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題名:桃園地區醫師實施健康促進行為之探討
書刊名:中華公共衛生雜誌
作者:陳美燕 引用關係王明城邱獻章吳運東
出版日期:1995
卷期:14:1
頁次:頁41-50
主題關鍵詞:健康促進生活方式醫師Health promotionLifestylePhysician
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(8) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:8
  • 共同引用共同引用:13
  • 點閱點閱:34
     (本研究乃國科會研究計劃NSC83-0117-C255-001B)之桃園地區醫護人員與民眾生活方式系列探討之一)本研究之目的為探討桃園地區醫師實施健康促進行為之一般狀況及影響其執行的因素。以橫斷面問卷調查方式,針對在桃園縣醫師公會登記之所有醫師為母群體,以隨機抽樣方式抽出1000名(回收率41.1%)樣本。以經中文版修訂之“健康促進的生活方式量表”為工具。得以下結果:以基層醫療院所之醫師問卷回收率最高(58.6%)。從6個層面來看,自我實現得分排名第一,而運動行為得分是最低的。在52項健康促進行為中,多數醫師之行為出現頻率偏向“有時”至“經常”有實行。若以身為健康專業人員應有角色模範行為之觀點而言,頻率出現在“經常”以上可能較好,則只有10項達此標準。且整個得分分佈範圍相當大(26-142),有18位樣本總得分低於48分,表示有些樣本生活方式過得相當不健康。本研究另外的發現是有60%的樣本描述他們至少有一種經常不適的身體部位,其中以頭痛和胃部不適的現象居多數。
     Teaching and counseling strategies to facilitate the health promotion lifestyle for people have been more emphasized in physicians’ intervention, especially in the primary care. It is easier to provide the contents of health promotion to clients if physicians perform the role model of health promotion behaviors. The data presented here were collected in a mail-questionnaire survey of a stratified sample of physicians in medical centers, community hospitals or primary care units, who were members of Physician's Association in Tao Yuan. This study investigated 1000 (respond rate 41.1%) physicians to explore the practicing health promotion behaviors. The author developed the Chinese version of Health Promotion Lifestyle Profile. The results showed that the 6 dimensions from the lowest to highest score were exercise, health responsibility, stress management, nutrition, and interpersonal supportive and self-actualization behaviors. In 52 items, most of the frequency of the health promotion behaviors the subject distribute from "sometimes" to "usually". In the authors' professional point of view, health promotion behaviors of medical personals are required to distribute from "usually" to "always". However, only 10 items reached the criteria in this study. And there is a wide range of score (26-142); moreover, there are 18 samples which score lower than 48, which show that some subjects had unhealthy lifestyles. Additionally, this study found that 60% of the subjects described having often had headaches and stomachaches. This phenomenon needs to be further investigated.
期刊論文
1.Belloc, N. B.、Breslow, L.(1972)。Relationship of physical health status and health practice。Preventive Medicine,1(3),409-421。  new window
2.Sobal, J.、Valente, C. M.、Muncie, H. L.、Levine, D. M.、Deforge, B. R.(1985)。Physician's beliefs about the importance of 25 health promoting behaviors。AJPH,75(12),1427-1428。  new window
3.Schwartz, J. S.、Lewis, C. E.、Clancy, C.、Kinosian, M. S.、Radany, M. H.、Koplan, J. P.(1991)。Internists' practices in health promotion and disease prevention。Annuals of Internal Medicine,114(1),46-53。  new window
4.Russell, N. K.、Roter, D. L.(1993)。Health promotion counseling of chronic-disease patients during primary care visits。AJPH,83(7),979-982。  new window
5.Wyshk, G.、Lamb, G. A.、Lawrence, R. S.、Cerran, W. J.(1980)。A profile of the health-promoting behaviors of physicians and lawyers。N Engl J Med,303(2),104-107。  new window
6.Wechsler, H.、Levine, S.、Idelson, R. K.、Rohman, M.、Taylor, J. O.(1983)。The physician's role in health promotion-a survey of primary care practitioners。N Engl J Med,308(2),97-100。  new window
7.陳美燕(1992)。公共衛生護理人員與健康促進的生活方式。護理雜誌,40(3),43-47。  延伸查詢new window
8.陳美燕(1994)。公共衛生護理人員健康促進--生活方式的初步探討。護理研究,2(1),41-54。new window  延伸查詢new window
9.Walker, Susan Noble、Sechrist, Karen Richert、Pender, Nola J.(1987)。The Health-Promoting Lifestyle Profile: development and psychometric characteristics。Nursing Research,36(2),76-81。  new window
10.Lewis, C. E.、Clancy, C. T.、Leake, B.、Schwartz, J. S.(1991)。The Counseling Practices of Internists。Annals of Internal Medicine,114(1),55-58。  new window
 
 
 
 
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