國中生健康促進生活型態及其影響因素之探討-以台南縣四所國中生為例

Determinants of Health-Promoting Lifestyle among Junior High School Students in Tainan County

李秀珍(Hsiu-Chen Lee)

指導教授 ： 李素幸

共同指導教授 ： 宋瑩珠

長榮大學/健康科學學院/職業安全與衛生研究所(在職專班)/碩士(2007年)

https://doi.org/10.6833/CJCU.2007.00086

摘要

本研究目的在探討台南縣國中生健康促進生活型態之現況，並進一步分析與健康促進型態有關的影響因素。研究樣本由選定的四所台南縣國中，以分層抽樣方式抽出1275位學生作橫斷研究調查。資料收集以結構式問卷進行，內容包括基本資料、行動線索、健康概念、自覺健康狀況、健康行為自我效能及健康促進生活型態，其中健康促進生活型態的測量採陳美燕編製的健康促進量表。調查中共取得有效問卷1275份，其中一年級學生420位、二年級學生423位、三年級學生432位，以SPSS10.0統計軟體進行資料分析。
研究結果發現：
一、研究對象在健康促進生活型態量表的平均得分為136.31分，以生命欣賞行為得分最高，其次是健康責任、人際支持、壓力處置、營養、運動等行為。
二、研究對象在健康概念方面以調適性得分最高，其次是角色功能性、安寧幸福性、臨床性。
三、研究對象自覺自我效能方面以運動得分最高，其次是健康責任、心理安適、營養。
四、研究對象在性別、年級、父親教育程度、母親教育程度、班上成績排名、健康訊息來源數量與健康促進生活型態上有顯著差異。
五、研究對象的自覺健康狀況、健康概念、自覺自我效能與健康促進生活型態成顯著正相關。
六、以複回歸分析發現：發現有6個變項能有效的預測健康促進活型態，分別為：自覺自我效能、健康概念、健康訊息來源數量（5項以下/11項以上）、自覺健康狀況、班上成績排名（前三分之一/後三分之一）、班上成績排名（中間三分之一/後三分之一），共可解釋健康促進生活型態變異量56.8％，其中健康行為自我效能為最強預測因子。

關鍵字

健康概念 ； 行動線索 ； 自覺健康狀況 ； 健康行為自我效能 ； 健康促進生活型態

並列摘要

The purpose of this study was to understand the difference of health-promoting life styles among Junior High School students in Tainan County, and analyze the related factors. A descriptive study design was chosen, and data was collected by self-reported questionnaires that include: demographic data, cues to action, perceived health status scale, health conception scale, self-rated abilities for health practice scale and health-promoting lifestyle profile. The number of subjects was 1275, consisting of 420 first grade students and 423 second grade students and 432 third grade students. The data collection was based on structural questionnaire method, and there were 1275 valid samples, which were then analyzed by SPSS for Windows 10.0. Results of this study include:
1. The average score was 136.1 in terms of overall scaling table. The highest score fell on life appreciation behavior, followed by health responsibility behavior, then interpersonal support behavior, stress management behavior, nutrition behavior, and the lowest score was on exercise behavior.
2. In the health conception, the highest score was the adaptive health conception, followed by role-performance health conception, eudemonistic health conception, and the lowest was clinical health conception.
3. In the Self-rated abilities for health practice scale, the highest score was exercise, followed by health responsibility, psychology comfortable, and the lowest was nutrition.
4. The result indicated that these following factors did show significant differences in health promotion life-style: the gender, grade, father education background, mother education background, results of study in class, and number of health information.
5. Perceived health status, health conception and health behavior self-efficacy were positively correlated with health-promoting lifestyles.
6. It was realized through hierarchical enter regression analysis that self-efficacy, health conception, number of health information（under five terms/over eleven terms）, perceived health status, results of study in class（front/last） and results of study in class（middle/last） could explain to 56.8％ total variance in health promotion life-style. Among these six factors, self-efficacy has the biggest influence; also, the research conclusions could serve as a reference for future health education and activities planning within the school.

並列關鍵字

Health conception ； Cues to action ； Perceived Health status ； Health behavior self-efficacy ； Health-promoting lifestyle

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