運用智慧計步軟體應用健走活動於三高員工之生理指標與生活型態之影響

The Effects of Using an Intelligent Pedometer App to Apply to In-Walking Activities on Physiological Indicators, and Lifestyles of Employees with High Blood Pressure, Blood Sugar, and Cholesterol

背景：醫療從業人員是醫院重要的資產，如何提升員工健康是醫療職場需正視的議題。個案醫院員工健檢異常比率，均高於國健署的國人三高盛行率調查，且平均每人請病假時數逐年上升，可見員工健康問題迫不可待。研究顯示健走可降低身體質量指數、體脂率、腰圍及血脂肪，甚至是死亡率。
目的：針對三高數值異常員工，運用智慧計步軟體和健走活動介入，探討其對於改善生理指標與健康促進生活型態的效益。
方法：採方便取樣，針對55位三高數值異常參與者，介入連續使用智慧計步軟體12週自主性健走，以自填結構性問卷及生理檢驗收集資料。
結果：研究發現「健康促進生活型態」總分(t= 3.846，p<0.001)，及「自我實現」、「運動」、「健康責任」、「營養」四個分量表，皆有顯著提升。
結論：研究顯示經連續12週的智慧計步軟體應用於自主性健走，能顯著改善受試者的健康生活型態，相關生理數值及量測則僅在「體重」及「腰圍」部分改善。同步結合現有健康促進活動，應可有效改善員工健康狀況與知能。

Introduction: How to improve the health of employees in the medical workplace is an issue that needs to be addressed as medical practitioners are an important asset of a hospital. The abnormal rate of checkups in relation to the health of the case hospital's employees is higher than that of the National Health Administration's survey regarding the three highest prevalence rates of people. The average number of sick leave hours per person is increasing year by year, which indicates that employees' health problems cannot be delayed with regards to being addressed. Studies have exhibited that walking can reduce an individual’s body mass index, body fat percentage, waist circumference, blood fat, and even mortality.
Objective: To make use of the intelligent pedometer app to explore and intervene in the walking activities of employees in determining whether they have improved their health promoting lifestyles as well as their physiological indicators of blood pressure, blood sugar and blood cholesterol.
Methods: A convenient sampling was used to collect data of 55 employees who scored abnormal values in the three highs, self-filling structured questionnaires and physiological tests. By making the employees in autonomous walking with continuously make use of the intelligent pedometer app for 12 weeks.
Results: The study found that the total score, in relation to the participants, of the 'Health Promotion Lifestyle Profile (HPL)' scale (t= 3.846, p<0.001) as well as「Self-actualization」、「Exercise」、「Health responsibility」、and「Nutrition」were significantly improved.
Conclusion: The study exhibits that after 12 weeks of continuous use of the smart pedometer software in autonomous walking, it can significantly improve the healthy lifestyle of the participants. The relevant physiological values and measurements are only improved in the 'weight' and 'waist circumference' categories. When synchronized with existing health promoting activities, it should effectively improve the employees’overall health and knowledge.