中文摘要 本研究目的為探討懷孕婦女的健康促進生活型態及其相關因素。屬描述性研究,採立意取樣法,以南部某醫學中心婦產科門診之172位懷孕婦女為研究對象,採結構式問卷收集資料。研究工具包括人口學特性、自覺健康狀況、健康促進生活型態量表、自覺家人(或朋友)之健康促進生活型態及健康行為自我效能量表等。研究結果發現:研究對象健康促進生活型態總量表標準化得分為66.88,其次量表由高到低依序為人際關係、健康責任、靈性成長、營養、壓力處理及身體活動。不同的教育程度、社經地位、是否有慢性病、運動習慣、睡眠時間和整體健康自評在健康促進生活型態總量表得分上有顯著差異。自覺家人(或朋友)之健康促進行為現況及健康行為自我效能與健康促進生活型態總量表得分有顯著正相關。自覺家人(或朋友)之健康促進行為現況、健康行為自我效能、整體健康自評及慢性病與否等四個變項為健康促進生活型態的顯著預測因子,總解釋變異量為62.4%。 本研究結果可作為產前衛生教育、護理諮詢及國家婦幼衛生政策推廣上之參考。
Abstract The purpose of this study was to explore the health promotion lifestyles and related factors of the pregnant women. It was a descriptive study using convenient sampling. Totally 172 pregnant women were recruited from a medical center of southern Taiwan. The instruments included demographic data, Perceived Health Status, Perceived Self-Efficacy of Health Practice, Perception of Family or Peers’ Health-Promoting Behaviors, and Health- Promoting Lifestyles (HPLPⅡ). The results showed that the standardized score of overall health- promoting lifestyles was 66.88. The sequence of the standardized score of health- promoting lifestyles subscales in descending order as follows, “interpersonal relationship subscale,” “ health responsibi- lity,” “psychological wellness,” “nutrition subscale, ” “stress management” and “ physical activity subscale.” There were significant differences between educational, socioeconomic status, chronic disease, exercise habit, sleep time , perceived health status and the total scores of HPLPⅡ. Both perception of the health-promoting behaviors among family (or peers) and perceived self- efficacy of health practice had significantly positive relationships with health-promoting lifestyles. Perception of the family or peers’ health- promoting behaviors, perceived self-efficacy of health practice, perceived health status and chronic disease were the four significant predictors of health-promoting lifestyles, accounting for 62.4% variance of health- promoting lifestyles. The results of this study could be used as a reference for prenatal care, nursing education, maternal / neonatal health policy.