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桃園地區護理學生與護理人員執行健康促進的生活方式之初步探討

Preliminary Study of Practicing Health Promotion Lifestyle among the Student Nurses and Nurses in Taoyuan Area

摘要


教導民衆在其生活方式中執行健康促進活動是護理人員執行護理措施時愈來愈被強調的。護理人員本身若有健康促進行爲之角色模範,較易在其護理活動中提供個案健康促進之內容。而護理人員自護生時代乃至畢業從事護理工作後其所執行之健康促進行爲如何是本研究所開心的。本研究是以橫斷而衝口而出卷調查方式,以桃園地區護理學生與護理人員(以下分別簡稱爲護生、護士)爲母群體,探討其執行健康促進行爲之一般狀況,及影響其執行的因素。以經中文版修訂之“健康促進的生活方式量表”爲工具,以隨機取樣方式針對197位元護生及209位在職護士時行研究。得以下結果:桃園地區護生與護士執行健康促進之生活方式的行爲在6個分項中依序最低至較高爲運動行爲、健康責任行爲、營養行爲、壓力處置行爲、自我實現行爲、人際支援行爲。整體而言以專業的觀點及主觀之判斷,護生與護朝不慮夕我數行爲都分佈在“從不”至“經常”之間,並非是經常與聰是之間。護生與護作了17個子項及2個分項行爲有明顯差異外,其餘整體總得分並無差異。以回歸分析影響護士執行健康促進行爲之因素中,年齡、教育程度、自覺健康狀態三項具有影響力,但只解釋14%之變異量。另外的發現是70%的護生與護士經常有頭痛和胃痛的現象,且近乎一半的護生與護士體重過輕,此兩項頗值得進一步探討。

並列摘要


Teaching and counseling strategies to facilitate the health promotion lifestyle for people have been more emphasized in nursing intervention. It is easier to provide the contents of health promotion to clients if nurses perform the role model of health promotion behaviors. This study investigated 197 nursing students and 209 nurses to explore the practicing health promotion behaviors. The Chinese version of Health Promotion Lifestyle Profile was developed by the author. The cross-sectional design with random sampling survey was used in this study. The results showed that the 6 dimensions from the lowest to highest score were exercise, health responsibility, nutrition, stress management, self actualisation and interpersonal supportive behaviors. In general, the professional views suggest that the frequency of the health promotion behaviors of the subjects would distribute from “usually” to “always”. However, this study revealed the frequency from “never” to “usually”. Although, among the six dimensions, there is significant difference between student nurse and nurses in two dimensions, there was no significant difference between student nurses and nurses in the total score. According to the stepwise regression for the group of nurses, their age, educational level arid self-perceived health status influenced health promotion behaviors. However, it only explained 14% of the total variances. Additionally, this study found that 70% of the subjects described having often had headaches and stomachaches. Half of the subjects were also underweight. Therefore, these two phenomena need to be further investigated.

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