某技術研發中心實施員工健康促進計畫成效評估

Performance Evaluation of Health Promotion Program Implemented in a Center of Technology Research and Development

姚伊珊(I-Shan Yao)

指導教授 ： 吳俊德

長榮大學/健康科學學院/職業安全與衛生學系(所)/碩士(2010年)

https://doi.org/10.6833/CJCU.2010.00021

摘要

隨著經濟的繁榮發展與公共衛生的積極推動，社會大眾對健康需求的層次亦不斷提高，健康促進的推行被人為有助於健康的生活品質的追求。國外的職場健康促進計畫的施行與成效評估已經行之有年，反觀國內對於職場員工的健康促進計畫調查不多。為了解職場健康促進計畫在介入前後是否能明顯改善員工健康，本研究針對某研發中心員工(人數約500~600多人)實施健康促進計畫，利用結構式問卷調查及健康檢查所收集資料的分析，評估健康促進計畫的各項介入提升研究對象生理及心理的健康狀態的成效。本研究使用的結構式問卷，收集研究對象在生活習慣、健康信念及健康評估的資料。藉由員工年度健康檢查時發放問卷，並在兩次健康檢查期間，對該中心的員工進行健康促進介入活動，包括：體適能、健康飲食、衛生教育、文宣宣導等。問卷回收後以電腦資料庫軟體建檔，並以SPSS及SAS統計軟體進行分析。研究結果發現：研究對象在生活習慣方面雖然沒有太多的變動，但是抽菸人口的比例有下降的趨勢，其餘的如喝酒、服藥、飲食、運動習慣上在前後測比較起來沒有太大的差異。在健康信念的部分，健康促進計畫的介入對於健康信念有些許提高；而疾病對員工生活的影響上，員工會認為若罹患疾病將會影響他們的生活；員工也認為從事健康促進行為對他們是有正向的幫助且也會改善生活品質、增加自信、增進睡眠品質及延緩老化；會較願意從教育訓練、演講及座談會獲得健康資訊。在健康檢查的前後比較上，在舒張壓、膽固醇、空腹血糖、男員工的肌酸酐及三酸甘油脂都有達到統計上顯著差異。由以上結果看起來，雖然介入前後沒有很明顯的差異，但是研究對象大多對自己的健康有正向思考，願意追求好的生活品質及改變其飲食與運動習慣。

關鍵字

健康促進 ； 職場 ； 介入 ； 健康檢查 ； 成效評估

並列摘要

Because of the prosperous development of national economy and the implenetation of public health programs, the public continuously raises the level of health requirements. The activities of health promotion programs have been considered to be helpful for a healthy quality life. The studies on the performance evaluatuion of workplace health promotion programs have been carried out for many years in foreign countries. However, few studies on the investigating of workplace health promotion programs have been conducted. To understand whether the implementation of a workplace health promotion program can significantly improve the health of employees, this study selected a technology research and development center with approximately 500~600 workers to implement a health promotion program and evaluate the performance of the program on improving physiological and mental health status by using the information collected from a structured questionnaire and annual employee physical examinations. The structured questionnaire mainly collected the information of life habits, health belief and health evaluation for the study subjects in the periods of annual employee health examinations of the workers in two consecutive years. In one year a series of health promotion activities including physical fitness, health diets, health education lectures and propaganda, etc., were introduced. The data collected by the questionnaire was filed by a computer database software and analyzed by the SPSS and SAS statistical software. The results found the life habits of the study subjects did not change much, but the proportion of the smokers of them was decreased. Others, such as alcohol, medication, diet, exercise habits between before and after interventions didn’t have much difference. Regarding the health beliefs, most of the study subjects had positive thinking of their health. With regard to the impact of diseases on the lives of employee, the employees thought that diseases would affect their lives; health-promoting behaviors would be helpful for improving their life quality, increasing their self-confidence, enhancing sleep quality and delaying aging; and were more willing to participate in health education training, lectures and seminars and get health information. The comparison between the results of the health examinations before and after the interventions showed that the items of diastolic blood pressure, cholesterol and fasting glucose for all the employees as well as creatinine and triglyceride for the male employees were statistically significantly different. Based on the results of this study, although the intervention did not make a significant difference for the employees’ health, however, most employees had positive thinking in their health, pursuing better quality lives, and changing their eating and exercise habits.

並列關鍵字

health promotion program ； workplace ； intervention ； health examination ； performance evaluation

參考文獻

陳美燕（1993）公衛護士與健康促進的生活方式。護理雜誌，40（3），43-47。

陳聖惠（2000）成人降低脂肪攝取營養教育成效評估研究。國立台灣師範大學家政研究所碩士論文。

蔡瑞珍（2000）某職場員工營養知識,飲食行為及其影響因素與營養介入之成效評估。台北醫學院保健營養學研究所碩士論文。

勞工安全衛生研究所 過勞自我預防手冊。取自於2008年2月11日。http://www.iosh.gov.tw/Book/Other_Public_Publish.aspx?P=13

徐儆暉（2002）「職業安全衛生」新使命－創造「促進健康的工作場所」。勞工安全衛生簡訊 53:1-3。