社區血壓站保健志工認知、參與意願及滿意度之調查研究

The Perception, Participatory Intention and Satisfaction of Volunteers at Community Blood Pressure Measurement Station

本研究以某區域醫院社區血壓站為例，旨在探討社區保健志工認知、參與意願及參與滿意度，並進一步分析影響志工參與滿意度之重要因素。本研究於2007年1月15日至2月2日，選取台南市各區公所社區血壓站保健志工為對象，以結構式問卷為測量工具，結果共回收96份，回收率為88.9%，所得資料以SPSS14.0 for windows軟體進行分析。由研究結果發現：1.參與社區血壓站保健志工以女性、中年、國高中（職）、已婚、家人對其參與志願服務表示贊同者居多。2.保健志工對於高血壓認知大多有正確的概念，且多數志工對於參與意願及參與滿意度抱持著正向的肯定與認同。3.家人對其擔任保健志工表示贊成者，有較高的參與意願及參與滿意度並達統計上的顯著差異。4.志工參與滿意度與家人對其擔任保健志工的看法及參與意願成正相關。5.在多元線性迴歸分析中，經調整其他變項之影響效應後，發現教育程度及參與意願對志工參與滿意度有顯著影響。綜此瞭解影響保健志工參與滿意度的重要因素可提供社區推行志工志願服務策略之參考。

Purpose: Dyslipidemia and elevated low-density lipoprotein cholesterol (LDL-C) have been identified as risk factors for atherosclerosis and cardiovascular disease. The aim of this study was to evaluate the prevalence of and factors related to elevated LDL-C among young workers in southern Taiwan. Materials & Methods: We conducted a cross-sectional study by analyzing the database from the 2007 annual health examination of a company in southern Taiwan. Anthropometric measurements, sex, age, serum lipid profile, blood pressure, glutamic-pyruvic transaminase (GPT), and fasting glucose were recorded. Patients were divided into 4 categories according to their level of LDL-C: ＜130 mg/dL, 130-159 mg/dL, 160-189 mg/dL, ＞190 mg/dL; and elevated LDL-C was defined ＞130 mg/dL. Result: A total of 16,123 workers, 7,556 (46.9%) men and 8,567 (53.1%) women, were recruited. The mean serum level of LDL-C in the men (115.6±29.4 mg/dL) was higher than that in the women (104.1±27.0 mg/dL) ( p＜0.001). The overall prevalence of elevated LDL-C was 21.3%. The older men with higher BMI and blood pressure, and abnormal fasting glucose, GPT, triacylglycerol (TG), and high-density lipoprotein cholesterol (HDL-C) had a higher prevalence of elevated LDL-C. After adjusting for age, sex, BMI, blood pressure, fasting glucose, GPT, TG, and HDL-C, male sex, older age, higher BMI, higher blood pressure, impaired fasting glucose, and abnormal GPT, TG, and HDL-C were independent risk factors of elevated LDL-C. Conclusion: Elevated LDL-C was prevalent, and its risk factors were similar to those for cardiovascular disease in this young working population.