護理人員健康促進生活型態與代謝症候群相關性探討──以南部某區域醫院為例

An Investigation of the Association between Healthy Promoting Life Style of Nurses and Metabolic Syndrome - In a Regional Hospital in Southern Taiwan

目的：本研究目的在探討護理人員健康促進生活型態與代謝症候群的相關性。方法：採橫斷式研究設計，以高雄市某區域教學醫院女性護理人員為研究對象，有效樣本292份。以SPSS 17.0進行描述性統計及卡方檢定、獨立樣本t檢定以及邏輯斯迴歸等統計分析。結果：護理人員代謝症候群之整體發生率為10.3%。年齡、婚姻與代謝症候群之關係達統計上顯著差異（p=0.009, p=0.019）。健康促進生活型態量表總得分為103.1分；分量表包括「營養」、「健康責任」、「自我實現」、「人際支持」、「運動」、「壓力處理」等六個構面，得分則以「人際支持」為最高（73.8分），以「運動」得分為最低（50.3分）。迴歸分析中發現，護理人員年齡≧40歲以及已婚者，罹患代謝症候群的風險較高，分別是3.312倍，2.864倍。結論：本研究結果，可提供給醫療相關單位分析醫院護理人員健康促進生活型態與代謝症候群盛行率的相關探討，亦能提供未來職場推動健康促進方案擬定之參考。

Purposes: This study was aimed to explore the correlation between health promotion lifestyle pattern (HPLP) and metabolic syndrome of nursing staff. Methods: It was designed as a cross-sectional quantitative study and research samples were taken from the female nursing staff of a regional teaching hospital in Kaohsiung, with the total valid sample size of 292. Descriptive statistics as well as X2 test, independent t test, and logistic regression were conducted by using SPSS 17.0 for window. Results: The overall prevalence of metabolic syndrome among the female nurses was 10.3%. Age and marital status were statistically associated with the presence of metabolic syndrome (p =0.009, p =0.019). The total score of the HPLP scale was 103.1. The scale included six domains, such as nutrition, health responsibility, self-actualization, interpersonal support, physical activity and stress management. Interpersonal relationship was appeared to have the highest score of 73.8. Conversely, physical activity was shown to have the lowest one of 50.3. In the logistic regression analysis, we found that subjects with age over 40 years old and married displayed significantly higher risk of metabolic syndrome than those with age less than 40 and unmarried (OR= 3.312 and 2.864, respectively). Conclusions: The results of this study may help some medical institutions develop future researches aiming to investigate the relationship between HPLP and metabolic syndrome prevalence. They can also provide some information for the planning of occupational health promotion.