研究生: |
李春松 Chun-Sung Lee |
---|---|
論文名稱: |
醫院護理人員蔬果攝取行為及其相關因素探討 A study of vegetable and fruit intake behavior among the clinical nurses |
指導教授: |
鄭惠美
Jeng, Huey-Mei |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
論文出版年: | 2013 |
畢業學年度: | 101 |
語文別: | 中文 |
論文頁數: | 130 |
中文關鍵詞: | 護理人員 、蔬果攝取行為改變階段 、蔬果攝取行為 、自我效能 |
英文關鍵詞: | Nurse, stage of change in vegetable and fruit consumption, vegetable and fruit intake behavior, self-efficancy |
論文種類: | 學術論文 |
相關次數: | 點閱:225 下載:31 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究目的旨在瞭解醫院護理人員蔬果攝取行為及其影響因素。以台南市某一區域教學醫院護理人員為研究對象,以自編結構式問卷進行普查,共得有效問卷714份。結果顯示,研究對象的蔬果攝取行為階段以處於預備期最多(蔬菜攝取行為37.1% / 水果攝取行為40.7%),沉思前期次之(蔬菜攝取行為29.1% / 水果攝取行為30.9%)。超過七成的研究對象無法每天攝取三份蔬菜或二份水果。研究對象的蔬果攝取利益性認知偏高、蔬果攝取障礙性偏高、蔬果攝取自我效能偏低、蔬果攝取社會支持偏低。蔬果攝取行為的重要預測變項為「輪班」及「自我效能」,其中以自我效能對蔬果攝取行為的解釋力最高,本研究架構共可解釋蔬菜攝取行為總變異量的41.8%,可解釋水果攝取行為總變異量的41.6%。
本研究建議,要促進護理人員的蔬果攝取行為,應依所處的「蔬果攝取行為改變階段」分群,並朝克服蔬果攝取障礙性、提升社會支持、提升蔬果攝取自我效能的方向,設計合適的行為改變策略。
Purposes: The purpose of this study was to understand clinical nurses’ current situations and effect factors of vegetable and fruit intake behavior.
Methods: The authors developed the structure questionnaire and study subjects included 714 clinical nurses from a hospital in Tainan, Taiwan.
Results:The study subject’s vegetable and fruit intake behavior stage of change is mostly located at preparation stage ( vegetable vs. fruit:37.1% vs. 40.7% ), then at precontemplation stage ( vegetable vs. fruit:29.1% vs. 30.9% ). Nearly 70﹪of the study subjects can’t consume 3 potions of vegetables or 2 potions of fruits daily. Subjects had better knowledge of self-perceived benefits ,higher self-perceived barriers and had fewer self-efficacy、poor social support. Significant predictors of vegetable and fruit intake behavior were "shift work" and "self- efficacy ". In view of the salience indicators of individual parameter, "self- efficacy " which was the main predicting factor. The research model accounted for 41.8% of the variance in vegetable intake behavior, accounted for 41.6% of the variance in fruit intake behavior.
Implications for Practice:We should group subjects based on their stage of change in vegetable and fruit consumption and design stage-appropriate strategies to influence behavior.
中文部分
丁家羚(2010)。臨床護理人員健康生活型態及其相關因素之研究-以新北市某地區教學醫院為例(未發表之碩士論文)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
行政院衛生署(2011)。國人飲食指南。台北市:行政院衛生署。
行政院衛生署(2013)。101年國人主要死因統計結果。取自http://www.doh.gov.tw/CHT2006/DM/DM2_p01.aspx?class_no=25&level_no=1&doc_no=88618
朱瑩悅、陳麓米、陳雪霞、韓秀珍(2006)。彰化地區國小五年級學童利用碗估計五榖根莖類和蔬菜類份量之正確性研究。華岡農科學報,18,97-110。
兵逸儂、鄭惠美(2010)。應用跨理論模式於北市士林區高中學生每日五蔬果行為之調查研究。學校衛生,56,39-58。
李佩珊、鍾家雯、程小育、郭淑珍(2008)。輪班工作對生活品質的影響:深度訪談護理人員。健康管理學刊,6(2),147-160。
李貞儀、魏米秀、呂昌明(2011)。台南縣新營地區高中職學生蔬果攝取行為相關因素研究。健康促進與衛生教育學報,36,53-77。
何素梅(2007)。桃園縣立中壢國民中學學生蔬果攝取行為相關因素之研究(未發表之碩士論文)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
邱淑媞(2008)。健康促進醫院的國際發展趨勢。醫療品質雜誌,2(3),28-32。
余玉如、洪淑文、吳羿寬、蔡麗娟、王惠美、林綽娟(2008)。雲嘉南地區醫院護理人員工作滿意與生活品質之探討。護理雜誌,55(2),29-38。
林雅雯、謝琇茜、翁正玉、黃于晏、楊琇惠、劉智綱(2003)。醫院員工健康促進生活型態及其決定因素之探討-以新竹某區域教學醫院為例。中華職業醫學雜誌,4(4),77-90。
吳幸娟、張雅惠、方佳雯、潘文涵(1999)。台灣地區成人攝取的食物總重量、熱量值及三大營養素的食物來源。1993 - 1996。中華民國營養學會雜誌,24(1),40-58。
吳幸娟、潘文涵、葉乃華、張新儀、洪淑怡(2011)。台灣成人與老人營養素及食物攝取來源之變遷趨勢:由NASHIT 1993~1996 到2005~2008。台北市:行政院衛生署。
吳幸娟等人,(2007)。營養評估(三版)。台中市:華格那。
吳昭芳(2008)。台北市葫蘆國小高年級學童蔬果行為相關因素之研究(未發表之碩士論文)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
胡惠碧(2007)。台北縣板橋市高中職學生攝取蔬果行為相關因素之研究(未發表之碩士論文)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
施秀如(2009)。台中縣立某國中學生身體意象與體重控制行為之研究(未發表之碩士論文)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
徐裴莉(2009)。職場員工飲食、生活型態與代謝症候群之相關性調查-以台中科學園區某公司為例。靜宜大學食品營養研究所碩士論文,未發表,台中市。
林美聲、黃松元(2006)。中小學學校護理人員健康促進生活型態之研究-以宜蘭縣中小學學校護理人員為例。護理研究,3(1),41-54。
許羽婷(2011)。某科技公司職員蔬果攝取行為之相關影響因素探討(未發表之碩士論文)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
陳美燕、周傳姜(2008)。論護理在提升台灣競爭力之角色與影響力--以健康促進為例。護理研究,55(5),5-11。
陳俐蓉、呂昌明(2009)。台南縣某高中學生蔬果攝取行為(未發表之碩士論文)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
陳慧媛(2010)。桃園縣某國民中學學生飲食行為及其相關因素之探討(未發表之碩士論文)。國立臺灣師範大學健康促進與衛生教育學系,臺北市。
陳妮婉、張彩秀、張淑萍與宋琇鈺(2011)。護理人員健康促進生活型態與生活品質之關係探討。澄清醫護管理雜誌,7(2),20-26。
曾明淑、高美丁、葉文婷、潘文涵(1999)。Food consumption frequency and habit amongTaiwanese-NAHSIT 1993-1996。中華民國營養學會雜誌,24(1),59-80。
曾妍娟、錢才瑋、郭浩然、蘇世斌(2005)。職場醫療衛生單位護理人員健康行為之調查。中華職業醫學雜誌,12(2),73-84。
曾冠華(2006)。護理人員工作壓力對自覺健康狀態與離職傾向之研究-以台灣中部區域醫院為例(未發表之碩士論文)。中國醫藥大學醫務管理研究所,台中市。
張承晉、林湜婷(2006)。食物偏好和飲食自我效能對健康飲食型態的影響。中華家政學刊,39,15-29。
張春美、沈希哲、張惠真、龔致瑩(2009)。應用跨理論模式推動醫院員工每日五蔬果之成效。北市醫學雜誌,6(5),362-372。
游麗惠、鄭惠美、張嘉莉、林大涵、邱文祥、張惠美、林秀亮(2010)。台北市青年的飲食行為及其障礙因素探討。學校衛生,57,107-138。
廖如文、張玲華、張秉宜、廖文進、顧乃平(2006)。北部醫院加護病房護理人員個人因素於工作壓力、工作滿意度與因應策略相關性之探討。中華民國重症醫學雜誌,7(3),101-110。
蔡晏儒、鄭惠美(2006)。運用跨理論模式於職場員工蔬菜攝取行為之探討-以某企管顧問有限公司往來客戶為例。健康促進與衛生教育雜誌,26,17-30。
潘文涵、章雅惠、陳正義、吳幸娟、曾明淑、高美丁(1999)。以二十四小時飲食回顧法評估國人膳食營養狀況。中華營誌,24,11-39。
魏米秀、呂昌明(2006)。以焦點團體訪談探討大學生蔬果攝取行為的影響因素。衛生教育學報,26,125-145。
魏米秀、呂昌明(2009)。台灣大學生蔬果攝取改變階段與蔬果飲食頻率之研究一跨理論模式之應用。健康促進與衛生教育學報,32,43-64。
蘇春秀(2008)。影響臨床護理人員營養攝取行為及其相關因素探討。(未發表之碩士論文)長榮大學護理系。台南市。
外文部份
Aleong, C. (2006). Changing behavior through nutrition education and Nine Bracelets. American Journal of Health Education, 37 (2), 117-121.
Bazzano L.A., He J., Ogden LG. (2001). Legume consumption and risk of coronary heart disease in US men and women: NHANES I Epidemiologic Follow-up Study. Arch Intern Med, 161, 2573.
Bazzano, L. A., Li, T. Y, Joshipura, K. J., Hu, F. B. (2008). Intake of fruit, vegetable, and fruit juices and risk of diabetes in women. Diabetes Care, 31(7), 1311-1317.
Bourdeaudhuij, I. D., Yngve, A., Velde, S. J., Klepp, K. L., & Rasmussen, M., Thorsdottir, I., Wolf, A., & Brug, J. (2006). Personal, social and environmental correlates of vegetable intake in normal weight and overweight 9 to 13-year old boys. International of behavioral Nutrituin and Physical Activity, 3(37).
Crowe FL., Roddam AW., Key TJ.(2011). Fruit and vegetable intake and mortality from ischemic heart disease: results from the European Prespective Intestigation into Cancer and Nutrition(E_ PIC)-Heart study. EUR Heart J, 32,1235.
Dagnelie PC., Schuurman AG., Goldbohm RA., Van den Brandt PA. (2004). Diet, anthropometric measures and prostate cancer risk: a review of prospective cohort and intervention studies. BJU Int, 93,1139.
Daucht, L., Amouyel, P., Dallongeville, J. (2005). Fruit and vegetable consumption and risk of stroke: A meta-analysis of cohort studies. Neurology, 65(8), 1193-1197.
Dehghan, M. M., Akhtar-Danesh, N. N., & Merchant, A. T. (2011). Factors associated with fruit and vegetable consumption among adults. Journal of Human Nutrition & Dietetics, 24(2), 128-134.
Driskell, M. M., Dyment, S., Mauriello, L., Castle, P., & Sherman, K. (2008). Relationship among multiple behaviors for childhood and adolescent obesity prevention. Preventive Medicine, 46, 209-215.)
Evans, A. E., Jayna, D., Andrea, T., Sonya, D., Margart, C., Dawn, W.(2006).Changing the home environment: Effect of nutrition and media literacy pilot intervention. Family & Community Health, 29 (1) , 43-54.
Frenn, M., Malin, S., Villarruel, A. M., Slaikeu, K., McCarthy, S., Freeman, J., et al. (2005). Determinants of Physical Activity and Low-Fat Diet Among Low Income African American and Hispanic Middle School Students. Public Health Nursing, 22(2), 89-97.
Henry, H., Reimer, K., Smith, C.,& Reicks, M. (2006) . Associations of decisional balance, processes of change, and self-efficacy with stage of change for increased fruit and vegetable intake among low-income, African-American Mothers. Journal of the American Dietetic Association, 106, 841-849.
Horwath, C. C., Nigg, C. R., Motl, R. W., Wong, K. T., & Dishman, R. K. (2010). Investigating Fruit and Vegetable Consumption Using the Transtheoretical Model. American Journal of Health Promotion, 24(5), 324-333.
Joshipura KJ, Hu FB, Manson JE, (2001). The effect of fruit and vegetable intake on risk for coronary heart disease. Ann Intern Med, 134, 1106.
Key, T. J., (2011). Fruit and vegetables and cancer risk. Br J Cancer, 104(1), 6.
Kloek, G. C., Lenthe, F. J., Nierpo, P. W. M., & Mackenbach, J. P. (2004). Stages of change for fruit and vegetable consumption in deprived neighborhoods. Health Education and Behavior, 31 (2), 223-241.
Lock, K., Joceline, P., Louise, C., Dan, R. A. Martin, M. (2005). The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet. Builetin of the World Health Organization, 83(2), 100-108.
Lowry, R., Lee, S. M., Mckenna, M. L., Galluska, D. A., & Kann, L. L. (2008). Weight management and fruit and vegetable intake among US high school students. The Journal of School Health, 78(8), 417-423.
Nitzke, S., Kritsch, K., Boeckner, L., Greene, G., Hoerr, S., Horacek, T., & ... White, A. (2007). A Stage-tailored Multi-modal Intervention Increases Fruit and Vegetable Intakes of Low-income Young Adults. American Journal of Health Promotion, 22(1), 6-14.
Noia, J. D., Schinke, S. P., Prochaska, J. O., & Contento, I. R. (2006). Application of the Transtheoretical Model to fruit and vegetable consumption among economically disadvantaged African-American Adolescent:Preliminary findings. American Journal of Health Promotion, 20 (5) , 342-348.
Robinson, A., Norman, G., Sallis, J., Calfas, K., Rock, C., & Patrick, K. (2008). Validating stage of change measures for physical activity and dietary behaviors for overweight women. International Journal of Obesity, 32(7), 1137-1144.
Streppel MT, Arends LR, Veer P, Grobbee DE, Geleijnse JM. (2005). Dietary fiber and blood pressure: a meta-analysis of randomized placebo-controlled trials. Arch Intern Med.,165(2):150.
Therese A. O’Sullivan PhD., Gina Ambrosini PhD., Lawrie J. Beilin PhD. Trevor A. Mori PhD., Wendy H. Oddy PhD. (2010). Dietary intake and food sources of fatty acids in Australian adolescents. Journal of Nutrition, Corrected Proof.
Thompson, V. J., Bachman, C. M., Baranowski, T., & Cullen, K. W. (2007). Self-efficacy and norm measures for lunch fruit and vegetable consumption are reliable and valid among fifth grade students. Journal of the National Cancer Institute, 93(7) , 525-533.
Unal Ayranci MD., Nazan Erenoglu PhD., Osman Son M.D. (2009) Eating habits, lifestyle factors, and body weight status among Turkish private educational institution students. Journal of Nutrition, in Press, Corrected Proof.
U.S. Department of Agriculture and U.S. Department of Health and Human Services. (2010). Dietary Guidelines for Americans. 7th Edition. Washington, DC: U.S.. Govement Printing Office.