The Effectiveness of Health Promotion Education Programs for Community Elderly

Abstract

本研究旨在探討社區老人健康促進講座活動之成效。本研究採單組前後測設計，結合 護理人員、營養師與體育老師之專業團隊，提供社區老人健康生活型態與健康促進、 慢性疾病預防、適當的營養、規律運動及用藥正確觀念等一系列健康講座。本研究共 有140位社區老人參與一系列的健康講座，其中97位元老人全程參加所有課程。資料 收集採結構式問卷，內容包括參與者基本資料、健康狀況、健康促進知識及健康行為 執行等項目。其中健康行為執行部分於第一次健康講座前與最後一次講座後各評估一 次，以瞭解參與者於參與健康講座前後在執行健康行為上有無差異；而健康知識之評 估則分別於第二次、第三次及第四次講座前與講座後進行，以呈現該次講座之成效。 研究結果發現健康促進講座可有效增進社區老人的健康相關知識與健康行為執行。本 研究發現年齡65-69歲、已婚、與家人同住及高教育程度者有較高的健康相關知識與 執行正向的健康行為。本研究結果可供日後社區健康促進方案執行之參考。 The purpose of this study was to examine the effectiveness of health promotion education programs for a group of elderly residents in a community. A one group pre- and post-test design was used in this study. Nurses, dietitians, and physical education teachers worked collaboratively to provide a series of comprehensive, integrated education programs. Course content included healthy life style and health promotion, disease prevention, nutrition, exercise, and medication education. A total of 140 elderly participated in this study. Ninety-seven subjects attended all of the education programs. A structured questionnaire was used for data collection. Information about demographics, health status, health promotion knowledge and behaviors was included. The health promotion behavior data were collected twice. The initial data set was collected prior to the first course and the second after the fifth course. Health promotion knowledge was assessed pre- and post-test in the second, third, and fourth courses. The research findings revealed that the education programs were effective in improving elderly health promotion knowledge and behaviors. The scores for health promotion knowledge and positive health behaviors were high among subjects who were aged 65-69 years, were married, lived with family members and had higher education levels. The results could be used as a reference in future health promotion education in the community.