護理人員健康識能與健康行為之研究-以中部某精神專科醫院為例

A Study on Health Literacy and Health Behavior of Nursing Staffs in A Psychiatatric Hospital

陳汶慈(WEN-TZU CHEN)

指導教授 ： 張馨云

中臺科技大學/管理學院/醫療暨健康產業管理系碩士班/碩士(2019年)

摘要

健康識能理念的發展與應用為未來公共衛生及健康政策的重要指標之一，並已受到重視。有研究指出健康識能與健康行為相關，護理人員具備醫療相關知識，而其健康行為是否因此受影響，此本研究旨在探討護理人員健康識能與健康行為之間的相關性，了解護理人員健康識能、健康行為現況，研究結果期望能有助於提供醫療機構及相關單位促進提升護理人員健康行為方面的參考。
本研究採問卷調查法，以中部某精神專科醫院護理人員為研究對象。研究工具採自擬式問卷，問卷共有：(一)個人基本資料表、(二) 中文健康識能評估簡式量表、(三)健康行為量表三部份。問卷採用五位專家效度審核，進行30份前驅測試後施測。資料分析採SPSS18.0，分析內容包括基本資料、中文健康識能評估簡式量表及健康識能量表之描述性統計，進行獨立T檢定、卡方檢定、ANOVA等探討。發出200份問卷，有效問卷188份，有效問卷回收率94%。
研究結果發現，護理人員皆屬高健康識能者，抽菸、喝酒及檳榔比例非常低，但有58%護理人員沒有運動習慣，高達91.5%沒有攝取足夠蔬果，依統計學上護理人員健康識能與健康行為無顯著相關。
依據本研究結果建議，醫院可營造健康促進環境，維護及促進護理人員的健康，各級主管應主動關心員工身體健康狀況，適時給予護理人員工作及生活上的支持，鼓勵護理人員學習正面看待自己的健康狀態，並培養良好的健康行為習慣，期能有助於提供醫療機構及相關單位促進提升護理人員健康行為方面的參考。

關鍵字

護理人員 ； 健康識能 ； 健康行為

並列摘要

The development and application of the concept of health literacy is one of the important guidelines for future public health and health policy, and has been paid attention to. Studies have shown that health literacy is associated with healthy behaviors, that caregivers have medical-related knowledge, and that health behaviors are affected. The purpose of this study is to explore the correlation between nursing caregiver's health awareness and healthy behavior, to understand the health awareness of nursing staff, health behavior status. The results of the study are expected to help provide medical institutions and related units to improve promotion of nursing staff health behavior.
In this study, the questionnaire is used, and the nursing staff of a psychiatric hospital in central China are the research subjects. The research tools were self-designed questionnaires, which consisted of: (1) basic personal data sheet, (2) Chinese health literacy assessment summary scale, (3) health behavior scale. The questionnaire was checked by five experts for validity and 30 pilot tests were collected. Data analysis adapts SPSS18.0, including basic data, Chinese health knowledge assessment simple scale and health knowledge energy table descriptive statistics, independent T-check, card verification, ANOVA and other discussions. 200 questionnaires were sent out, and 188 valid questionnaires collected, 94% of return rate.
The results showed that nursing staff were highly health-aware, with low percentage of them smoking, drinking and betel nut chewing, but 58% of nursing staff did not have exercise habits, and up to 91.5% did not consume enough fruits and vegetables. The statistics also showed nursing staff health awareness is not significantly related to healthy behavior.
The findings of this study suggests that hospitals can create a healthy environment, maintain and promote the health of nursing staff. Supervisors at all levels should take the initiative to care about the health conditions of employees, timely giving nursing staff work-and-life support, encouraging nursing staff to learn to look at their health conditions positively, and cultivate good health behavior habits. It is hoped to help provide reference for medical institutions and related units to promote the health behavior of caregivers.

並列關鍵字

nursing staff ； health literacy ； health behavior

參考文獻

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