Recent Advances in Health-promoting Behaviors Assessment Tools

doi:10.12114/j.issn.1007-9572.2019.00.199

Abstract

Abstract: Health-promoting behaviors are a kind of interventions used for preventing diseases，promoting，maintaining and improving health by modifying behaviors.They have increasingly attracted the attention of medical workers.At present，there are many assessment tools for health-promoting behaviors，including universal and specific assessment tools.Universal assessment tools comprise Health-Promoting Lifestyle Profile，Health Promoting Lifestyle Profile Ⅱ，Health Promoting Lifestyle Profile Short Form，Health Habits Scale，Health Behavior Scale，and the Conceptual Framework of the Health Behavior Questionnaire.Specific assessment tools include scales for the measurement of health-promoting behaviors in older adults and adolescents，and scales for the assessment of health-promoting behaviors in people having a special disease.The article reviews the contents，development process，reliability and validity，scoring rules of the common health-promoting behaviors assessment tools at home and abroad，with a view to providing a reference for medical workers to perform health behavior investigations and interventions.

Key words: Health behavior, Assessment tools, Review

摘要： 健康行为通过调整行为预防疾病发生，促进和维持健康，提高健康水平，日益引起医务工作者的重视。目前健康行为有多种测评工具，包括普适性测评工具和特异性测评工具。普适性测评工具主要有健康促进生活型态量表、健康促进生活方式量表Ⅱ、健康促进生活方式量表简化版、健康习惯量表、健康行为量表、健康行为调查问卷的概念框架问卷等，特异性测评工具主要包括老年人健康行为量表、青少年健康促进行为量表、专科疾病健康行为特异性量表等。本文将国内外健康行为常用测评工具的内容、开发过程、信效度、计分规则等进行综述，以期为医务工作者进行健康行为调查及干预提供参考依据。

关键词: 健康行为, 测评工具, 综述

LIU Jing,LI Lunlan,GAN Yuyun, et al. Recent Advances in Health-promoting Behaviors Assessment Tools [J]. Chinese General Practice, 2019, 22(13): 1632-1636. DOI: 10.12114/j.issn.1007-9572.2019.00.199.
刘静,李伦兰,甘玉云等. 健康行为相关测评工具的研究进展[J]. 中国全科医学, 2019, 22(13): 1632-1636. DOI: 10.12114/j.issn.1007-9572.2019.00.199.

References

［1］周光清，夏瑶，崔华欠，等 . 我国城市社区健康管理的问题与对策研究［J］. 中国全科医学，2018，21（7）：852-855.DOI：10.3969/j.issn.1007-9572.2018.07.020.
ZHOU G Q，XIA Y，CUI H Q，et al.Problems of health management in urban communities and corresponding countermeasures in China［J］.Chinese General Practice，2018，21（7）：852-855.DOI：10.3969/j.issn.1007-9572.2018.07.020.
［2］KASL S V，COBB S.Health behavior，illness behavior，and sick-role behavior.Ⅱ.Sick-role behavior［J］．Arch Environ Health，1966，12（4）：531-541.
［3］SHANAFELT T D，KAUPS K L，NELSON H，et al．An interactive individualized intervention to promote behavioral change to increase personal well-being in US surgeons［J］．Ann Surg，2014，259（1）：82-88．DOI：10.1097/SLA.0b013e3182a58fa4.
［4］PENDER N J，WALKER S N，SECHRIS K R，et al．Predicting health-promoting lifestyles in the workplace［J］．Nurs Res，1990，39（6）：326-332.
［5］GOEHMAN D S.Hand book of Health Behavior Research VOIs Plenum［M］．New York：Plenum Press，1997.
［6］傅善来，姚正鸣.论健康生活方式［J］．上海预防医学杂志，2001，13（4）：156-157．DOI：10.19428/j.cnki.sjpm.2001.04.002.
FU S L，YAO Z M.On healthy lifestyle［J］．Shanghai Journal of Preventive Medicine，2001，13（4）：156-157．DOI：10.19428/j.cnki.sjpm.2001.04.002.
［7］MCNERNEY J P，ANDES S，BLACKWELL D L.Self-reported health behaviors of osteopathic physicians［J］．J Am Osteopath Assoc，2007，107（12）：537-546.
［8］SUH S，YANG H C，KIM N，et al．Chronotype differences in health behaviors and health-related quality of life：a population-based study among aged and older adults［J］．Behav Sleep Med，2017，15（5）：361-376．DOI：10.1080/15402002.2016.1141768.
［9］WALKER S N，SECHRIST K R，PENDER N J.The health-promoting lifestyle profile：development and psychometric characteristics［J］．Nurs Res，1987，36（2）：76-81.
［10］WANG H H.Predictors of health promotion lifestyle among three ethnic groups of elderly rural women in Taiwan［J］．Public Health Nurs，1999，16（5）：321-328.
［11］PENDER N，MURDAUGH L，DARSONS M.Health promotion in nursing practice［M］．3rd ed．Stamford：Appleton and Lange，1996：155-163.
［12］HADDAD L G，AL-MA'AITAH R M，CAMERON S J，
et al．An Arabic language version of the health promotion lifestyle profile［J］．Public Health Nurs，1998，15（2）：74-81.
［13］WEI C N，YONEMITSU H，HARADA K，et al．A Japanese language version of the health-promoting lifestyle profile［J］．Nihon Eiseigaku Zasshi，2000，54（4）：597-606.
［14］PéREZ-FORTIS A，ULLA DíEZ S M，PADILLA J L.Psychometric properties of the Spanish version of the health-promoting lifestyle profile Ⅱ［J］．Res Nurs Health，2012，35（3）：301-313．DOI：10.1002/nur.21470.
［15］HUANG Y H，CHIOU C J.Predictors contributing to health-promoting lifestyles among college students in Kaohsiung area［J］．Chinese Journal of Public Health，1997，16：24-36.
［16］LEE R L，LOKE A J.Health-promoting behaviors and psychosocial well-being of university students in Hong Kong［J］．Public Health Nurs，2005，22（3）：209-220.
［17］张小培，万丽红，黄月友，等．出院后脑卒中病人健康行为与生活质量的相关性研究［J］．护理研究，2011，25（6）：482-484．DOI：10.3969/j.issn.1009-6493.2011.06.006.
ZHANG X P，WAN L H，HUANG Y Y，et al．Study on the correlation between health behavior and quality of life of stroke patients after discharge［J］．Chinese Nursing Research，2011，25（6）：482-484．DOI：10.3969/j.issn.1009-6493.2011.06.006.
［18］徐桂红，欧翠玲，敖友爱，等．老年高血压伴脑梗死患者的健康行为及其影响因素［J］．中国老年学杂志，2017，37（10）：2542-2545．DOI：10.3969/j.issn.1005-9202.2017.10.086.
XU G H，OU C L，AO Y A，et al．Health behavior and its influencing factors in elderly patients with hypertension and cerebral infarction［J］．Chinese Journal of Gerontology，2017，37（10）：2542-2545．DOI：10.3969/j.issn.1005-9202.2017.10.086.
［19］PENDER N J，MURDAUGH C L，PARSONS M A.Health promotion in nursing practice［M］．5th ed．Upper Saddle River，NJ：Prentice Hall，2006.
［20］WEI M H，LU C M.Development of the short-form Chinese health promotion lifestyle profile［J］．J Health Educ，2005，24：
25-46.
［21］HUANG H C，LIN K C，WU C S，et al．Health-promoting behaviors benefit the mental health of cirrhotic outpatients［J］．Qual Life Res，2018，27（6）：1521-1532．DOI：10.1007/s11136-018-1818-3.
［22］TENG H L，YEN M，FETZER S.Health Promotion Lifestyle Profile-Ⅱ：Chinese version short form［J］．J Adv Nurs，2010，66（8）：1864-1873．DOI：10.111/j.1365-2648.2010.05353.x.
［23］BELLO N B，BRESLOW L.Relationship of physical health status and health practices［J］．Prev Med，1972，1（3）：409-421.
［24］WILLIAMS R L，THOMAS S P，YOUNG D O，et al．Development of a health habits scale［J］．Res Nurs Health，1991，14（2）：145-153.
［25］李艳阳.中国人思维方式对健康行为的影响［D］．北京：北京大学，2004.
LI Y Y.The influence of Chinese thinking style on healthy behavior［D］．Beijing：Peking University，2004.
［26］刘惠琳，金伟，魏晓敏，等．健康行为调查概念框架与问卷设计［J］．健康教育与健康促进，2018，13（1）：19-22．DOI：10.16117/j.cnki.31-1974/r.201801006.
LIU H L，JIN W，WEI X M，et al．Conceptual framework and questionnaire design of health behavior survey［J］．Health Education and Health Promotion，2018，13（1）：19-22．DOI：10.16117/j.cnki.31-1974/r.201801006.
［27］PADULA C A.Development of the health-promotion activities of older adults measure［J］．Public Health Nurs，1997，14（2）：123-128.
［28］CAO W J，CHEN C S，HUA Y，et al．Factor analysis of a Health-Promoting Lifestyle Profile（HPLP）：application to older adults in mainland China［J］．Arch Gerontol Geriatr，2012，55（3）：632-638．DOI：10.1016/j.archger.2012.07.003.
［29］CHEN M Y，WANG E K，CHANG C J.Cross-validation and discriminant validity of Adolescent Health Promotion Scale among overweight and nonoverweight adolescents in Taiwan［J］．Public Health Nurs，2006，23（6）：555-560.
［30］WANG D，OU C Q，CHEN M Y，et al．Health-promoting lifestyles of university students in mainland China［J］．BMC Public Health，2009，9：379．DOI：10.1186/1471-2458-9-379.
［31］CHEN M Y，LAI L J，CHEN H C，et al．Development and validation of the short-form Adolescent Health Promotion Scale［J］．BMC Public Health，2014，14：1106．DOI：10.1186/1471-2458-14-1106.
［32］杨旭.医学院校学生健康知识与健康行为调查及干预研究［D］．天津：天津医科大学，2013.
YANG X.Investigation and intervention study on health knowledge and health behavior of medical students［D］．Tianjin：Tianjin Medical University，2013.
［33］郑迪，许军，谢娟.医学院校学生健康知识与行为调查［J］．中国公共卫生，2014，30（8）：1005-1008．DOI：10.11847/zgggws2014-30-08-08.
ZHENG D，XU J，XIE J.Survey on health knowledge and behavior of medical college students［J］．Public Health of China，2014，30（8）：1005-1008．DOI：10.11847 /zgggws2014-30-08-08.
［34］李文，王海花.海南地区老年骨质疏松健康行为及影响因素［J］．中国老年学杂志，2017，37（10）：2551-2553．DOI：10.3969/j.issn.1005-9202.2017.10.090.
LI W，WANG H H.Health behavior and influencing factors of elderly osteoporosis in Hainan［J］．Chinese Journal of Gerontology，2017，37（10）：2551-2553．DOI：10.3969/j.issn.1005-9202.2017.10.090.
［35］段好丽，张苇，张丽，等．不同年龄段骨质疏松老年女性患者健康行为及影响因素分析［J］．重庆医学，2017，46（22）：3127-3130．DOI：10.3969/j.issn.1671-8348.2017.22.034.
DUAN H L，ZHANG W，ZHANG L，et al．Analysis of health behavior and influencing factors of elderly women with osteoporosis in different age groups［J］．Chongqing Medical College，2017，46
（22）：3127-3130．DOI：10.3969/j.issn.1671-8348.2017.22.034.
［36］万丽红，熊小妮，潘俊豪，等．脑卒中患者健康行为量表的编制及信效度检验［J］．护理学杂志，2017，32（1）：25-29．DOI：10.3870/j.issn.1001-4152.2017.01.025.
WAN L H，XIONG X N，PAN J H，et al．Development and reliability and validity test of health behavior scale for stroke patients［J］．Journal of Nursing，2017，32（1）：25-29．DOI：10.3870/j.issn.1001-4152.2017.01.025.
［37］袁浩斌，Sirirat Panuthai.心肌梗死病人自我功效与健康行为的调查分析［J］．实用护理杂志，2002，18（11）：56-57.
YUAN H B，PANUTHAI S.Self-efficacy and health behavior of patients with myocardial infarction［J］．Journal of Practical Nursing，2002，18（11）：56-57.
［38］ULLA DíEZ S M，PéREZ-FORTIS A.Socio-demographic predictors of health behaviors in Mexican College students［J］．Health Promot Int，2010，25（1）：85-93．DOI：10.1093/heapro/dap047.

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