提升護理人員健康促進行為政策－－以飲食與運動行為為例

Promoting a Policy of Healthy Lifestyle for Nurses--Strategies to Improve Nursing Health through Behavioral Modifications of Diet and Exercise

護理人員是醫院重要的資產，位居照護病患的最前線，然而其健康狀況很少受到重視。研究指出護理人員的生活型態處於不健康行為，即運動量少與飲食不健康，導致體適能趨向差的狀態，若未加以正視，可能引發護理人員健康問題，進而影響照護品質。實證研究顯示，工作型態、健康促進在職教育訓練不足、個人缺乏健康認知及環境因素會影響護理人員飲食與運動的行為，依據上述謀略政策，目標為建構以護理人員為中心的健康促進小組、制定健康飲食及運動行為之方案、舉辦健康促進在職教育訓練及建構支持性的環境，以提升護理人員健康的生活型態，並藉由評值飲食及運動行為是否增進及生理指標改善之成效，以確認政策的效果，做為修正的依據，可達護理人員健康促進之目標。

Nurses are vital human resources of a hospital and serve in the front line of patient care, but their personal health often takes a back seat. The research revealed that the average nurse’s lifestyle is lacking in good behavioral practices, especially in terms of an unhealthy diet and sedentary lifestyle. As a result, they show poor fitness performance status. If left as is, without correcting these problems, our nurses will develop physical problems and in turn, affect the quality of care that they can provide to their patients. A review of the scientific evidence in the literature identified unhealthy work practices, lack of health promotion education, poor personal health cognition and environment factors as the major factors affecting nurses’ health behaviors. The established strategies include individual goal-setting and the promotion of healthy behaviors with a protocol of healthy diet and exercise behaviors, holding education programs, and setting up a supportive environment to promote healthy life style. Finally, we can evaluate the amount of behavioral change and the effect on physical indices, such as BMI, to confirm the benefit of such a health promotion policy for nurses. The results and feedback can guide future modifications to the program in order to accomplish the goal of effective health promotion among the nursing staff.