Effect of Hospital-Based Health Promotion Program on Health Status and Healthy Behaviors of the Community Residents

• Main Authors: Wang, Mei-Ling, 王美玲
• Other Authors: Chen, Ching-Min
• Format: Others
• Language: zh-TW
• Published: 2005
• Online Access: http://ndltd.ncl.edu.tw/handle/37265491376381219220

碩士 === 臺北醫學大學 === 護理學研究所 === 93 === The purpose of the study was to explore factors related to effect of hospital-based health promotion program on health status and healthy behaviors of the community residents. The quasi-experimental design and volunteer sampling were utilized; subjects were recruited from 2 communities who had attended the Composited Health Screening Program organized by the local hospital and Chin-Chu city Health Department. Subjects in the experimental group (n=52) took ten weeks’ program, and the control group (n=40) did not. Subjective health status and healthy behaviors surveyed by questionnaire, and objective health status in BMI, blood pressure, blood sugar, cholestrol, and triglycerol of the 2 groups were collected before and after the program (response rate: exp. group: 76.9%. control: 77.5%). The average age of the subjects was 56.64 (SD=11.17) years old. Majority of them were women, married, elementary school graduates, lived with families, and purchased medical insurance. Most participants in experimental group did not work, and with living expenses of 5000 NT per month ; on the other hand, subjects in the control group were with job and higher living expenses. Most of them practiced healthy lifestyles. However, up to 88% subjects did not exercise regularly, and 40% did not routinely take medication. There was no significant difference between the two groups itheir baseline data except higher proportion of drinking habit in control group. The baseline data showed that subjects with moderate to high level of subjective health status (M=69.57, SD=16.51). The control group was higher in the general health and vitality. The objective health status indicated that subjects were healthy except cholestrol level in the control group was slightly above normal. Participants’ sores of the healthy behavior were worse (M=48.18, SD=18.33) than other studies. Effects of this program shown: (1) post test indicated that both systolic and diastolic blood pressure, and the physical activity in the healthy behavior were better in experimental group; (2) the average improvement in the general health, vitality, mental health, systolic blood pressure, diastolic blood pressure, healthy behavior score, health responsibility, physical activity, spiritual growth and stress management were all significant better in experimental group;(3) in experimental group, paired t-tests indicated the significant improvement in subjective health status score, general health, vitality, social functioning, mental health, healthy behavior score, health responsibility, physical activity, nutrition, spiritual growth, interpersonal relation and stress management. Also, there were significantly declined in the systolic and diastolic blood pressure and cholestrol, triglycerol levels;(4) educational level, occupation, monthly living expenses, living condition, diet behavior, with stress event, and chronic diseases were significant factors related to effect of the program.