大學新生身心健康狀態與協助需求之研究:以中部某國立大學新生健康體檢資料庫為例

根據教育部2023年全國大專校院生入學統計資料，112學年度的大學新生人數達到109.5萬人。推展學校衛生工作、促進學生身心健康，是學校的重要職責。儘管學校衛生工作的範圍廣泛，能夠直接提供學生照護或轉介協助的資源有限，學校應積極主動地提供健康服務和心理衛生保健措施，而不是被動等待學生求助。根據學校衛生法第八條：「學校應建立學生健康管理制度，定期進行健康檢查」，以及學生健康檢查實施辦法第四條：「學校應在新生入學時進行健康基本資料調查並做記錄」。根據這些法規要求，每年大專校院於新生入學時需進行健康檢查。本研究的主要目的是探討大學生的健康檢查結果分布，並分析新生健康檢查數據中身體健康與心理健康之間的關聯性。此外，本研究還旨在了解新生對學校協助需求與其身心健康之間的關聯。研究對象為中部某國立大學112學年度的新生健康檢查資料庫，有效樣本數共2211筆。取得倫理審查許可（IRB）後，對這些數據進行描述性分析及卡方檢定。研究結果顯示，學生的基本資料、生活方式、檢驗數據和理學評估等變項與憂鬱、焦慮、健康問題及需要學校協助之間存在顯著的相關性。大多數學生存在不同程度的心理和身體健康問題，且有相當比例的學生需要學校的支持和協助。此外，研究中還發現部分學生的資料不完整，某些項目未填寫或未進行篩檢，這些未填寫項目可能反映了潛在的健康問題，並需要學校更多的關懷和支持。未來研究應進一步探討這些未填寫項目的學生需求，調整學校的衛生保健服務，滿足新生的身心需求。

According to the Ministry of Education's 2023 national statistics on college and university student admissions, the number of new university students in the 2023 academic year reached 1.095 million. Promoting school health work and enhancing students' physical and mental well-being are crucial responsibilities of schools. Despite the broad scope of school health work, resources available to directly provide student care or referral assistance are limited. Schools should proactively offer health services and mental health care measures, rather than passively waiting for students to seek help. According to Article 8 of the "School Health Act": "Schools shall establish a student health management system and conduct regular health check-ups," and Article 4 of the "Student Health Check-up Implementation Measures": "Schools shall conduct basic health data surveys and keep records during the admission of new students." Based on these legal requirements, colleges and universities need to conduct health check-ups for new students each year.The main purpose of this study is to explore the distribution of university students' health check-up results and analyze the correlation between physical and mental health in the new students' health check-up data. Additionally, this study aims to understand the relationship between new students' need for school assistance and their physical and mental health. The subjects of the study were new students from the 2023 academic year at a national university in central Taiwan, with a total of 2,211 valid samples from the new student health check-up database. After obtaining IRB approval, these data were subjected to descriptive analysis and chi-square tests. The results of the study indicated significant correlations between students' basic information,lifestyle, examination data, physical assessments, and issues such as depression, anxiety, health problems, and the need for school assistance. Most students exhibited varying degrees of psychological and physical health issues, and a considerable proportion of students required support and assistance from the school. Moreover, the study found that some students' data were incomplete, with certain items unfilled or screenings not conducted. These unfilled items might reflect underlying health problems and need more attention and support from the school. Future research should further investigate the needs of students with unfilled items and adjust the school's health care services to meet the physical and mental needs of new students.