跨領域健康識能介入對醫療專業職場代謝症候群成效探討以南部某區域教學醫院為例

Effectiveness of an Interdisciplinary Health Literacy Intervention for Metabolic Syndrome in a Healthcare Setting

目的
瞭解醫療專業職場同仁健康促進生活型態，進而探討跨領域健康識能介入對代謝症候群改善成效。
方法
本研究以橫斷調查以南部某區域教學醫院為例，於2021年07月01日至2023年03月31日醫療專業職場之醫師、醫技人員、護理人員、行政人員為研究對象。第一階段：採分層抽樣取樣結構式問卷調查方式，瞭解員工健康促進生活型態與代謝症候群關聯性（有效問卷213份）。第二階段：以準實驗設計法進行介入性健康計劃24週後體位、體能、代謝前後測（有效樣本157份）。
結果
研究結果顯示：一、整體健康促進生活型態平均分數為1.93（分數0-3分），六個構面以「運動保健」最好，「均衡飲食」最差。二、年齡、教育程度、工作年資、本院年資變項與「均衡飲食」、「健康責任」、「自我實現」、「運動保健」、「壓力處理」具有顯著正相關。三、年齡、工作年資、本院年資越資深的同仁健康生活型態越佳。四、跨領域健康識能介入對代謝症候群（體重、身體質量指數、腰圍）達到統計上顯著性。
結論
研究發現介入健康識能措施，培養同仁健康飲食及規律性運動等習慣，對體重、身體質量指數、腰圍有顯著改善，因此介入健康識能有效改善代謝症候群等健康問題，研究成果可作為各院推動健康醫院發展政策重要參考。

Purposes
To explore the health-promoting lifestyles of medical professionals and assess the efficacy of an interdisciplinary health literacy intervention in improving metabolic syndrome.
Methods
A cross-sectional survey of physicians, medical technologists, nursing personnel, and medical administrators was conducted in a regional teaching hospital in Southern Taiwan between July 1, 2021, and March 31, 2023. Stage 1: A structured questionnaire survey was conducted using stratified sampling to examine the association between health-promoting lifestyles and metabolic syndrome among medical professionals (213 valid questionnaires). Stage 2: A quasi-experimental design was used to assess changes in body composition, physical fitness, and metabolism through pre- and post-tests following a 24-week interdisciplinary health intervention (157 valid samples).
Results
The results of the study showed that : (a) the mean overall health-promoting lifestyle score (on a scale of 0 to 3) was 1.93, with“exercise and healthcare”being the highest, and“balanced diet”the lowest among the six dimensions; (b) age, educational attainment, work experience, and years of service at the hospital were significantly positively correlated with“balanced diet,”“health responsibility,”“self-actualization,”“exercise and healthcare,”and“stress management”; (c) older age, longer work experience, and more years of service at the hospital were associated with a better health-promoting lifestyle; and (d) the interdisciplinary health literacy intervention had a statistically significant effect on metabolic syndrome indicators, including body weight, body mass index, waist circumference.
Conclusions
This study found that the health literacy intervention, along with the promotion of healthy eating habits and regular exercise significantly improved body weight, body mass index, and waist circumference among medical professionals. Therefore, the health literacy intervention is effective in addressing health issues such as metabolic syndrome. These findings provide an important reference for hospitals seeking to develop health-conscious policies.