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標題: | 運動中心使用及蔬食飲食對醫院工作者健康效益之探討-以台灣北部某區域教學醫院為例 Effects of Sports Center Use and Vegan Meals on Hospital workers-A Retrospective Cohort Study of a Regional Teaching Hospital in Northern Part of Taiwan |
作者: | Meng-Hsuan Shen 沈孟璇 |
指導教授: | 郭育良(Yue-Liang Guo) |
關鍵字: | 運動,飲食,醫院工作者,代謝症候群, hospital workers,exercise,diet,metabolic syndrome, |
出版年 : | 2019 |
學位: | 碩士 |
摘要: | 背景及目的:近年職場健康促進議題廣受重視。醫療職場普遍被視為是高負荷工作環境,醫院工作者工作性質常需輪班,忙碌的工作型態不易維持良好飲食習慣,不易安排足夠運動,容易成為代謝症候群的高危險群,衍生相關健康問題。健康醫院為全民健康基石,醫院工作者若具備健康的生活型態,將有助社區民眾了解健康體位及均衡飲食習慣對於身體健康之重要性,進而實踐健康促進生活。健康促進的社會氛圍促使醫療機構逐漸重視醫院工作者健康,代謝症候群盛行率成為相關健康促進研究的重要指標。代謝症候群為一群容易導致心血管疾病之危險因子的總稱,患有代謝症候群的人未來罹患「心臟病及腦中風」、「高血壓」的機率較一般健康民眾高。我國國民健康署2007年調查國人代謝症候群盛行率:20歲以上為19.7%,且隨年齡上升而有增加的趨勢。國民健康署於2019年5月公佈之「2015-5018年國民營養健康狀況變遷調查」數據更指出,台灣代謝症候群盛行率正逐年上升。本研究以北部以健康促進聞名之區域教學醫院為研究場域,透過員工健康資料分析,探討運動中心使用及蔬食飲食對醫院工作者之健康效益,期望了解醫院工作者代謝症候群盛行率及與健康蔬食飲食、運動中心使用之關係。 方法:本實務研究整合醫院提供之員工歷年健康檢查資料、院內蔬食餐點刷餐紀錄、運動中心使用刷卡紀錄,以卡方檢定、廣義線性模型及邏輯斯回歸分析法,評估院內蔬食餐點刷餐數與運動中心使用刷卡數,是否與代謝症候群相關的分析。 結果:研究結果發現,本次實習之區域教學醫院工作者,代謝症候群盛行率為7%,遠低於國人現況,亦低於其他醫院研究結果。研究族群之資料不論是否以性別分群,代謝症候群異常指標及身體質量指數(BMI)較前次體檢結果差值差異變化與院內蔬食餐點刷餐數與運動中心使用刷卡數之相關性不顯著。 結論:本次分析結果未能驗證運動中心使用及院內蔬食飲食與醫院工作者代謝症候群異常指標及身體質量指數的相關性;然而,藉此次分析得知本次實習醫院之代謝症候群盛行率低於國人及其他醫院工作者,亦提供院方持續推動健康促進醫院政策規劃之支持。 Background and purpose:Workplace health promotion is really a big concern in recent years. The medical industry is well known as a high-workload workplace. However, long working hours and working night shifts affects hospital workers’ health status seriously. This busy life style makes hospital workers not easy to arrange their diet and leisure time to do exercise. Pump hospital worker becoming a high risk group of Metabolic syndrome. Healthy hospital is believed to be the base of public health. Only healthy life style of hospital worker can facilitate community health and public health. Therefor health promotion of hospital workers is a crucial topic for medical service and received big challenge and considerable public attention. Metabolic syndrome prevalence rate is thought to be an important index in health promotion research. Metabolic syndrome is a cluster of cardiovascular risk factors. People who had metabolic syndrome will increase the risk for cardiovascular diseases, cerebrovascular diseases and diabetes mellitus than healthy people. Survey from Health Promotion Administration (HPA), Ministry of Health and Welfare of Taiwan in 2007, Metabolic syndrome prevalence rate above 20 years old group of Taiwan is 19.7%. And there is an upward trend with age. A report presented from HPA 2019 named 「2015-5018 Nutrition and Health Survey in Taiwan, NAHSIT」also showed that Metabolic syndrome prevalence rate is increased year after year. The purpose of this study is to test the effects of sports center use and vegan meals on hospital workers by analyzing health data from a regional teaching hospital in northern part of Taiwan. And the result may serve as a health promotion reference for other medical setting to improve health promotion awareness of hospital worker. Method:The study surveyed employees of one hospital in Northern Taiwan, collecting valid data from 2007-2018 hospital health database. Using two kinds of research design, for cross section study is total of 984 cases and for repeat measurement is about 310 cases. Merge sport center use records and vegan meals taking records to health index separately. To test the relationships between sports center use and vegan meals on hospital workers’ health index. Result:The finding indicates that Metabolic syndrome prevalence rate of this hospital is about 7%. Obviously below the report presented from HPA 2019 of Taiwan and other research result. With or without separating subgroup by sex or other subgrouping, Metabolic syndrome index and Body Mass Index (BMI) were non-significant with sport center using and vegan meals taking. Conclusion:The objective of this study was to know the relationships between sports center use and vegan meals on hospital workers’ health index and make suggestions for hospital managers. The findings may serve as a reference for future research and enabling to create a healthy workplace and brighter career for hospital workers. |
URI: | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/8232 |
DOI: | 10.6342/NTU202003157 |
全文授權: | 同意授權(全球公開) |
顯示於系所單位: | 公共衛生碩士學位學程 |
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