從護理觀點探討健康行為的測量

Systematic Review of the Measurement of Health Behavior from Nursing Perspectives

本研究目的乃自護理觀點探討健康行爲的測量，以CINAHL、中華民國期刊論文索引影像系統，與全國博士論文摘要暨碩士論文資訊網等電子資料庫爲搜尋對象，設定西元1988～2004年，關鍵詞爲“健康行爲(health behavior)＂、“測量(measurement)＂與“護理(nursiug)＂的原著論文。採取系統性文獻查証方式分析100篇與健康行爲有相關的中西文量性護理研究論文。結果顯示75.0％的論文是屬於觀察性研究中的分析性研究，取様方式只有11.0％是採隨機抽様；研究對象以女性(32.0％)及成人(28.0％)最多。健康行爲的概念架構，有77.0％的論文是基於現有的理論或模式，其中的43篇論文乃採Pender的健康促進模式。健康行爲的測量則依據理論或模式所建構的健康行爲層面，或採其所欲加探討的行爲類別。研究結果有助於護理專業人員仔細檢視健康行爲此概念，並將其運用至臨床實務上。

The purpose of this study was to explore the measurement of health behavior from nursing perspectives. A search of the electronic data bases, CINHAL, PerioPath, and Dissertation and Thesis Abstract System was undertaken spanning the period of 1988- 2004. The words:'Wealth behavior' 'Measurement', and 'Nursing' were used to identify quantiative original articles in English and Chinese. The methodology of systematic review is used to analyze the 100 quantitative nursing studies which were related to the health behaviors. In the articles reviewed it was shown that 75.0% articles were observation analysis research design. There was 11.0% articles using random sampling. The large proportion of subjects were women (32.0%) and adult (28.0%). Most of the articles (77.0%) which conceptual framework were based on the contemporary theory or model, among which 43 articles using Pender Health Promotion Model. The measurement of health behavior was according to the dimensions of health behavior in the theory or model, or the investigating category of behavior. The results of this study can help nursing professionals to scrutinize the concept of health behavior and apply it to clinical practices.