船員健康促進生活型態及其相關因素之研究─以臺北市某航運公司為例

The Study of Health Promotion Lifestyle for Seafarers - An Example of Shipping Company in Taipei City

黃瀞慧(Huang Ching-Hui)

指導教授 ： 葉國樑 ； 曾治乾

國立臺灣師範大學/教育學院/健康促進與衛生教育學系/碩士(2018年)

https://doi.org/10.6345/THE.NTNU.DHPHE.010.2018.F02

摘要

本研究旨在探討臺北市某航運公司船員健康促進生活型態現況，以及社會人口學因素、行動相關的感受、自覺健康行動利益、自覺健康行動障礙、健康行為自我效能與健康促進生活型態之關係。採橫斷式調查法，利用自填結構式問卷蒐集相關資料，取得有效問卷164份，有效回收率達74.5%，並使用SPSS for Windows 19.0版統計套裝軟體進行資料分析。研究結果歸納如下：
一、研究對象健康促進生活型態屬中上程度，各次量表得分以自我實現最高，其次依序為人際支持、壓力管理、營養、健康責任、運動。
二、健康促進生活型態會因吸菸習慣之不同水準而有顯著差異，其中以無吸菸者高於已戒菸者。
三、健康促進生活型態與健康資訊來源、自覺健康狀態、行動相關的感受、自覺健康行動利益、健康行為自我效能呈顯著正相關，而自覺健康行動障礙呈顯著負相關。
四、健康行為自我效能及自覺健康行動障礙能有效預測研究對象健康促進生活型態，共可解釋47.2%總變異量，其中以健康行為自我效能最具解釋力。
建議將健康管理納入職場政策，藉由跨部門合作推動健康促進計畫，幫助船員維持良好的生活型態，特別是運動及健康責任等方面。

關鍵字

船員 ； 健康促進模式 ； 健康促進生活型態

並列摘要

The purposes of this study were to investigate the health-promoting lifestyles and explored it’s relationship with social demographic factors, activity-related affect, perceived benefits of action, perceived barriers to action, and perceived self-efficacy of shipping company seafarers in Taipei city. A cross-sectional design was adopted and data collection was based on self-reported of structural questionnaire. There were 164 valid samples, which presented a 74.5% of the response rate. The data was analyzed by SPSS for Windows 19.0. The result of the study were as fallows:
1. The health-promoting lifestyles for shipping company seafarers was above the medium degree, which the highest score item was self-actualization, followed by interpersonal support, stress management, nutrition, health responsibility, and the lowest was exercise.
2. The smoking habits of social demographic factors did show significant differences in the health-promoting lifestyles, which the non-smokers scored higher than former smokers.
3. The health information sources, perceived health status, activity-related affect, perceived benefits of action, self-efficacy of health behavior had a significantly positive correlation with the health-promoting lifestyles, and perceived barriers to action had a significantly negative correlation.
4. The self-efficacy of health behavior and the perceived barriers to action were the significant predictors and explained 47.2% of the variance of health-promoting lifestyles. However, the self-efficacy of health behavior was the strongest predictor of all.
It is suggested that health management be included in the workplace policy, and to help seafarers maintain a good lifestyle by promoting health promotion programs through cross-sectoral cooperation, especially in exercise and health responsibilities.

並列關鍵字

seafarer ； Health Promotion Model ； health-promoting lifestyles

參考文獻

吳姿瑩、卓俊伶（1998）。健康促進模式與健身運動促進。中華體育季刊，12（1），51-62。

黃毓華、邱啟潤（1997）。高雄地區大學生健康促進生活型態之預測因子。中華公共衛生雜誌，16（1），24-36。

廖韋淳、邱立安、岳修平（2012）。鄉村地區老年人健康資訊需求與尋求行為之研究。圖書資訊學刊，10（1），155-204。

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. doi:10.1037/0033-295X.84.2.191

Bandura, A. (1989). Human agency in social cognitive theory. American Psychologist, 44(9), 1175-1184. doi:10.1037/0003-066X.44.9.1175