Lifestyle in Visually Impaired or Blind Massage Therapists: A Preliminary Study

10.1097/jnr.0000000000000242

Shu-Ling HUNG；Mei-Fang CHEN；Yu-Hua LIN；Chia-Chan KAO；Ya-Wen CHANG；Hui-Shan CHAN

visually impaired or blind ； massage therapist ； lifestyle.

The Journal of Nursing Research

26卷5期（2018 / 10 / 01）

348 - 355

英文

Background: Lifestyle is among the most important factors affecting individual health status. Limited access to health information may limit the ability of people with visual impairment or blindness to practice healthy lifestyles. However, no studies have investigated how lifestyle practices affect health specifically in visually impaired and blind populations. Purpose: The aim of this study was to investigate the lifestyle behaviors of visually impaired and blind massage therapists (VIBMTs) in Taiwan. Methods: This exploratory study used a purposive sampling technique to recruit 50 VIBMTs who were employed at massage stations in southern Taiwan. All of the participants completed the Health-Promoting Lifestyle Profile II (HPLP-II) and a survey of demographic characteristics. Descriptive and inferential statistical tests, including the Mann－Whitney U test and the Kruskal－Wallis H test, were used. Statistical significance was defined as p G .05 in two-tailed tests. Results: Fifty participants completed both the HPLP-II and the demographic survey. The mean subscale score for the HPLP-II was 2.52 T 0.37. The lowest scores were on the physical activity (2.09 T 0.67) and nutrition (2.35 T 0.39) subscales, and the highest scores were on the spiritual growth (2.89 T 0.56) and interpersonal relations (2.79 T 0.46) subscales. Scores on the stress management and physical activity subscales were significantly higher in men than in women (p G .05). In addition, mean HPLP-II scores were significantly higher in VIBMTs who exercised regularly compared with those who did not (p G .05). Compared with nonsmokers, current smokers had significantly higher scores on the stress management subscale (p G .05). Conclusions/Implications for Practice: The low physical activity scores in this population may be improved by developing physical activity programs for the home and workplace and by establishing community recreational and exercise facilities for visually impaired populations. The low scores for nutrition may be improved by establishing nutrition education programs that are designed specifically for VIBMTs to increase their consumption of fresh produce and other healthy foods and by requiring food manufacturers to use labels that may be easily read or understood by visually impaired populations.

1. Al-Kandari, F.,Vidal, V. L.(2007).Correlation of the health-promoting lifestyle, enrollment level, and academic performance of college of nursing students in Kuwait.Nursing and Health Sciences,9(2),112-119.
2. American Heart Association. (2016). Healthy living. Retrieved from http://www.heart.org/HEARTORG/HealthyLiving/Healthy-Living_UCM_001078_SubHomePage.jsp
3. Can, G.,Ozdilli, K.,Erol, O.,Unsar, S.,Tulek, Z.,Savaser, S.,Durna, Z.(2008).Comparison of the health-promoting lifestyles of nursing and non-nursing students in Istanbul, Turkey.Nursing and Health Sciences,10(4),273-280.
4. Chen, C. W.(2011)。Taipei City, Taiwan, ROC.，National Chengchi University。
5. Eshah, N. F.(2013).Predischarge education improves adherence to a healthy lifestyle among Jordanian patients with acute coronary syndrome.Nursing and Health Sciences,15(3),273-279.
6. Hurlbut, J. M.,Robbins, L. K.,Hoke, M. M.(2011).Correlations between spirituality and health-promoting behaviors among sheltered homeless women.Journal of Community Health Nursing,28(2),81-91.
7. Kavlak, O.,Atan, S. U.,Sirin, A.,Sen, E.,Guneri, S. E.,Dag, H. Y.(2013).Pregnant Turkish women with low income: Their anxiety, health-promoting lifestyles, and related factors.International Journal of Nursing Practice,19(5),507-515.
8. Khalil, K.(2014).CA, USA,University of San Diego.
9. Kirag, N.,Ocaktan, E. M.(2013).Analysis of health promoting lifestyle behaviors and associated factors among nurses at a university hospital in Turkey.Saudi Medical Journal,34(10),1062-1067.
10. Lee, R. L.,Loke, A. J.(2005).Health-promoting behaviors and psychosocial well-being of university students in Hong Kong.Public Health Nursing,22(3),209-220.
11. Lee, S. J.,Chung, C.(2013).Comparisons of health conditions of immigrant and domestic women in Korea and China using propensity score matching.Health Care for Women International,34(11),989-1004.
12. Li, Y. C.(2001).A study of occupation of individuals with visual impairments.Bulletin of Special Education and Rehabilitation,9,51-69.
13. Lo, M. H.(2009).Health-promoting behavior and quality of life among caregivers and non-caregivers in Taiwan: A comparative study.Journal of Advanced Nursing,65(8),1695-1704.
14. Ministry of Health and Welfare, Taiwan, ROC. (2017). 2017 statistics of the disable population in Taiwan. Retrieved from http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312 and fod_list_no=4198 (Original work published in Chinese)
15. Office of Disease Prevention and Health Promotion. (2014). Determinants of health. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinantsof-Health
16. Padden, D. L.,Connors, R. A.,Posey, S. M.,Ricciardi, R.,Agazio, J. G.(2013).Factors influencing a health promoting lifestyle in spouses of active duty military.Health Care for Women International,34(8),674-693.
17. Prüss-Üstün, A.,Corvalán, C.(2006).Preventing disease through healthy environments: Towards an estimate of the environmental burden of disease.Geneva, Switzerland:World Health Organization.
18. Tang, Y. Y.(2000).Chicago, IL, USA.,University of Illinois at Chicago.
19. Tang, Y. Y.,Chen, S. P.(2002).Health promotion behaviors in Chinese family caregivers of patients with stroke.Health Promotion International,17(4),329-339.
20. Tsai, Y. C.,Liu, C. H.(2012).Factors and symptoms associated with work stress and health-promoting lifestyles among hospital staff: A pilot study in Taiwan.BMC Health Services Research,12,199.
21. Walker, S. N., & Hill-Polerecky, D. (1996). Psychometric evaluation of the Health-Promoting Lifestyle Profile II (Unpublished manuscript). University of Nebraska Medical Center, Medical Center, Omaha, USA.
22. Walker, S. N.,Sechrist, K. R.,Pender, N. J.(1987).The health-promoting lifestyle profile: Development and psychometric characteristics.Nursing Research,36(2),76-81.
23. World Health Organization(2013).How to use the ICF: A practical manual for using the international classification of functioning, disability and health (ICF).Geneva, Switzerland:Author.
24. World Health Organization. (2014). Visual impairment and blindness. Retrieved from http://www.who.int/mediacentre/factsheets/fs282/en/