| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 94 === Based on “Ottawa Charter for Health Promotion” (WHO, 1986), health promotion hospital development is the delivery of reorienting health services. Taipei City government, Department of Health there held Health promotion hospital accreditation in 2002 and 2005, however, practice of health promotion lifestyle among employees of accredited health promotion hospitals remains unknown. The target population of this study was all types of employees in the hospital, a cross-sectional design was utilized, and the structured questionnaire was used. A total of 594 cases (response rate 89%) were collected from a medical center in Taipei which was accredited as health promotion hospital in both years. The purpose of this study was: 1) to examine health promotion lifestyle profile (HPLP) among employees in the hospital; 2) to explore the relationships of demographic and work characteristics, expectation and utilization of supportive environment for health in the hospital on employees’ practice of HPLP; and 3) to determine the most important factors that predict HPLP.
The research subjects was mainly women, university graduated, unmarried, insured, without kid, religious belief or major chronic conditions, and with normal BMI and income level between 40000-59999 NT dollars. The mean age was 30.84+7.94 years old, and perceived health status was 5.91 (SD=1.36, range 3-9). In terms of work characteristics, majority of subjects were from nursing department, working 8-10 hours per day, without regular holidays, required on duty shift, with stand-walking physical activity pattern. The mean working experience was 5.86+4.58 years, and perceived working load was very high (11.05+2.76). The total HPLP was 1.86+ 0.82, indicating that subjects only “occasionally” and “often” practice health promotion behaviors. Comparing 7 subscales of HPLP, subjects ranked highest on work protection (2.19+0.62) and interpersonal support (2.14+0.59), and lowest on exercise (1.17+0.62). On the expectation of supported environment for health, the employees perceived psychological health (4.93+0.70) and cancer prevention (4.43+0.58 ) were the most urgent, and exercise (4.17+0.70) and weight control (4.12+0.64) the least. On the opposite, employees utilized these environment facilities highest on nutrition (1.25+0.82) and weight control (1.04+0.72), and lowest on tobacco control (0.83+0.83). Factors positively related to HPLP were: married, with faith, income level of 60000-79999 dollars per month, having children and worked as the manager. In addition, age, perceived health status and work experience also positively correlated with HPLP. Perceived working load was on the other hand negatively correlated with HPLP. All subscales of expectation and utilization of supportive environment for health, except cancer prevention, were positively correlated with HPLP. Result of stepwise regression indicated that expectation of the health environment, perceived health status, faith, utilization of the health environment, education, perceived working load, job position could significantly predict HPLP, and could explain 27% of total variance. Reinforce on supportive environment for health was recommended for health promoting hospital accreditation based on results of this study.
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