宜蘭縣公共衛生護理人員健康促進生活型態及相關因素之探討

Abstract

本研究目的在瞭解宜蘭縣公共衛生護理人員健康促進生活型態，並探討其社會人口學變項、自覺健康狀況與健康促進生活型態的關係及健康促進生活型態預測因子。 研究工具包括自覺健康狀況量表、健康促進生活型態量表及個人資料表。 以宜蘭縣97年度於護士護理師公會登記有案之十二鄉鎮市衛生所公共衛生護理人員為研究母群體，採橫斷式調查法，利用自填問卷方式進行資料收集，取得有效問卷共95份，回收率97%。以SPSS for Windows 12.0視窗版統計套裝軟體進行單因子變異數分析、皮爾森積差相關及複迴歸分析進行資料分析。 本研究之主要發現： 一、研究對象健康促進生活型態層面，得分最高為營養，其餘依序 為壓力管理、自我實現、健康責任，運動行為及人際支持同為得 分最低；自覺健康狀況則是介於中等程度以上。 二、研究對象之社會人口學變項中的年齡、自覺健康狀況與健康促進 生活型態呈正相關。 三、研究對象健康促進生活型態之預測因子為社會人口學變項中的年 齡、自覺健康狀況，可解釋健康促進生活型態總變異量的23.8%。

依據研究發現，宜蘭縣公共衛生護理人員在健康促進生活型態中以營養層面最佳；而運動行為及人際支持層面則有待加強。另外，年齡越大、自覺健康狀況良好者，其健康促進生活型態亦較好。

The purpose of this study was to probe into the health-promoting lifestyles among public health nurses in Yilan county. It explored the relation with demographic variables, perceived health status and the predictors of the health-promoting lifestyles. The adopted instruments were health-promoting lifestyle profile, perceived health status scale and demographic data. The Subjects were the public health nurses from 12 health station in Yilan county in 2008. A cross-sectional design was adopted and data were collected from 95 public nurses via self-reported questionnaires, which presented a 97% of the response rate. The data was analyzed by one way ANOVA, Pearson’s product- moment correlation and multiple regressions. The major findings of the study were as follows: 1.In the health-promoting lifestyles, the highest score was the nutrition, followed by stressmanagement, self-actualization, health responsibility, exercise and interpersonal support both of the lowest for the score ; subjects perceived health status is above the medium degree. 2.The demographic variables, ages and perceived health status of the subjects had a positive correlation with the health-promoting lifestyles. 3.The demographic variables, ages and the perceived health status of the subjects were the significant predictors and explained 23.8% of the variance of health-promoting lifestyles. According to the finding of this study, public health nurses in Yilan county whose best is the nutrition in health-promoting lifestyles; exercise and interpersonal support both of should be improved. Besides, the elders and have better self-perception health status would have better health-promotion lifestyle.