有鑑於全球化下的新興傳染病傳播情況，身處救災、救護第一線的消防人員，因救護及救災等工作性質使然，本於職責，無法避免與患者或受救助者有近距離接觸的救助行為，因此可能增加染疫的風險。惟國內針對消防及救護人員接種COVID-19疫苗接種意向之研究尚無例可稽，本研究以屏東縣政府消防局為研究範疇，探討消防、救護第一線人員知識、態度、威脅、期望、行動線索、組織的因素、人際間因素與接種新冠肺炎疫苗意向的關係，據此提出七個假設：(1)對新冠肺炎及疫苗的知識正向影響新冠肺炎疫苗接種意向，(2)態度正向影響新冠肺炎疫苗接種意向，(3)威脅正向影響新冠肺炎疫苗接種意向，(4)期望正向影響新冠肺炎疫苗的接種意向，(5)行動線索正向影響新冠肺炎疫苗接種意向，(6)組織的因素正向影響新冠肺炎疫苗接種意向，(7)人際間因素正向影響新冠肺炎疫苗接種意向。
為驗證前述假設，本研究採用描述性統計、卡方檢定、單因子變異數分析、多元迴歸分析及結構方程模式等工具來做分析，用以探討影響新冠肺炎疫苗接種意向模型各構面之間是否具顯著關係。分析結果為態度、期望及人際間關係等三者對新冠肺炎疫苗接種意向有顯著影響，其中，以態度對新冠肺炎疫苗接種意向影響最大，其次為期望，再次為人際間關係，其餘知識、威脅、行動線索、組織等四個因素之影響則未達顯著水準，由此可知，消防及救護人員對於新冠肺炎疫苗接種的態度、期望及與其上司、同事、家人等人際間關係，都會影響個體新冠肺炎疫苗接種意向；另就人口變項與新冠肺炎疫苗接種意向之關係進行探討，發現年齡、教育程度、有無救護證照 、有無慢性病史、是否曾感染過新冠肺炎、接種劑次等變項，均會影響個體新冠肺炎疫苗接種意向，其餘包括性別、服務年資、服務單位所在區域 、工作屬性、服務單位、平日勤務主要負責、是否擔任主管職、之前施打疫苗有無違反個人的意願等變項，影響則不顯著。最後，期望本研究所獲得結果，可作為未來消防機關擬定疫苗接種計畫之參考依循，以提升消防及救護人員健康福祉。

Facing the spread of emerging infectious diseases under globalization, firefighters who are on the front line of disaster relief and rescue operations can hardly protect themselves by avoiding close contact with patients or rescuees due to the nature of their duties. Each mission that involves close contacts increases firefighters’ risks of contracting the epidemic. However, studies on the intention of firefighters and ambulance personnel to be vaccinated against an emerging infectious disease, COVID-19 for instance, remain limited.

This study looks into the case of firefighters and ambulance personnel in the Pingtung County Government Fire Department. An adapted health belief model is established to evaluate the associated factors of the firefighters’ and the ambulance personnel’s intention to receive the COVID-19 vaccine. In order to verify the aforementioned hypothesis, this study uses tools such as descriptive statistics, chi-square test, single-factor analysis of variation, multiple regression analysis and structural equation model to explore the relationship between the various aspects of the new coronavirus vaccination intention model.

The analysis results show that attitudes represent the primary driver of intention to vaccinate against COVID-19, followed by expectations, and interpersonal relationships, in that order. The impact of the rest four constructs, namely action clues, and organization did not reach a significant level. It can be seen that the attitudes and expectations of fire fighters and ambulance personnel towards COVID-19 vaccination, as well as their interpersonal relationships with their bosses, colleagues, and family members, will all affect individual COVID-19. Intention to vaccinate against pneumonia; we also explored the relationship between demographic variables and intention to vaccinate against COVID-19, and found variables such as age, education level, whether you have a first-aid certificate, whether you have a chronic medical history, whether you have ever been infected with COVID-19, and the number of vaccination doses. , will affect an individual's intention to be vaccinated against COVID-19, and the rest include gender, service years, service unit location, job attributes, service unit, main responsibility for daily duties, whether he holds a supervisory position, and whether previous vaccinations violated the individual's wishes. variables, the impact is not significant. Finally, we hope that the results obtained from this study can be used as a reference for future firefighting agencies to formulate vaccination plans to improve the health and well-being of firefighters and ambulance personnel.

論文審定書…………………………………………………………i
誌謝………………………………………………………ii
中文摘要…………………………………………………iii
英文摘要…………………………………………………iv
目錄………………………………………………………vi
圖次………………………………………………………viii
表次………………………………………………………ix
第一章 緒論 ……………………………………………1
第一節 研究背景 ………………………………………1
第二節 研究動機 ………………………………………6
第三節 研究目的………………………………………11
第二章 文獻回顧 ………………………………………13
第一節 健康信念模式 …………………………………15
第二節 新冠肺炎疫苗與健康信念模式相關性 ……20
第三節 影響疫苗接種意向之因素 …………………22
第三章 研究設計 ………………………………………28
第一節 研究架構 ………………………………………28
第二節 研究假設 ………………………………………30
第三節 資料分析與處理方法 …… …………………33
第四章 研究結果 ………………………………………34
第一節 敘述統計分析 ……………………………… 34
第二節 信度、效度及項目分析 ……………………37
第三節 推論統計分析 ………………………………49
第五章 討論 ……………………………………………77
第一節 迴歸分析與SEM路徑分析研究結果討論 …77
第二節 單因子變異數分析及卡方分配研究結果討論 ……………………………………………………………81
第六章 結論與建議 ……………………………………98
第一節 研究結論 ……………………………………98
第二節 研究建議 ……………………………………101
第三節 研究限制 ……………………………………102
參考文獻 ……………………………………………105
中文文獻 ……………………………………………105
英文文獻 ……………………………………………107
網路資料 ……………………………………………125
附錄 …………………………………………………129

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