個別衛生教育介入對高脂血個案知識、健康信念、自我效能、行為的影響

Effects of an Individual Health Education Program on Hyperlipidemia Clients' Knowledge, Health Belief, Self-Efficacy and Behavior

張淑紅(Shu-Hung Chang) ； 黃璉華(Lian-Hua Huang) ； 李源德(Yuan-Teh Lee)

《中華公共衛生雜誌》 15卷3期 (1996/06) Pp. 188-196

https://doi.org/10.6288/CJPH1996-15-03-02

摘要

本研究採準實驗研究法，目的在探討個別衛生教育介入對高脂血個案知識、健康信念、自我效能、行為及生化指數的影響。選取某教學醫院內科病人依週次隨機分派為兩組。控制組有62人；實驗組有70人。結果發現實驗組經過個別衛教介入後在知識、健康信念（包括罹患性、嚴重性、有效性、障礙性知覺）、自我效能（飲食控制、運動）、行為（飲食、運動）皆比前測時有顯著進步且與控制組達到顯著差異，而生化指數方面TC減少50.22mg/dl、LDL-C減少45.82mg/dl、TG減少63.61mg/dl，比前測時有顯著進步且與控制組達到顯著差異。此衛教明顯地使實驗組有進步，故值得推廣此衛教。

關鍵字

高脂血 ； 個別衛教 ； 健康信念 ； 自我效能 ； 行為

並列摘要

The purpose of this research was to examine the effects of an individual health education program to the OPD hyperlipidemia clients in relations to knowledge, health beliefs, self-efficacy, diet-control behavior, exercise, and blood cholesterol level. In addition, this research identified the factors associated with diet-control behavior, exercise, and blood cholesterol level.
A quasi-experimental design was used in this research. Each subject was randomly assigned to one of the two groups. The control group, which had a total of 62 subjects, read the leaflet by themselves. The experimental group, which consisted of 70 subjects, received a consultation from the researcher pertaining to health education program.
The results showed that the experimental group had significant improvements in knowledge, health beliefs (including perceived susceptibility, perceived severity, perceived benefits of taking action and perceived barrier of taking action), self-efficacy (including diet-control, exercise), diet-control behavior, exercise, TC, LDL-C, and TG level. However, the control group had improvements only in knowledge, health belief (perceived barrier of taking action), diet-control behavior, and TC level. The individual health education program is extremely effective and thus, should be seriously considered an option for the future.

並列關鍵字

hyperlipidemia ； individual health education ； health beliefs ； self-efficacy ； behavior