臺北市健康服務中心公共衛生工作人員健康促進生活型態研究

A Study on the Health-promoting Lifestyles of the Public Health Staff of District Health Centers in Taipei City

林素英(Su-yin Lin)

指導教授 ： 黃淑貞

國立臺灣師範大學/教育學院/健康促進與衛生教育學系在職進修碩士班/碩士(2010年)

摘要

本研究以臺北市健康服務中心公共衛生工作人員為對象，目的為(1)了解研究對象目前健康促進生活型態、自覺健康狀況及工作壓力；(2)比較研究對象不同社會人口學變項其健康促進生活型態、自覺健康狀況及工作壓力的分佈情形；(3)探討研究對象的自覺健康狀況與健康促進生活型態的關係；(4)探討研究對象的工作壓力與健康促進生活型態的關係；(5)探討研究對象健康促進生活型態之預測因子。本研究採橫斷式調查法，使用工具有自覺健康量表、工作壓力量表、健康促進生活型態量表及其本資料表，利用自填問卷方式進行資料收集，共計發放241份問卷，回收232份。資料統計方法為t-test、單因子變異數分析（One-Way ANOVA）、皮爾森積差相關（Pearson Product- Moment correlation coefficient）及複迴歸分析（Multiple Regression）。研究結果發現：(1) 研究對象執行健康促進生活型態各層面中，依得分高低排列為：社會支持行為、營養行為、自我實現行為、壓力處理行為、健康責任行為，而運動行為得分最低；自覺目前的健康狀況，介於普通及好之間；感受工作壓力各層面依得分高低排列為：疲勞、不滿足、焦慮、低自尊，而憂鬱層面得分最低。(2)影響公共衛生工作人員健康促進生活型態的相關因素在人口學特性中有年齡、工作年資、職位及自覺健康狀況與健康促進生活型態呈正相關；工作壓力與健康促進生活型態呈現負相關，亦即年齡越大、工作年資越久、職位越高、自覺健康狀況越好、工作壓力越小，其執行健康促進生活型態越佳。(3) 子女數、自覺健康狀況及工作壓力等三項為有效的預測變項，可解釋總變異量23.5%。

關鍵字

公共衛生工作人員 ； 健康促進生活型態 ； 自覺健康狀況 ； 工作壓力

並列摘要

Using public health staff working in all district health centers in Taipei as the research group, the purpose of this research was: 1) To understand the current health promotion life style, self-perceived health status, and working stress of the research group; 2) To compare the differences among their data of social demography, health promotion life style, self-perceived health status, and working stress; 3) To explore the correlation between health promotion life style and self- perceived health status of target group; 4) To discover the correlation between health promotion life style and working stress of target group; 5) To confirm the predicting factors toward the health promotion life style of the research group.
The Cross-sectional study design and a combinational self-report questionnaire were used. The questionnaire was applied for collecting their demographic information and scores of self- perceived health status scale, working stress, and health promotion life style. 241 questionnaires were given and 232 of them were returned. T-test, One-Way ANOVA, Pearson Product- Moment correlation coefficient and Multiple Regression were applied as data analysis strategies.
The results reveal: 1) The ranking of current health promoting lifestyles behaviors is from social-supporting, nutrition, self-actualization, stress management, to health accountability, and the exercise behavior was the lowest one; The average score of self- perceived health status located between normal to good; The ranking of working stress is from fatigue, unsatisfaction, to anxiety, lower self-esteem, and the depression is the lowest one; 2) Some demographic factors, such as age, working year, working position, self- perceived health status, have positive impacts on their health promotion life style, however, the working stress has the negative impact on their health promotion life style. That is, the more the age they are, the longer the working year they have, the higher the working position they possess, the better the self- perceived health status they present, the fewer the working stress they experienced, the better the health promotion life style they can practice; 3) number of children, self-perceived health status, and working stress are the effective predictable variables, which totally make 23.5% influences on the health promotion life style among research group.

並列關鍵字

Public health staff ； health-promotione lifestyles ； self-perceived health status ； working stress

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