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某醫院健康促進計畫對其員工體適能變化初探

A Physical Fitness Health Promotion Program for Hospital Staff

摘要


Many chronic conditions are closely related to lack of physical activity. Intervention using a health promotion program in the workplace is an important benefit for workers. The purpose of this study was to evaluate the benefits of a health promotion program in physical fitness for hospital employees using a 1-year group empowerment strategy. The subjects for this study were 493 staff employed in a central medical center. The type of physical activity was selected by participants and each person was expected to exercise at least two hours per week. The program ran from August, 2004 to July, 2005. During the implementation phase, we visited participating units in order to address any questions about the study. The parameters of physical fitness were measured for each participant pre and post program. Data set analysis was conducted, and we found that sit-up, upper trunk lift, trunk flexion in standing, gripping response, and standing on one leg with eyes closed improved significantly. The trend in trunk flexion in standing improvement was more remarkable in females. Body mass index (BMI) also increased significantly, yet grip strength and cardiopulmonary endurance decreased significantly. When groups were stratified, there were no differences. This study demonstrated that implementation of a health promotion program using group empowerment in the hospital has positive benefits on the health of the staff; however, body composition and cardiopulmonary function improvement were not significant. It seems reasonable to assume these findings may be influenced by clinical characteristics and diet. Further research related to exercise promotion programs should include health promotion, staff commitment to active exercise, and diet modification. Integrating an exercise promotion program into daily life will improve health and health-related fitness.

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並列摘要


Many chronic conditions are closely related to lack of physical activity. Intervention using a health promotion program in the workplace is an important benefit for workers. The purpose of this study was to evaluate the benefits of a health promotion program in physical fitness for hospital employees using a 1-year group empowerment strategy. The subjects for this study were 493 staff employed in a central medical center. The type of physical activity was selected by participants and each person was expected to exercise at least two hours per week. The program ran from August, 2004 to July, 2005. During the implementation phase, we visited participating units in order to address any questions about the study. The parameters of physical fitness were measured for each participant pre and post program. Data set analysis was conducted, and we found that sit-up, upper trunk lift, trunk flexion in standing, gripping response, and standing on one leg with eyes closed improved significantly. The trend in trunk flexion in standing improvement was more remarkable in females. Body mass index (BMI) also increased significantly, yet grip strength and cardiopulmonary endurance decreased significantly. When groups were stratified, there were no differences. This study demonstrated that implementation of a health promotion program using group empowerment in the hospital has positive benefits on the health of the staff; however, body composition and cardiopulmonary function improvement were not significant. It seems reasonable to assume these findings may be influenced by clinical characteristics and diet. Further research related to exercise promotion programs should include health promotion, staff commitment to active exercise, and diet modification. Integrating an exercise promotion program into daily life will improve health and health-related fitness.

參考文獻


蔡明足、沈玉卿、翁林仲、吳宗燕(2008)。某區域醫院員工健康體適能之分析。北市醫學雜誌。5,102-113。
Pietilainen KH,Kaprio J,Borg P(2008).Physical inactivity and obesity: a vicious circle.Obesity (Silver Spring).16,409-414.
Jaime CL,Sara LH,Huston, Kelly RE(2007).Workers` perceptions about worksite policies and environments and their association with leisure-time physical activity.Am J Health Promotion.21,196-200.
Warburton DE,Nicol CW,Bredin SS(2006).Health benefits of physical activity: the evidence.CMAJ.174,801-809.
Eriksson KM,Westborg CJ,Eliasson MC(2006).A randomized trial of lifestyle intervention in primary healthcare for the modification of cardiovascular risk factors.Scand J Public Health.34,453-461.

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