健康促進指導對內科門診病人生活方式改變的成效

The Effectiveness of Using Counseling to Promote Healthy Lifestyles among General Medical OPD Patients

10.7081/NR.199710.0390

陳美燕(Mei-Yen Chen)；盧朱滿(Ju-Mane Lu)；林淑瓊(Shwu-Chyong Lin)；瘳張京棣(Jenny Chang Liao)；史麗珠(Lai-Chu See)

健康促進的生活方式 ； 一般內科門診病人 ； health promtion lifestyle ； general medical OPD patients.

護理研究

5卷5期（1997 / 10 / 01）

390 - 400

繁體中文

健康促進的生活方式，是自1980年以來世界各國的公共衛生領域普遍倡導的主題，文獻顯示不良的生活方式與慢性疾病有關，執行健康促進的行爲與減少疾病的發生和死亡有密切關係。而提供民衆或病患實行健康促是的生活，亦是護理專業一項曆史悠久的責任與職務。本研究的目的是在探討實施健康促進的護理指導後，個案生活方式改變之成效。 本研究採用凖實驗研究設計，於民國84年10月至85年7月間，以三位資深護理人員進行護理指導，取樣對象爲某醫學中心一般內科門診病人。以看診時間不同爲分派實驗和對照組之依據（星期一，三、五爲對照組，星期二、四、六爲實驗組）。對照組依傳統門診作業方式，並給與「健康促進的生活方式手冊」；實驗組除上述程式外，再接受「健康促進的生活方式護理指導本」之內容，以1.5-2小時之個案衛教方式進行，三個月時依其前測得分較少之行為給予電話追蹤，並於6個月後評估成效。 研究初期共收集得158位個案，對照組78位，實驗組80位。經6個月這追蹤及評估只餘81位個案，對照組44人，實驗組37人，比較158位個案中有完成及沒有完成6個月評估者，其基本資料及健康促進行爲分數沒有顯著差異。以完成6個月追蹤之樣本評估其健康行爲之增加情形，發現實驗組在衛教後與健康促進的生活方式之行爲上，有顯著的成效，也支持實健康促進的生活方式之護理指導具有推廣的價值。

Over the last decade public health institutions around the world have been emphasizing the importance of healthy lifestyles. There is much documentation which shows that healthy lifestyles decrease susceptibility to disease and increase longevity. Unhealthy lifestyles, on the other hand, are closely correlated with chronic diseases. Nursing has a long and well-documented history of activities directed toward promoting healthy lifestyles. The purpose of this study was to examine the effects of counseling by nurses on a selected group of patients from a general medical OPD in a medical center in Taoyuan. A two-group quasi-experimental research design was employed. From October 1995 to July 1996, 158 OPD patients were selected and assingned to one of two groups. Members of the treatment group received counseling from three trained nurses during OPD waiting time, which was followed up by phone calls. The members of the control group were given no counseling but instead received traditional care and a booklet promoting healthy lifestyles. Preassessment was carried out after subjects were selected and post-assessment was done six months laster. The findings showed that the counseling caused members of the treatment group to adopt healthier lifestyles. The research outcome supports the value of nurses counseling patients on how to make their lives healthier.