| Summary: | 碩士 === 國立陽明大學 === 臨床暨社區護理研究所 === 99 === The purpose of this study was to investigate the relationship between health promotion behaviors and metabolic syndrome among the community-dwelling older adults in Taiwan. This study was a descriptive-correlational design. A convenience sample of 200 community residents who were over 60 years old were selected from northern Taiwan. Data collection consisted of physical examination and a structured questionnaire including the MOS 36-item short-form health survey, health promoting lifestyles profile Ⅱ, perceived benefits and barriers of action checklist, general self-efficacy scale, and multidimensional scale of perceived social support. Data were analyzed by SPSS and AMOS software with descriptive statistics, chi-square tests, independent samples t-test, one way ANOVA, Pearson’s product-moment correlation, hierarchical multiple regression, and structural equation modeling.
The results of this study showed that 60% of older adults were defined as having metabolic syndrome. Participants had higher score in interpersonal relations and stress management of health promotion behaviors, but lower score in physical activity and spiritual growth. Health promotion behaviors were correlated with particpants’ level of education, marital status, economic conditions, living arrangement, religious preference, health problems, medications, and behavior-specific cognitions and affect. Hierarchical multiple regression revealed that 43.4% total variance of health promotion behaviors was accounted for by literacy, living with others, physical function, preceived benefits of action, self-efficacy, and social support. Structural equation modeling displayed that 44% of behavior-specific cognitions and affect was explained by health status of the older adults, 80% of health promotion behaviors were explained by behavior-specific cognitions and affect, and 3% of metabolic syndrome was explained by health promotion behaviors.
Nurses should enhance the health promotion behaviors by improving behaviors-specific cognitions and affect and health status of older adults through development of appropriate health promotion interventions to preventing metabolic syndrom.
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