臨床護理人員健康促進生活型態及其相關因素研究-以中部某區域教學醫院為例

Abstract

本研究目的主要探討臨床護理人員健康促進生活型態及其相關因素，以中部某區域教學醫院之臨床護理人員為研究對象進行抽樣，採橫斷式調查法，利用自填問卷方式，取得有效問卷297份。研究資料以t檢定、單因子變異數分析、皮爾森積差相關及多元迴歸等統計方法進行分析，研究結果歸納如下： 一、臨床護理人員之健康促進生活型態以人際支持情形最好，其他依序為自我實現、壓力處理、營養、健康責任、運動。 二、臨床護理人員之健康行為自我效能以健康責任自我效能最強，其他依序為營養、心理安適、運動。 三、臨床護理人員之健康概念以調適性概念最正向，其他依序為功能/角色性、安寧幸福性、臨床性健康概念。 四、臨床護理人員之健康控握情形以傾向內控者最多，權威外控者次之，機運外控者最少。 五、年齡較大、輪值班別固定以及服務於門診健檢之臨床護理人員，其健康促進生活型態實行情形較好。 六、臨床護理人員之健康行為自我效能愈強、健康概念愈正向、社會支持愈多、愈傾向內控及權威外控等，其健康促進生活型態愈好；愈傾向機運外控者，其健康促進生活型態愈差。 七、臨床護理人員之健康行為自我效能、健康概念、輪值班別、年齡對健康促進生活型態具有預測力，共解釋47.5％的總變異量。The purpose of this study was to explore the health-promoting lifestyles among the clinical nurses and to analyze the related factors. The subjects were the clinical nurses from a Regional Teaching Hospital in Central Taiwan. A cross-sectional design was adopted and the data were collected from 297 nurses via self-reported questionnaires. The data was analyzed by t-test, one-way ANOVA, Pearson’s product-moment correlation and multiple regression. The results of the study are as follows: 1. In the health-promoting lifestyles, the best performance was the interpersonal support, followed by self-actualization, stress management, nutrition, health responsibility, and exercise. 2. In the self-efficacy for health behaviors, the strongest efficacy was the health responsibility, followed by nutrition, psychological well being, and exercise. 3. In the health conception, the most positive conception was the adaptive health conception, followed by function/role performance health conception, eudemonistic health conception, and clinical health conception. 4. In the health locus of control, the clinical nurses tended to have a more internal locus of control, followed by powerful others locus of control, and have a less chance locus of control. 5. Senior nurses with regular shift and working on outpatient department and others had better health-promoting lifestyles. 6. The clinical nurses with the stronger self-efficacy for health behaviors, more of positive health conception, more of social support, prone to internal and powerful others locus of control had better health-promoting lifestyles. Those prone to chance locus of control had poor health-promoting lifestyles. 7. The self-efficacy for health behaviors, health conception, shift work and age could explain 47.5% of the total variance in health-promoting lifestyles.