[[alternative]]Study on the association between health life style and Quality of life among community health workers

[[abstract]]本研究目的在於探討社區衛生工作人員健康生活方式與生活品質之相關性研究研究目的為一、了解及描述社區衛生工作人員基本屬性及生活壓力、職場疲勞、健康促進生活型態與生活品質的現況。二、探討社區衛生工作人員基本屬性、生活壓力、職場疲勞與健康生活品質之相關性。三、分析社區衛生工作人員健康相關生活品質的影響因素。四、探討社區衛生工作人員健康促進生活型態與健康生活品質間之影響因素。五、根據研究結果提出建議，以提供研究單位員工健康促進生活方式、生活品質提升以及職場疲勞現況之工作調整及介入方案參考。採橫斷式(cross-sectional)問卷調查研究設計研究對象為花蓮縣衛生局及其十三鄉鎮市衛生所：花蓮市、鳳林鎮、玉里鎮、新城鄉、吉安鄉、壽豐鄉、光復鄉、豐濱鄉、瑞穗鄉、富里鄉、秀林鄉、萬榮鄉、卓溪鄉等全部所屬職場員工作為研究對象，共計312人。本研究問卷含括五個部分，第一部分為社區衛生工作人員基本人口學資料；第二部分為生活品質問卷量表(臺灣簡明版WHOQOL-BREF)；第三部分為生活問卷壓力量表(華人健康量表CHQ-12)；第四部分為職場疲勞量表；第五部分為健康促進生活型態量表（HPLP）。量表經信度及效度檢定，包括內部一致性信度、再測信度、庫一李信度、表面效度及內容效度，所得資料編碼以SPSS 20.0 for Window 統計套裝軟體進行分析及再以交叉分析進行資料是否有輸入異常且有無發現遺漏值，以百分比、平均值、標準差、最大值、最小值及序位、獨立樣本T檢定(t-test)、單因子變異數分析(One-way ANOVA)與皮爾森積差相關(Pearson’s product moment correla-tion)及複迴歸分析。研究結果發現：一、社區衛生工作人員之生活壓力、職場疲勞、健康生活型態與健康相關生活品質會因社會人口學變項的不同具有顯著差異。二、社區衛生工作人員生活壓力及職場疲勞健康相關生活品質呈現負相關。三、社區衛生工作人員之健康促進生活型態與生活品質之間呈現正相關。四、社區衛生工作人員的社會人口學變項及生活壓力、職場疲勞、健康促進生活型態對其生活品質有顯著影響根據本研究結果可做為研究單位員工健康促進生活方式、生活品質提升以及職場疲勞現況之工作調整及介入方案參考[[abstract]]en摘要This study aims to investigate the relevance of community health workers healthy lifestyle and quality of life for a research purpose1. Understand and describe the basic properties of community health workers and life stress, workplace fatigue, health-promoting lifestyle and quality of life status. 2. To explore the basic properties of community health workers, life stress, fatigue and workplace health-related quality of life of nature. 3. The analysis of community health workers affect quality of life, health-related factors. 4. Explore community health workers to promote health among the factors affecting the quality of lifestyle and healthy living. 5. Make recommendations based on the findings, research units to provide employee health promoting lifestyles, enhance the quality of life and work to adjust the status of workplace fatigue and intervention programs for reference.Cross-sectional survey research design study transection formula adopted in Hualien County Health Department clinics and thirteen townships: Hualien City, Fenglin township, Yuli township, XinChen township, Ji'an Township, Shoufeng Township, GuangFu Township, Fongbin Township, Ruisui Township, Fuli Township, SauLin Township, Wanrong Township, ZhuoXi Township belongs to the workplace, and all the staff for the study, a total of 312 people. The study questionnaire encompasses five parts, the first part is the community health workers basic demographic data; the second part is the quality of life questionnaire Scale (Taiwan concise version WHOQOL-BREF); the third part is Life Questionnaire Stress Scale (Chinese health Questionnaire CHQ-12); the fourth part workplace fatigue Scale; The fifth part of health promotion lifestyle scale (HPLP). Scale reliability and validity by the test, including internal consistency reliability, test-retest reliability, the library a Lee reliability, face validity and content validity, information encoded in SPSS 20.0 for Window statistical software package for analysis and then to cross-analysis if the input data and the presence or absence of abnormal find missing values, expressed as a percentage, mean, standard deviation, maximum, minimum, and order bit, independent sample T test (t-test), the single factor analysis of variance (One- way ANOVA) and Pearson product moment correlation (Pearson's product moment correla-tion) and multiple regression analysis.Research results showed that: 1. a life of community health workers stress, work-place fatigue, healthy lifestyle and health-related quality of life will vary depending on socio-demographic variables have a significant difference.2. community health workers and workplace fatigue life stress health-related quality of life showed a negative correlation. 3. the health of the community health workers to promote a positive correlation between lifestyle and quality of life. 4. the socio-demographic variables and stress of community health workers, workplace fatigue, health-promoting lifestyle has a significant impact on their quality of life.This research can be used as research unit employees' health promoting lifestyles, enhance the quality of life and work to adjust the status of workplace fatigue and intervention programs based on results of this study reference. Keywords: public health nursing, community health workers, health promotion, workplace fatigue, life stress, health-related quality of life