孕婦健康知能、遵從行為與健康狀態之相關性研究

Exploring the Relationships between Health Literacy, Compliance Behavior and the Health Status of Pregnant Women

本研究旨在探討健康知能與遵從行為、健康狀態三者間的關係，樣本來源以台灣 北、中、南、東四個區域之六家區域級以上醫院以及三間診所，立意選擇婦產科門診 就診的生育期婦女，請其填答本研究設計之健康知能測量問卷以及SF-12之健康生活品 質問卷，共取得388份有效問卷進行分析。研究結果發現，健康知能構面與受訪者之健 康分數並無顯著相關，可推論得知對於健康的孕婦而言，健康知能未與其生理健康及 心理健康有相關性。而教育程度越高則出現健康分數越低、知能分數越高之現象。無 法證明遵從行為是健康知能與健康狀態間的中介變項，由於遵從行為可能不限於本研 究所挑選之兩個指標，未來研究可採用及發展其他指標以進行更深入之研究。

Objectives: The enhancement of health literacy clearly represents a potential solution to the requirement for the overall elevation of health status; this study therefore sets out to analyze and discuss the relationships existing between health literacy, compliance behavior and the health status of pregnant women. Methods: We utilize the SF-12 health status instrument (Chinese version) in conjunction with a self-devised instrument designed to measure the level of health literacy amongst pregnant women. Our sample is selected from expectant mothers who had visited obstetrics and gynecology departments in six hospitals and three clinics, with a total of 388 completed questionnaires being collected for further data analysis. Results: Firstly, health literacy is found to have no significant correlation with the health status of pregnant women. Secondly, the higher the level of education, the lower the health status score and higher the health literacy score. Finally, we could find no evidence in this study of compliance behavior playing any mediating role in the relationship between health literacy and health status.