A STUDY ON DEVELOPMENT OF HEALTH EDUCATION SYSTEM TO STIMULATE CHANGES OF HEALTH BEHAVIOR FOR YOUNGER GENERATION

本研究旨在探讨女大学生健康教育体系对改变其健康行为的有效性。利用该系统对学生进行为期一年的健康教育干预。该系统包括三个部分：健康教育咨询（6次）、身体状况、生活习惯和足部摄入量调查（3次）和发放“健康护照”（4次），“健康护照”上有个人的诊断记录和结果，并有详细的解释。健康教育前后体重指数、肥胖指数、体脂百分比无明显变化。每日步数、能量消耗、运动量略有下降.高密度脂蛋白胆固醇（HDL-C）显著升高。提示Lp（a）值随HDL-C升高而升高.主观症状明显减少，特别是在良好的照顾者。观察到良好饮食行为的维持在主观幸福感改善较高的受试者中。绿色和黄色蔬菜摄入量、食物摄入平衡评分和谷物能量率增加，而动物脂肪率、Na/K、盐摄入量（g/kcal）、脂肪酸摄入量减少。但营养素摄入量的改善与血脂的改善无明显相关性。LDL-C值下降幅度较大的受试者，其现代饮食模式的稀释作用显著.自我图显示，自我状况与健康行为的改变有关，说明健康教育系统对激发女大学生健康意识和保持健康意识是有效的，我们将在进一步研究中开发出更实用的健康教育系统，并将研究结果撰写成论文。

In this study we evaluated the effectiveness of the health equcation system for women's college students which we developed to change their health behavior. Using this system we made a health education intervention to the students throughout one year. The system consisted of three components : health education seminor (six times), survey in physical status, life habit and foot intake (three times), and provision of "Health Passport" illustrating individual records of diagnoses and results obtained, with elaborate explanation individually (four times).The major results obtained were as follows.1. Body Mass Index, obeisty index and body fat percentage didn't change by the health education. The number of steps a day, energy consumption, and quantity of exercise decreased slightly.2. Higt-density lipoprotein cholesterrol (HDL-C) increased significantly. It was suggested that Lp (a) value increased as HDL-C increased.3. Subjective symptoms decreased significantly, especially on subjects with good attendace to the seminor. The maintenance of good dietary behavior was observed in subjects who showed higher improvement of subjective symptoms.4. Green and yellow vegetable intake, food intake balance score and cereal energy rate increased, while animal fat rate, Na/K,salt intake (g/kcal), fatty acid intake decreased. However, improvement of nutrient intake was not significantly related with improvement of blood serum lipid. Dilution of modern eating pattern was observed significantly in subjects who showed larger decrease of LDL-C value.5. Ego-grams suggested that the ego-conditions was related with change of health behavior.These findings suggest that this health education system was effective on motivating women's college students to have more health consciousness and maintain it. After we conduct further study to develop more practical health education system, we will prepare a paper about our findings.