| Summary: | 碩士 === 國立中山大學 === 醫務管理研究所 === 94 === According to a recent report that in Taiwan, more than 50% health problems were due to unhealthy and harmful life styles. Most people, especially at workplace, either live under pressure, work sedentarily, exercise their body little or have a unhealthy diet. The subsequent problems of the overweight, sleeplessness and a declined condition of physical fitness all lead to health problems. A Quasi-experimental design of purposive samples was conducted using 51 participants from employees or faculty members from one school and one hospital. The purpose of this study is to investigate the effects of health self-management program with nutritional and exercise intervention to improve the participants’ physical and psychological health status. Research measuring tools include a structural questionnaire, SF-36 scale, laboratory examination (blood test), physical fitness test administrated to the participants, and a 12-week follow-up test. After the intervention of health self-management, there were significant differences in sleep pattern and diet behavior. On health belief congnition, perceived susceptibility, perceived seriousness, and percieived barriers were increased. On the SF-36 scale, higher scores were attained on mental health dimension. Furthermore, Cholesterol, SGOT, SGPT, B.U.N, Crattinine, Uric acid and blood sugar were significantly decreased. As for body composition, fat mass and waist-hip-ratio were significantly reduced, while for physical fitness, muscular strength endurance and cardiorespiratory endurance were much improved among participants. The results suggest well-designed health self-management activities can reduce unhealthy habit and improve mental and physical health status. Furthermore, it can serve as one important component of health promotion stratigies.
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