公衛護理人員健康促進－生活方式的初步探討

The Preliminary Study of Health-Promotion Life-styles of Public Health Nurses

陳美燕(M.Y. Chen) ； 廖張京棣(J.Chang Liao) ； 廖照慧(J.H. Liao) ； 周傳姜(C.C. Chou)

《護理研究》 2卷1期 (1994/03) Pp. 41-54

https://doi.org/10.7081/NR.199403.0041

摘要

本研究的主要目的是：初步按討公共衛生護理人員（以下簡稱公衛護理人員）本身執行健康促進之一般狀況，以及影響其執行的可能因素。
本研究以「健康促進－生活方式量表」（經Wallker本人同意及量表中文化之修訂過程，以專家內容效度、及Cronbachp's alpha系數得整份量表為.94）。針對桃園縣13個、共139位衛生所公衛護理人員，以不記名方式真答，得以下結果：
52項行為依其六類因素，發現運動這一項平均分數最低，其次是有關壓力處置、健康責任。整體而言平均分數是88，最低分44，最高為140分。由各單項得分發現，多數護理人員在吃早餐的習慣，且每日三餐正常，飲食中含有富纖維的食物（全麥，生水果，生菜），經常包括五大類食物、經常會看食物包裝上的說明、對生命充滿信心及樂觀，知道生活中的壓力來源所在；知道個人之公優缺點所在，也樂於和新近的人保持聯絡，會注意自己的情緒狀態，相信生命是有意義的，關心自己的睡眠，經常知道體重之變化，以及每天排便之習慣。亦退即在52項健康促進行為中，有13項（占25%），是出現在經常與總是之間。有39項未達「经常」之頻率。
最後，本文針對未來公衛護理人員、衛生主管機關、以及公衛護理教育提出建議。

關鍵字

健康促進 ； 生活方式 ； 公共衛生護士

並列摘要

The purpose of this study was to investigate public health nurses' health—promoting lifestyles and to examine the factors affecting the implementation of health promotion. By the authorization of Dr. Walker the chinese version of the Health —promoting Life-Style Profil developed by Walker et al. was applied for this study. Based on responses of 139 nurses in the 13 public health centers of TaoyuanCounty, the Health Promoting Lifestyle Profile was evaluated using internal consistency and content validity. The 52 items were categorized into 6 factors. The results showed the factor with the lowest average score was exercise. The second lowest score factors were stress management and health responsibility. (In general, the average score was 88, the lowest score was 44, and the highest was 140). The total instrument was found to have high internal consistency with Cronbach's alpha coefficient of 94. The score of each item showed that most nurses eat breakfast and have 3 regular meals a day, take much fiber (whole grains, raw fruits, raw vegetables), are enthusiastic and optimistic about lives, are aware of the sources of stress in their lives as well as personal strength and concern their emotional status, pay attention to sleep, believe that their lives have purpose, and pay a attention to changes of their body weight. Unfortunately, most nurses did not perform regular exercise every week, and did not take more than 1500 cc water daily. The research results indicated 13 out of 52 items (25%) showed ”routinely” and ”often”; but 39 items are below ”often”. Recommendations on public health nurses in—service education improvement and public health education curriculum design were also presented based on the findings of this study.

並列關鍵字

health promotion ； lifestyle ； public health nurses