門診代謝症候群患者健康促進生活型態與其相關因素之探討

林品辰

doi:10.6342/NTU.2012.00492

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門診代謝症候群患者健康促進生活型態與其相關因素之探討

Health-Promoting Lifestyles and the Related Factors among Metabolic Syndrome Patient in OPD

林品辰 , Masters　　Advisor：黃璉華　　

繁體中文 DOI： 10.6342/NTU.2012.00492

代謝症候群；健康促進生活型態；健康行為自我效能；自覺健康狀況； metabolic syndrome ； health-promoting lifestyle ； self-efficacy of health behavior ； perceived health status

Abstract │ Reference (82) │ Altmetrics

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The purposes of this study was to understand the metabolic syndrome patient’s health-promotion lifestyles, and to explore the relationships among the demographic characteristics, perceived health status, perceived self-efficacy, and health-promoting lifestyles, and the predictive factors of the health-promoting lifestyles. A cross-sectional design was adopted and the subjects were metabolic syndrome patients from the outpatient department (OPD) of Metabolism and Endocrinology in a medical center hospital in Taipei city. The research instruments included demographic characteristics, perceived health status, health self-efficacy scale, and health-promoting lifestyle profile. The data were collected via face-to-face interviews or self-reported by structured questionnaires, and the effective questionnaires were 100. The data were analyzed by SPSS 18.0, the method of analyzed included descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation or Spearman’s correlation, Scheffe’s posterior comparison or Tamhane’s posterior comparison, and stepwise multiple regression.
The major results of this study were as follows:
1.	The mean score of overall health-promoting lifestyles was 55.09. The highest score was on the aspect of the nutrition, followed by stress management, interpersonal support, self-actualization, exercise, and the lowest score was the health responsibility. In the self-efficacy of health behavior, the highest score was the health responsibility, followed by exercise, nutrition and the lowest was psychological wellness. As to the perceived health status, most subjects considered their health status being bad or normal.
2.	In the demographic characters, the factors influencing the health-promoting lifestyles of the metabolic syndrome patients were education, marital status and socioeconomic status. The self-efficacy of health behavior was significantly positive correlated with the health-promoting lifestyles, and perceived health status also presented significantly positive relation with the aspect of the self-actualization in the health-promoting lifestyle.
3.	The education, marital status and self-efficacy of health behavior were the significant predictors, and explained 62.7% of the variance of health-promoting lifestyles. The self-efficacy of health behavior was the strongest predictor, and the aspect of health responsibility has the highest predictive power than other aspect in the self-efficacy of health behavior.
Medical professionals should provide metabolic syndrome patient with multiple and comprehensive activities of health promoting, especially in the aspect of health responsibility. The results of this study could provide guidelines for medical professionals about the development of health promotion program for the metabolic syndrome patients.

Reference ( 82 ) 〈TOP〉

仇方娟（1997）．南區五專生健康促進生活型態及其相關因素．未發表的碩士論文，高雄：高雄醫學大學護理學研究所。
連結：
王普善（2010）．基層醫療病患健康促進生活型態、生活技能、靈性健康與自覺疲勞之相關研究－以台北市某診所為例．未發表的碩士論文，台北：國立臺北教育大學生命教育與健康促進研究所。
連結：
王助順（2009）．臺灣某大學新生代謝症候群指標與其健康促進生活型態相關性之探討．未發表的碩士論文，臺南：國立成功大學護理學研究所。
連結：
王佳慧、李碧霞、鄭綺、高靖秋、楊勤熒、蔡仁貞（2006）．護理人員疲倦�活力度、健康促進生活型態與健康相關生活品質之研究．新臺北護理期刊，8（1），7－16。
連結：
王秀紅、邱啟潤、王瑞霞、李建廷（1992）．婦女健康促進行為及其相關因素的探討－以高雄市三民區及屏東縣高樹鄉居民為例．公共衛生，19（3），251－265。
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