modeling. Results: The results revealed the following: (1) Self-assessed health status, behavioral intention, and leisure activities considerably influenced well-being; (2) leisure activities directly affected selfassessed health status; (3) perceived value, attitude, subjective norms, and perceived behavioral control significantly and positively influenced behavioral intention. Conclusions: Enhancing nursing staff’s perceived value of and attitude toward health examinations can strengthen their participation intention and overall well-being. The study findings offer actionable recommendations for hospital departments to encourage health examination participation among nursing staff and support their well-being.