[ 摘要 ]

本研究之主要目的在瞭解不同族群老人的健康促進生活型態現況，並探討其社會人口學、生物學變項、自覺健康狀況、健康概念、健康行為自我效能與健康促進生活型態的關係及健康促進生活型態預測因子。研究工具包括健康促進生活型態量表、自覺健康狀況量表、健康概念量表、健康行為自我效能量表及個人基本資料表。研究對象為台東縣鹿野鄉65歲以上老人，有效問卷241份。所得資料以描述性統計、單因子變異數分析、皮爾森積差相關、多元迴歸進行分析。研究結果發現：ㄧ、健康促進生活型態依得分高低排序為營養、運動、健康責任、壓力處理、自我實現、人際支持；不同族群做比較排序為原住民、客家族、閩南族、外省籍；自覺健康狀況以普通最多，不同族群比較依序為外省籍、原住民、客家族群、閩南族；健康概念方面排序為安寧幸福、角色功能、臨床健康、調適健康。不同族群比較依序為客家族、原住民、閩南族，外省籍；健康行為自我效能依序為健康責任、運動、心理安適、營養自我效能；不同族群比較依序為原住民、客家族、閩南族、外省籍。二、影響健康促進生活型態之相關因素為性別、經濟狀況、退休前職業、年齡、慢性病罹患情形、婚姻狀況及子女數、身體質量指數；健康促進生活型態與健康概念、健康行為自我效能呈正相關與自覺健康狀況呈負相關。三、健康行為自我效能、健康概念、身體質量指數、經濟來源及自覺健康狀況，共可解釋健康促進生活型態變異量的74.1%。

關鍵字：不同族群老人、健康促進生活型態



[ 英文摘要 ]

The main purpose of this study was to explore the health-promoting lifestyles, demography, biological variables, perceived health status, health conception, self-efficacy of health behavior and predictors of lifestyles among elderly people of differing ethnicity. The adopted instruments were health-promoting lifestyle profile, health conception scale, self-rated abilities for health practices scale, perceived health status scale and demographic data. Study Luye Township, Taitung County for the elderly 241 valid questionnaires, providing a great deal of support to be analyzed by t-test, one way ANOVA, Pearson’s product-moment correlation and Multiple Regression.

The following were results and conclusions:

（1）In the health-promoting lifestyles, the highest score was the nutrition, followed by exercise, health responsibility, stress management, self- actualization, interpersonal support; The ethnic groups involved were aboriginals、Hakka、Hoklo、Mainlanders；In the perceived health status, most subjects considered their health status being normal or good. Perceived health status was the most common indicator observed: the order was mainlanders, followed by aboriginals, Hoklo and Hakka . In the health conception, the highest score was the eudaimonistic health conception, followed by functional/role performance health conception, clinical health conception, adaptive health conception; Here the order was: Hakka, aborigines, Hoklo, mainlanders; In the self-efficacy of health behavior, the highest score was health responsibility, followed by the exercise, psychological Well-Being, and the lowest was nutrition; The order was:aborigines, Hakka, Hoklo, mainlanders.（2）The factors influencing the health-promoting lifestyles of the elderly people of differing ethnicity were the gender, economic situation, age, Marital status , body mass index and number of children. Meanwhile, the health conception, the perceived health status also presented significant relation with the health-promoting lifestyles , the self-efficacy of health behavior also negative significant relation with the health-promoting lifestyles.（3）The self-efficacy of health behavior, the economic situation, health conception, body mass index and the perceived health status, were the significant predictors and explained 74.1 % of the variance of health-promoting lifestyles.



Keywords: elderly people of differing ethnicity, health-Promoting lifestyles