School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC.
Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan, ROC.
Sci Rep. 2023 Jun 16;13(1):9763. doi: 10.1038/s41598-023-36873-z.
Many studies have reported positive contributions of health promotion on the health behavior of nursing staff working in hospitals, including the maintenance of a regular healthy diet, engagement in physical activity, performance of routine screening practices, and participation in a health examination. Despite being considered a role model for healthy lifestyles, little is known about the effect of health-promoting hospital settings on nursing staff. The aim of this study was to perform a nationwide, hospital-based, cross-sectional, survey comparing health practices between full-time nurses of health-promoting hospitals and those of non-health-promoting hospitals in Taiwan. We conducted a nationwide, hospital-based, cross-sectional, survey in 100 hospitals from May to July 2011 using a questionnaire as the measurement tool. Nurses aged between 18 and 65 years from certified health-promoting hospitals (n = 14,769) were compared with nurses in non-health-promoting hospitals (n = 11,242). A multiple logistic regression model was conducted to estimate the effect of certified HPH status on the likelihood of performing health behavior, receiving general physical examination, undergoing cancer screening, and participating in hospital-based health-promoting activities. All nurses of HPH hospitals were more likely to perform physical activity, practice cancer screening, receive at least one general physical examination in the past 3 years, and had a higher chance of participating in at least one hospital-based health-promoting activity in the past year (particularly weight-control groups and sports-related clubs) than those of non-HPH hospitals. This study suggests the effectiveness of implementing health promotion on the health behavior of full-time nursing staff in hospitals.
许多研究报告称，健康促进对医院护士的健康行为有积极贡献，包括保持规律的健康饮食、参与体育活动、进行常规筛查以及参加体检。尽管护士被认为是健康生活方式的榜样，但对于促进健康的医院环境对护士的影响知之甚少。本研究旨在对台湾的促进健康医院和非促进健康医院的全职护士的健康行为进行全国性、基于医院的、横断面调查比较。我们于 2011 年 5 月至 7 月在 100 家医院使用问卷作为测量工具进行了全国性、基于医院的、横断面调查。比较了认证促进健康医院（n=14769）和非促进健康医院（n=11242）的 18-65 岁护士。采用多因素逻辑回归模型估计认证 HPH 状态对健康行为、接受一般体检、进行癌症筛查和参加医院健康促进活动的可能性的影响。所有 HPH 医院的护士更有可能进行体育活动、进行癌症筛查、在过去 3 年内接受至少一次一般体检，并且更有可能参加过去一年中的至少一项医院健康促进活动（特别是体重控制组和与运动相关的俱乐部）比非 HPH 医院的护士。本研究表明，在医院实施健康促进对全职护士的健康行为是有效的。
