屏東地區高職學生健康行為自我效能、心理困擾程度與健康促進生活型態之研究

A Study of the Relationships among Self-Efficacy in Health Behavior, Psychological Stress, and Health Promotion of Vocational Students in Pingtung

10.6406/JNCKUPER.202004_52(1).0002

陳怡玲(Yi-Ling Chen)；馬上閔(Shang-Min Ma)；蘇蕙芬(Huey-Fen Su)

高職生 ； 多元迴歸 ； 健康促進 ； vocational students ； multiple regression ； health promotion

成大體育學刊

52卷1期（2020 / 04 / 01）

19 - 37

繁體中文

本研究目的旨在探討屏東地區高職學生健康行為自我效能、心理困擾程度與健康促進生活型態之關係。以屏東市某高職學生為研究對象，採分層比例抽樣方法進行問卷調查，共回收有效問卷336份，回收資料以描述性統計及多元階層迴歸進行資料分析。研究結果如下：1.高職生健康行為自我效能整體為中上程度，心理困擾程度整體為偏低程度，健康促進生活型態整體為中上程度。2.健康行為自我效能及心理困擾程度可解釋健康促進生活型態52%總變異量，其中健康行為自我效能之「健康控握」、「身體活動」及「飲食營養」為顯著之預測因子。根據結果，建議學校體育教學可增加運動及健康促進課程，提升課程趣味性、增強學生自我效能及應用技巧，以提升學生整體身心健康。

The purpose of this study was to investigate the relationship among self-efficacy in health behavior, psychological stress, and health promotion of vocational students in Pingtung. The respondents of this study were vocational senior high school students in Pingtung. A stratified proportional sampling method was used and a total number of 336 valid questionnaires were collected. Statistical methods of descriptive analysis and multiple hierarchical regression analysis were used to analyze the collected data. Findings were showed as that (a) Levels of self-efficacy in health behavior and health promotion lifestyle are moderate to good; levels of psychological distress are low; (b) 52% of the total variance in health promotion lifestyle was explained by the variables of self-efficacy in health behavior and psychological distress, and self-efficacy in health behavior is the strongest significant predictor. It is suggested that the authorities are encouraged to increase overall courses related to physical education and health promotion, and to work closely with the health center to carry out activities for strengthening students' self-efficacy in health behavior. In this way, students can enhance their physical and psychological health.

1. Chen, H. J.,Lue, B. H.(2008).Association of depression of college students with their personal health beliefs and with their personal health beliefs and behaviors.Formosa Journal of Mental Health,21(4),331-349.
   連結：
2. 李秀珍,李素幸,宋瑩珠(2009)。國中生健康促進生活型態及其影響因素之探討－以臺南縣四所國中生爲例。學校衛生，54，107-122。
   連結：
3. 林育陞(2016)。青少年青春期生、心理健康之探究。中華體育季刊，30(1)，17-24。
   連結：
4. 張彩秀(2008)。青少年健康行為與憂鬱情緒之差異分析。弘光學報，52，55-65。
   連結：
5. 陳昭伶,陳政友,羅惠丹(2009)。基隆地區高中職學生健康促進生活型態及相關因素探討。健康促進與衛生教育學報，31，129-154。
   連結：
6. 黃惠貞,姜逸群(2005)。大專院校學生靈性健康、知覺壓力與憂鬱之相關研究。衛生教育學報，23，121-144。
   連結：
7. 劉淑華(2011)。臺北市，國立臺灣師範大學健康促進與衛生教育系。
   連結：
8. 魏米秀,呂昌明(2005)。「健康促進生活型態」中文簡式量表之發展研究。衛生教育學報，24，25-46。
   連結：
9. Bandura, A.(1986).Social foundations of Thought and Action: A Social Cognitive Theory.Englewood Cliffs. NJ:Prentice Hall.
10. Brooks, T. L.,Harris, S. K.,Thrall, J. S.,Woods, E. R.(2002).Association of adolescent risk behaviors with mental health symptoms in high school students.Journal of Adolescent Health,31(3),240-246.
11. Carney, R. M.,Freedland, K. E.(2002).Psychological distress as a risk factor for stroke-related mortality.Stroke,33(1),5-6.
12. Chen, M. Y.,Wang, E. K.,Yang, R. J.,Liou, Y. M.(2003).Adolescent health promotion scale: Development and psychometric testing.Public Health Nursing,20(2),104-110.
13. Cheng, C. C.,Lin, M. Y.(2014).Relations between healthy lifestyle and health: an example of college freshman in a university of north Taiwan.Fu-Jen Journal of Medicine,12(4),227-237.
14. Fulkerson, J. A.,Sherwood, N. E.,Perry, C. L.,Neumark-Sztainer, D.,Story, M.(2004).Depressive symptoms and adolescent eating health behaviors: a multifaceted view in a population-based sample.Preventive Medicine,38,865-875.
15. Lee, M. B.,Liao, S. C.,Lee, Y. J.,Wu, C. H.,Tseng, M. C.,Gau, S. F.,Rau, C. L.(2003).Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity.Journal of the Formosan Medical Association,102(10),687-694.
16. Ma, S. M.,Tan, Y.,Ma, S. C.,Liou, T. L.(2012).Relationship between sedentary and active leisure participation among Midwestern college students.South African Journal for Research in Sport, Physical Education & Recreation (SAJR SPER),34(1),107-122.
17. Murray, R.B.,Zentner, J.P.,Yakimo, R.(2009).Nursing assessment and health promotion: Strategies through the life span.Lodon:Pearson education.
18. Ozer, E. M., Park, J. M., Brindis, C. D., Irwin, Jr., C. E. (2003). Americas adolescents: Are they healthy? San Francisco: University of California, National Adolescent Health Information Center.
19. Pelkonen, M.,Marttunen, M.,Aro, H.(2003).Risk for depression: a 6-year follow-up of Finnish adolescents.Journal of Affect Disorder,77(1),44-51.
20. Pender, N. J.,Murdangh, C, L.,Parson, M. A.(2002).Health promotion in nursing practice.Upper Saddle River, NJ:Prentice Hall.
21. 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.
22. 吳英枝(2008)。臺東市，國立臺東大學運動休閒管理系。
23. 李玉瑾(2005)。青少年讀者身心發展與網路檢索行為。中華民國圖書館學會會報，75，237-246。
24. 林香妃(2012)。臺北市，國立臺北護理健康大學護理研究所。
25. 徐培慈(2013)。高雄市，國立高雄師範大學教育學系。
26. 高淑芬,蔡秀敏,洪麗玲(1999)。員工健康促進生活方式之初步探討。元培學報，6，43-68。
27. 湯豐誠,蘇文羚,黃淑玲(2015)。大學生健康促進生活型態執行情形及其相關因子探討。人因工程學刊，17(1)，27-38。
28. 董氏基金會（2011）。2011年-臺灣五都國、高中職學生運動狀況、壓力源與憂鬱情緒之相關性調查（下）。2018年10月30日，取自https://www.jtf.org.tw/psyche/melancholia/survey.asp?This=80&Page=1
29. 臺灣健康促進學校（2019）。臺灣健康促進學校。2019年02月10日。取自http://hps.hphe.ntnu.edu.tw/plan/taiwan
30. 潘寶霞,戎瑾如,吳書儀(2013)。中年人健康問題健康行為自我效能對心理健康狀況之影響。精神衛生護理雜誌，8(1)，12-22。
31. 韓羽(2018)。高職院校生自卑厭學原因分析及幫助策略。陝西青年職業學院學報，3，61-63。
32. 蘇怡親(2014)。臺北市，國立臺灣師範大學健康促進與衛生教育學系。
33. 龔泰源,葉怡成,勞福堂,巫怡芬,宋洪經(2018)。青少年健康行為與生活型態對身體組成之探討。休閒保健期刊，19，70-83。