| Summary: | 碩士 === 國立陽明大學 === 臨床暨社區護理研究所 === 96 === The purpose of this study was to explore the relationship between self-efficacy and health promoting lifestyle among people who were diagnosis as metabolism syndrome(MS) or belong to high risk of MS. This research applied the cross-sectional study design. Study subjects were 748 people who attend the screening service of MS that was held by the health center of Beitou District, Taipei City in 2006. A structured questionnaire was used to survey related factors of MS. Totally 555 questionnaires were mailed out, 221valid ones were received that made the response rate was 39.82% of this study. Instruments in this study were “Self-Efficacy Scales” and “Health Promoting Lifestyle Profile Questionnaire”. The results of the study were as follows: (1) Most subjects were married females with average age of 62.18. Most subjects were in the age group of 50~59 years old. Most subjects indicated that their educational background was high school/vocational school graduated (37.1%). Subjects who were older than 70 years olds were elementary school or below graduated. (2) The mean score of self-efficacy was 76.54 showing an above average in their performance. Among them, nutrition was the best one (mean score=78.54) whereas the health responsibilities was the worst one (mean score=75.98). The significant factors of predicating self-efficacy were marrital status (t=-3.13) and educational levels (χ2 =3.85). (3) The mean score of health-promoting lifestyle was 68.98. Among them, nutrition was the best one (mean score=73.99)whereas the health responsibility was the worst one (mean score=63.65). (4) The self-efficacy was positively related to the total of health-promoting lifestyle. This result showed that the better self-efficacy, the better the health-promoting behavior of subjects’ have. (5) The significant predictors of the health-promoting lifestyle of subjects in this study were exercise, nutrition, health responsibility and age, which accounted for 58.9% of the variance. Exercise was accounted for 49.5% of the health-promoting lifestyle variance. Base on the results of this study, the following suggestions are proposed: Before implementing health promotion program in the community, it is important to assess the locus of control of people in performing healthy behaviours in order to enhance their healthy promoting life-style. Giving the encouragement and demonstrating successful role model are proposed strategies to increase people healthy behaviors by improving ones’ capabilities and motivation in performing health behaviors.
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