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

在本研究中，我们评估了为改变女大学生的健康行为而开发的女大学生健康教育体系的有效性。利用该系统对学生进行了为期一年的健康教育干预。该系统由三个部分组成：健康教育讲座(六次)，身体状况、生活习惯和足部摄入量的调查(三次)，以及提供“健康护照”，说明个人的诊断记录和结果(四次)。主要结果如下：健康教育前后体重指数、顺从指数、体脂百分比无明显变化。每天的步数、能量消耗和运动量略有下降。高密度脂蛋白胆固醇(HDLC)明显升高。提示Lp(A)值随高密度脂蛋白胆固醇升高而增加。主观症状显著减少，特别是在神学院听课情况良好的受试者。主观症状改善程度较高的受试者可以观察到良好饮食行为的维持。绿色和黄色蔬菜摄入量、食物摄入量平衡评分和谷类能量率增加，动物脂肪率、钠钾比、食盐摄入量(g/kcal)、脂肪酸摄入量减少。而营养素摄入量的改善与血脂的改善无显著相关性。在低密度脂蛋白胆固醇水平下降幅度较大的受试者中，观察到现代饮食模式的稀释。自我图显示，自我状况与健康行为的改变有关，提示该健康教育体系能有效地激励女大学生增强健康意识并保持健康意识。在我们进行进一步研究以发展更实用的健康教育制度后，我们会就研究结果准备一份文件。

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.