| Summary: | 碩士 === 國立台北護理學院 === 護理研究所 === 90 === The purposes of this study were to evaluate the effects of health-promoting education and physical fitness exercise on health-promoting lifestyle (HPL) and physical fitness. A quasi-experimental design was used. The 165 subjects from a nursing junior college were divided into experiment groupⅠ, experiment groupⅡ and control group. The experiment groups accepted 13 hours of health-promoting education , and the experiment groupⅠpracticed 8 weeks of physical fitness exercise, while the control group was untreated in either way. The instruments were completed before and after receiving instruction, including social-demography, general health perception subscale, Multidimensional Health Locus of Control, Self-Rated Abilities for Health Practices Scales, social support system scales, Health Promoting Lifestyle Profile II, 7-day physical activity record, teaching evaluation, and physical fitness test. The main results found in this study were:
1.Age, parents’ education status, and home equipment of exercise were not significantly related to HPL and physical activity. The health problem was negatively related to either nutrition or stress management. The health status of mother was also negatively related to spiritual growth. There was significantly positive correlation among father’s health status and energy expenditure or environmental facilities of physical activity.
2.The perceived health status was positively related to nutrition. The perceived health control was not significantly related to HPL or physical activity. Both self-efficacy and social support were positively related to HPL.
3.After intervention, there was significant difference on frequency and duration of exercise in each group. There were significant differences on frequency, duration and intensity of exercise among three groups.
4. After intervention, there were significant improvements on HPL, health responsibility, physical activity, nutrition, spiritual growth and interpersonal relation. They were significantly better than those of the control group except for health responsibility and nutrition. The experiment groupⅡ had significant improvements on HPL, physical activity, and spiritual growth, and also significantly better than the control group on physical activity. The control group had lower mean scores of HPL except for health responsibility, physical activity, and stress management.
5. After intervention, the experiment groupⅠreached to ”super excellence”, the groupⅡ to” excellence”, and the control group to” good” in the 1-minute flexed leg sit-up. Both experiment groups elevated to 75% significantly in the sit-and- reach, while the control group reached to 70%. The experiment groupⅠreached 60% , the groupⅡ reached 55%, and the control group reached 50% in the standing broad long jump. The experiment groupⅠelevated to 55%, the groupⅡ elevated to 50%, and the control group decreased to 45% in the 800-meter run-walk. The intervention can significantly decrease the waist-to-hip ratio of experiment groups, which was significantly better than the control. The experiment groupⅠwas significantly better than the group Ⅱ and control group in the percent of forced vital capacity.
6. Most of the adolescents in the experiment groups were interested in the intervention activities and thought these activities were useful and helpful.
This study provides the basis of health-promoting educational programs, building up the regular exercise habits and physical fitness exercise. Based on the results, this study suggests that efforts to improve the HPL of the nursing students should focus on enhancing self-efficacy, health responsibility and stress management.
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