桃園地區醫師實施健康促進行為之探討

The Preliminary Study of Practicing Health Promotion Lifestyle among the Physician

陳美燕(Mei-Yen Chen) ； 王明城(Edward K. Wang) ； 邱獻章(Hsien-Jane Chiou) ； 吳運東(Yung-Tung Wu)

《中華公共衛生雜誌》 14卷1期 (1995/02) Pp. 41-50

https://doi.org/10.6288/CJPH1995-14-01-05

摘要

本研究之目的為探討桃園地區醫師實施健康促進行為之一般狀況及影響其執行的因素。以橫斷面問卷調查方式，針對在桃園縣醫師公會登記之所有醫師為母群體，以隨機抽樣方式抽出1000名（回收率41.1%）樣本。以經中文版修訂之“健康促進的生活方式量表”為工具。得以下結果：以基層醫療院所之醫師問卷回收率最高(58.6%)。從6個層面來看，自我實現得分排名第一，而運動行為得分是最低的。在52項健康促進行為中，多數醫師之行為出現頻率偏向“有時”至“經常”有實行。若以身為健康專業人員應有角色模範行為之觀點而言，頻率出現在“經常”以上可能較好，則只有10項達此標準。且整個得分分佈範圍相當大(26-142)，有18位樣本總得分低於48分，表示有些樣本生活方式過得相當不健康。本研究另外的發現是有60%的樣本描述他們至少有一種經常不適的身體部位，其中以頭痛和胃部不適的現象居多數。

關鍵字

健康促進 ； 生活方式 ； 醫師

並列摘要

Teaching and counseling strategies to facilitate the health promotion lifestyle for people have been more emphasized in physicians' intervention, especially in the primary care. It is easier to provide the contents of health promotion to clients if physicians perform the role model of health promotion behaviors. The data presented here were collected in a mail-questionaire survey of a stratified sample of physicians in medical centers, community hospitals or primary care units, who were members of Physician's Association in Taoyuan. This study investigated 1000 (respod rate 41.1%) physicians to explore the practicing health promotion behaviors. The Chinese version of Health Promotion Lifestyle Profile was developed by the author. The results showed that the 6 dimensions from the lowest to highest score were exercise, health responsibility, stress management, nutrition, interpersonal suportive and self actulization behaviors. In 52 items, most of the frequency of the health promotion behaviors the subjects distribute from ”sometimes” to ”usually”. In the authors' professional point of view, health promotion behaviors of medical personels are required to distribute from ”usually” to ”always”. However, only 10 items reached the criteria in this study. And there is a wide range of score (26-142), moreover, there are 18 samples which score lower than 48, which shows that some subjects had unhealthy lifestyles. Additionally, this study found that 60% of the subjects described having often had headaches and stomachaches. This phenomenon needs to be further investigated.

並列關鍵字

Health promotion ； lifestyle ； physician