背景：兒童牙科舒眠鎮靜 (簡稱兒牙鎮靜) 做為兒童牙科治療一項重要的行為管理技術，且近年來在台灣與世界各地的發展日益蓬勃，然而目前尚未有專門針對台灣民眾如何看待兒牙鎮靜的相關報告。本研究運用知識、態度與行為模式 (KAB model) 理論作為架構，來進行相關調查。
方法：本研究為橫斷式研究，使用便利抽樣方式，通過自編網路問卷進行資料蒐集。研究期間介於2024年1至2月之間，對象為台灣國內年滿20歲以上民眾。總共獲得有效問卷705份 (有效問卷率為97.1%)。在排除職業為醫療衛生的樣本後，仍有509份問卷資料可進行統計分析。問卷內容包含「人口學資料及生活經驗」、兒牙鎮靜「知識」、「態度」、「行為」量表得分四部份。統計分析方式包含t檢定、變異數分析、皮爾森相關分析與多元線性迴歸分析等。
結果：對「知識量表得分」具顯著差異的因素有性別、教育程度、自己是否接受過麻醉鎮靜、是否聽說過兒牙鎮靜；對「態度量表得分」具顯著差異的因素有性別、是否聽說過兒牙鎮靜；對「行為量表得分」有顯著差異的因素有性別、婚姻狀態、是否聽說過兒牙鎮靜。「有聽過兒牙鎮靜」因素會顯著正向影響「知識量表得分」與「態度量表得分」，「女性」因素會顯著正向影響「行為量表得分」，而「曾帶過『3位以上』幼兒看牙經驗」因素則會顯著負向影響「行為量表得分」。知識、態度與行為三個構面之間彼此存在顯著的相關性，且知識與行為之間存在著以態度作為中介因素的完全中介效果。
討論：本研究發現部分的人口學資料及生活經驗因素，對兒牙鎮靜的KAB model不同構面量表得分有所差異。此外，單獨加強家長對兒牙鎮靜的知識，並不能直接增加其行為面向的動機；必須推動其態度的轉變，才能正向地提升行為意圖 。此結果可作為醫病共用決策 (Shared Decision-Making, SDM) 的參考資料，與未來兒牙鎮靜推廣發展的學術依據，以提升兒牙鎮靜提供者與民眾之間的溝通效益。

Background: Pediatric dental sedation is an important behavior management technique in pediatric dental treatment. In recent years, its development has been flourishing in Taiwan and around the world. However, there have been no specific reports on how the Taiwanese people perceives pediatric sedation. This study employs the Knowledge, Attitude, and Behavior (KAB) model theory as a framework for the related investigation.
Methods: This study is a cross-sectional study that used convenience sampling to collect data through a self-compiled online questionnaire. The study period was from January to February 2024, targeting individuals over the age of 20 in Taiwan. A total of 705 valid questionnaires were obtained (valid questionnaire rate of 97.1%). After excluding samples from individuals in the healthcare profession, 509 questionnaires remained for statistical analysis. The questionnaire content included “demographic data and life experiences”, and scores for pediatric sedation “knowledge”, “attitudes”, and “behaviors”. Statistical analyses included t-tests, ANOVA, Pearson correlation analysis, and multiple linear regression analysis.
Results: Factors showing significant differences in "knowledge scores" included gender, education level, personal experience with anesthesia or sedation, and awareness of pediatric sedation. Factors significantly affecting "attitude scores" were gender and awareness of pediatric sedation. Factors significantly influencing "behavior scores" included gender, marital status, and awareness of pediatric sedation. Awareness of pediatric sedation positively influenced both knowledge and attitude scores, while being female positively influenced behavior scores. Conversely, having experience with taking “more than three children” to dental visits negatively impacted behavior scores. There were significant correlations among the knowledge, attitude, and behavior dimensions, with attitude serving as a complete mediator between knowledge and behavior.
Discussion: This study found that certain demographic and life experience factors affect the different dimensions of the KAB model scores for pediatric sedation. Furthermore, simply increasing parents' knowledge of pediatric sedation does not directly enhance their behavioral motivation; instead, promoting changes in their attitudes is necessary to positively influence their behavioral intentions. These findings can serve as reference data for Shared Decision-Making (SDM) and provide an academic basis for the future development and promotion of pediatric sedation, thereby enhancing communication effectiveness between pediatric sedation providers and the public.

論文審定書 ....................................................................i
誌謝 ................................................................................iii
中文摘要 ........................................................................iv
英文摘要 (Abstract) .......................................................v
第一章 緒論 ...................................................................1
第一節 研究背景與動機 ...............................................1
第二節 研究目的 ...........................................................2
第三節 研究流程 ...........................................................3
第二章 文獻探討 ...........................................................4
第一節 兒童牙科舒眠鎮靜介紹與其在各國及台灣的發展 ....................................................................................4
第二節 家長對兒童牙科舒眠鎮靜及全身麻醉的看法 7
第三節 知識、態度與行為模型理論介紹 .................12
第三章 研究方法 ..........................................................14
第一節 研究架構 ..........................................................14
第二節 研究假設 ..........................................................15
第三節 研究對象與資料來源 ......................................15
第四節 問卷設計 ..........................................................16
第五節 操作型定義 ......................................................21
第六節 問卷預試分析 ..................................................23
第七節 資料處理與統計分析 ......................................26
第八節 研究倫理 ..........................................................27
第四章 研究結果 ..........................................................28
第一節 人口學資料與生活經驗之描述性統計 ..........28
第二節 知識、態度與行為量表得分之描述性統計 ........................................................................................30
第三節 人口學資料與生活經驗對各面向量表得分之差異性分析 .......................................................................34
第四節 人口學資料與生活經驗對各面向量表得分之多元線性迴歸分析 ...........................................................46
第五節 知識、態度與行為量表之相關性分析 ..........52
第六節 知識、態度與行為量表之中介效果檢驗 ......53
第五章 討論與結論 ......................................................56
第一節 研究討論 ..........................................................56
第二節 研究假設驗證 .................................................70
第三節 研究限制 ..........................................................71
第四節 研究貢獻與建議 ..............................................72
第五節 研究結論 ..........................................................75
參考文獻 .......................................................................76
附錄一、問卷 ...............................................................86
附錄二、阮綜合醫院人體試驗委員會同意書 ...........91
附錄三、《特定醫療技術檢查檢驗醫療儀器 施行或使用管理辦法》節錄 .......................................................93
附錄四、《台灣麻醉醫學會中度鎮靜麻醉指引》 ...95

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二、英文文獻
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