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| 題 名 | 中年人健康問題、健康行為自我效能對心理健康狀況之影響=The Study of Health Problems and Self-efficacy in Health Behaviors Influence the Mental Health of Middle-aged People |
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| 作 者 | 潘寶霞; 戎瑾如; 吳書儀; | 書刊名 | 精神衛生護理雜誌 |
| 卷 期 | 8:1 2013.10[民102.10] |
| 頁 次 | 頁12-22 |
| 分類號 | 415.951 |
| 關鍵詞 | 中年人; 健康問題; 生活壓力; 健康行為自我效能; 心理健康; Middle-aged people; Health problems; Life stress; Self-efficacy in health behaviors; Mental health; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本研究之目的為探討社區中年人運用健康行為自我效能中和(mediating effects)其身心健康問題對心理健康狀況之影響。採橫斷式研究,招募250名(M=45,SD=8.5歲)於某醫學中心家醫科門診就診之中年病患,採結構式問卷訪談以收集資料,運用SPSS17.0進行資料分析。結果顯示:年齡、教育程度、慢性疾病或健康問題嚴重度、生活壓力、健康行為自我效能與中年人心理健康狀況均有顯著相關。階層式複迴歸分析顯示年齡及教育程度可解釋心理健康狀況6.0%(p<0.001)的變異量。年齡、教育程度、慢性疾病嚴重度、健康問題嚴重度、生活壓力等變項可預測心理健康狀況29.5%之變異量(p<0.001)。健康行為自我效能可中和及降低慢性疾病、健康問題、生活壓力對於心理健康狀況之負向影響,並可增加解釋心理健康狀況11.0%(p<0.001)之變異量。研究顯示能運用健康行為自我效能之中年人,可擁有較佳之心理健康狀態。健康行為自我效能為提升中年人之健康狀況之重要因素,健康照護專業需注重發展提升中年人健康行為自我效能之照護措施,以增進其心理健康。 |
| 英文摘要 | Background: The purpose of this study was to examine the effects of self-efficacy in using health behaviors would mediate the negative impacts of physical and psychological problems on mental health status in community middle-aged people. Method: This is a cross-sectional study which recruited 250 middle-aged (M=45, SD=8.5 years) people from the family medicine outpatient clinic in a medical center. Information was collected by structured questionnaire interviews, and was analyzed using hierarchical multiple regression applying SPSS 17.0 to have the data analyzed. Results: Our results showed that one's age, education level, chronic diseases, health problems, and life stress were associated with the mental health status in middle-aged people. Among those factors, age and education level could interpret 6.0% (p <0.001) of the variance in their mental health status. Age, education level, the severe level of chronic diseases or health problems, life stress, and other variables could predict 29.5% of the variance (p <0.001) in their mental health status. However, self-efficacy in health behavior could mediate the negative impacts of physical health problems and life stress on mental health status; as well as to increase the explanation of 11.0% (p <0.001) of the variance on mental health impact. Conclusion: Our study showed that middle-aged people who using the self-efficacy in health behavior were more able to mediate the negative influences on mental health status associated with physical health problems and life stress and would have a better mental health status. Self-efficacy in health behaviors is an important factor to enhance general health conditions in middle-aged people. Health care professionals should focus more on developing measures or policies to enhance self-efficacy in health behaviors for middle-aged people in order to improve their mental health conditions. |
本系統中英文摘要資訊取自各篇刊載內容。