照護者健康促進生活型態識能與兒童健康體位之相關性

目的：本研究基於預防重於治療的概念，探討主要照護者健康促進活型態識能與兒童健康體位之相關性。方法：研究時間於2021年3月至4月，對象為南投縣12所國小學童，受訪者為兒童主要照護者，採立意取樣方式進行問卷調查；有效樣本總計434份。統計以描述性分析、t-test 、ANOVA、Tukey、Logistic regression來進行資料分析。結果：(1)兒童照護者BMI 值過重或肥胖比例是51.6%；兒童過重或肥胖比例為50.2%。(2)健康促進生活型態總識能和照護者之間BMI(P=0.008)、教育程度(P<0.001)、家庭月收入(P<0.001)有顯著相關。(3)不同年級層的孩童中，主要照護者的健康關懷識能(P=0.004)與壓力處置識能(P=0.044)是有顯著差異。(4)邏輯斯迴歸分析結果顯示，僅主要照護者體能活動識能程度與學童BMI組別是有顯著相關。結論：照護者的體能活動識能程度與學童BMI有顯著的關聯性。主要照護者體能活動識能的「中分組」，其孩童體位正常機率為「低分組」的3.242倍；主要照護者體能活動識能的「高分組」，其孩童體位正常機率為「低分組」的2.438倍。此研究結果可提供衛生單位在兒童健康體位照護計畫的參考指標。

Background: This study is based on the concept that prevention is more important than treatment, and explores the correlation of caregiver's health literacyand children's Body Mass Index.Methods: The study period was from March to April 2021. The subjects were 12 elementary school children in Nantou County. The respondents were the primary caregivers of children. A questionnaire survey was conducted with a deliberate sampling method; a total of 434 valid samples were taken. Descriptive analysis, t-test, ANOVA, Tukey and logistic regression were used for data analysis.Results: (1) The proportion of child caregivers who are overweight or obese is 51.6%;the proportion of children who are overweight or obese is 50.2%. (2) There is a significant correlation between the BMI (P=0.008), educationlevel (P<0.001) and monthly household income (P<0.001) between the general knowledge of health promotion lifestyle and the caregivers. (3) Among children of different grades, there is a significant differencebetween the health care awareness (P=0.004) and the stress management awareness (P=0.044) of the main caregivers. (4) The logistic regression analysis showed that only the main caregiver'sphysical activity awareness level was significantly correlated with the school children's BMI group.Conclusion:The physical activity level of caregivers has a significant correlation with the BMI of schoolchildren. The "medium group" of the primary caregiver's physical activity awareness is 3.242 times the probability of the child's normal posture than the "low group"; the "high group" of the primary caregiver's physical activity awareness is the "low group" 2.438 times of that. The results of this study can provide reference indicators for health units in the care of children's healthy positions.