Investigation of Healthy Lifestyle Behaviors of High School Students Studying in the Field of Health Services

Year 2023, Volume: 8 Issue: 1, 255 - 276, 29.04.2023

Arzu Akcan , Fatma Ulusoy

https://doi.org/10.47115/jshs.1104801

Abstract

Aim: The aim of this study is to examine the healthy lifestyle behaviors of Vocational
and Technical Anatolian high school (VTAHS) health services students.
Method: The research is of descriptive type and was conducted in all seven
schools of a province with health services in VTAHS. The sample consisted of 681
students attending the 11th grade in the departments of assistant nurse, assistant
midwife and health care technician. Data were collected with a personal information
form and Adolescent Lifestyle Profile (ALP) scale. T-Test in Independent
Groups, Mann-Whitney U Test, One-way ANOVA, Kruskal Wallis were used in
the analysis of the data. Bonferroni was used in the post hoc analysis.
Results: The mean age of the students participating in the study was 16.73±
0.52, 74.6% were female, body mass index (BMI) of 67.3% of them was normal.
While the lowest mean score was observed in the subgroup of health responsibility
(2.10±0.48), the highest mean score (3.14±0.51) was observed in the interpersonal
relations subgroup. Being a woman, living in a town, having a broken family member,
studying in the midwife assistant department, not staying with the family, not
working, having bad family or friend relations, having a diagnosis of illness, having
a bad perception of health status, not having a normal weight BMI was at a disadvantage
in terms of ALP scale scores.
Conclusions and Suggestions: Gender, place he/she lives, family type, department,
place he/she stays, working a job outside of school, family relations, friend
relations, disease diagnosis, current state of health and BMI of students were found
to be effective in ALP scale scores. These students, who are on the way to become
the health personnel of the future, should be made aware of healthy lifestyle behaviors
and interventional studies should be carried out to develop these behaviors.

Keywords

Adolescent, Students, Health Services, Healthy Lifestyle

Supporting Institution

yok

Project Number

-

Thanks

We are grateful for the contribution of the adolescents and school staff who made this study possible.

SAĞLIK HIZMETLERI ALANINDA ÖĞRENIM GÖREN LISE ÖĞRENCILERININ SAĞLIKLI YAŞAM BIÇIMI DAVRANIŞLARININ İNCELENMESI

Abstract

Amaç: Bu çalışmanın amacı Mesleki ve Teknik Anadolu Lisesi (MTAL) sağlık
hizmetleri alanı öğrencilerinin sağlıklı yaşam biçimi davranışlarının incelenmesidir.
Yöntem: Araştırma tanımlayıcı tipte olup bir ilin MTAL’inde sağlık hizmetleri
alanı bulunan tüm yedi okulunda yapılmıştır. Örneklem hemşire yardımcılığı,
ebe yardımcılığı ve sağlık bakım teknisyenliği bölümlerinde 11. sınıfa devam eden
681 öğrenciden oluşmuştur. Veriler kişisel bilgi formu ve Adölesan Yaşam Biçimi
(AYB) Ölçeği ile toplanmıştır. Verilerin analizinde Bağımsız Gruplarda T-Testi,
Mann-Whitney U Testi, One-way ANOVA, Kruskal Wallis; post hoc analizlerinde
ise Bonferroni ve Tamhane kullanılmıştır.
Bulgular: Çalışmaya katılan öğrencilerin yaş ortalaması 16.73± 0.52 olup
%74.6’sı kadın, %67.3’ünün beden kitle indeksi (BKİ) normaldir. AYB toplam puanı
108.61±14.93’dir. En düşük puan ortalaması sağlık sorumluluğu (2.10±0.48) alt
boyutunda görülürken, en yüksek puan ortalaması (3.14±0.51) kişilerarası ilişkiler
alt boyunda görülmüştür. Kadın olmanın, ilçede yaşamanın, parçalanmış aile üyesi
olmanın, ebe yardımcılığı bölümünde okumanın, ailesi ile kalmamanın, çalışmamanın,
kötü aile ya da arkadaş ilişkilerinin, hastalık tanısına sahip olmanın, kötü
sağlık durumu algısının, normal BKİ’ne sahip olmamanın AYB ölçek puanları açısından
dezavantajlı duruma getirdiği saptanmıştır.
Sonuçlar ve Öneriler: Öğrencilerin cinsiyetinin, yaşadığı yerin, aile tipinin,
bölümün, kaldığı yerin, okul dışında bir işte çalışma durumunun, aile ve arkadaş
ilişkilerinin, hastalık tanısı varlığının, şimdiki sağlık durumunun ve BKİ’nin
AYB ölçek puanlarında etkili olduğu görülmüştür. Geleceğin sağlık personeli olma
yolundaki bu öğrencilere sağlıklı yaşam biçimi davranışlarına yönelik farkındalık
kazandırılmalı ve bu davranışları geliştirebilmeleri için girişimsel çalışmalar yapılmalıdır.

Keywords

Adolesan, Öğrenci, Sağlık Hizmetleri, Sağlıklı Yaşam Tarzı

Project Number

-

References

• Akgün, Ş., Öztaş, D., & Hançer Tok, H. (2021). Healthy lifestyle behaviors and health literacy levels of nursing students. Gümüşhane University Journal of Health Sciences (GUJHS), 10(2), 247-256.
• Akoğuz Yazıcı, N. (2022). Investigation of healthy lifestyle behaviors of high school students. Akdeniz Spor Bilimleri Dergisi, 5 (Özel sayı 2), 1139-1154. https://doi.org/10.38021asbid.1195596
• Aktaş Özakgül, A., Atabek Aştı, T., Ataç, M., & Mercan, K. (2016) Do senior high school students have health-pro¬moting lifestyles? Florence Nightingale Journal of Nursing, 24 (1), 16-23
• Anderson, P. H. (2018). School-age children and adolescents. In Rector C, Editor. Community and Publice Health Nursing, Promoting the Public’s Health. Ninth Edition, Wolters Kluwer, Philadelphia, 2022-2163
• Ardic, A., & Esin, M. N. (2016). Factors associated with healthy lifestyle behaviors in a sample of Turkish adolescents: A School-Based Study. Journal of Transcultural Nursing, 27(6), 583–592. https://doi. org/10.1177/1043659615587585
• Ardic, A., & Esin, M. N. (2015). The adolescent lifestyle profile scale: Reliability and validity of the Turkish version of the instrument. The Journal of Nursing Research, 23(1), 33Y40. https://doi.org/10.1097/ jnr.0000000000000052
• Bebiş, H., Akpunar, D., Özdemir, S., & Kılıç, S. (2015). Assessment of health promotion behavior of adolescents in a high school. Gülhane Medical Journal, 57(2), 129-135. https://doi.org/10.5455/gulhane.43275
• Bulut, A., Bulut, A., & Erçim, R.E. (2016). Examination of healthy lifestyle behaviors of students of vocational school of health. Demiroglu Science University Florence Nightingale Journal of Medicine, 2(2):105-112 https://doi. org/10.5606/fng.btd.2016.020
• Coşkun, A., & Karagöz, Ş. (2021). Investigation of obesity prevalence, physical activity level and healthy lifestyle behaviors in adolescent children. Turkish Journal of Sports Science, 5(2), 63-72. https://doi.org/10.32706/ tusbid.995216
• Çiçek, E., & Çetinkaya, F. (2017). Healthy lifestyle behaviours of high school students in selected county town. Journal of Health Sciences, 26, 29-38.
• Dindar, S. (2022). Evaluation of Healthy Lifestyle Behaviors in High School Adolescents. Hemşirelik Anabilim Dalı. Master Thesis. Çankırı Karatekin Üniversitesi, Sağlık Bilimleri Enstitüsü, Çankırı. Retrieved from https://tez. yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp Accessed 28 March 2023.
• Esatbeyoğlu, F., & Kin İşler A. (2018). Physical activity levels, bmı and healthy life style behaviors in adolescents living in a rural district. Turkiye Klinikleri Journal of Sports Science, 10(1), 9-18 https://doi.org/10.5336/ sportsci.2017-57533
• Hendricks, C.S., Murdaugh, C., & Pender, N.J. (2006). The adolescent lifestyle profile: development and psychomet¬ric characteristics. Journal of National Black Nurses’ Association: JNBNA, 17(2), 1-5.
• Karabacak, E. (2019). Evaluation of Secondary School Students’ Health Perception and Healthy Lifestyle Behavi¬ors. Hemşirelik. Master Thesis. Doğu Akdeniz Üniversitesi. Lisansüstü Eğitim, Öğretim ve Araştırma Ens¬titüsü. Gazimağusa, Kuzey Kıbrıs. Retrieved from http://i-rep.emu.edu.tr:8080/xmlui/handle/11129/5081 Accessed 28 March 2023
• Karadamar, M., Yiğit, R., & Sungur, M.A. (2014). Evaluation of Healthy Lifestyle Behaviours in Adolescents. Journal of Anatolia Nursing and Health Sciences, 17(3), 131-139.
• Karagözoğlu, M. (2021). Determination of the Relationship between Health Literacy and Healthy Lifestyle Behaviors in Adolescents. Hemşirelik Anabilim Dalı. Master Thesis. Tezi. Bezmialem Vakıf Üniversitesi. Sağlık Bilimleri Enstitüsü, İstanbul Retrieved from https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni. jsp Accessed 29 March 2023
• Kaya, N., Aşti, T., Kaya, İ., Yayalaci, S., Kaya, H., Turan, N., & Özdemir Aydın, G. (2016). Association between attitudes towards Internet usage and health practices in high-school students in 2 schools in Turkey: a cross-sec¬tional study. Eastern Mediterrane Health Journal, 22(11), 824-831.
• Kazak A., Başaran, F., Coşkun, N., & Karakullukçu, S. (2021). Evaluation of health literacy and healthy lifestyle behaviors of university students that study in health-related department. Kocaeli Medical Journal, 10(3), 273-283 https://doi.org/10.5505/ktd.2021.22438
• Metin Karaaslan, M., & Çelebioğlu, A. (2018). Determination of healthy lifestyle behviors of high school students. Journal of Human Sciences, 15(2), 1355-1361. https://doi.org/10.14687/jhs.v15i2.4895
• Ministry of Education. General Directorate of Vocational and Technical Education. Vocational Student Statistics in Türkiye. Retrieved from http://meslekiegitimharitasi.meb.gov.tr/ogrenci.php Accessed 29 March 2023.
• Neyzi, O., Günöz, H., Furman, A., Bundak, R., Gökçay, G., Darendeliler, F., & Baş, F.(2008). Weight, height, head circum-ference and body mass index references for Turkish children. Çocuk Sağlığı ve Hastalıkları Dergisi, 51, 1-14
• Pender, N.J., Murdaugh, C.L., & Parsons MA. (2002). Health Promotion in Nursing Practice, Fourth Edition, New Jersey, 13-209.
• Sousa, P., Gaspar, P., Fonseca, H., Hendricks, C., & Murdaugh, C. (2015). Health promoting behaviors in adolescence: validation of the Portuguese version of the Adolescent Lifestyle Profile. Jornal de Pediatria (Rio J). 91:358- -365. http://dx.doi.org/10.1016/j.jped.2014.09.005
• Sümen, A., & Öncel, S. (2015). Türkiye’de lise öğrencilerinin sağlıklı yaşam biçimi davranışlarını etkileyen faktörler: Literatür İncelemesi. I. Halk Sağlığı Hemşireliği Kongre Özet Kitabı, ss.132, İzmir.
• Temiz, G., & Harmankaya, G. (2022). Evaluation of health promoting behaviors and affecting factors in high school students. Gevher Nesibe Journal of Medical & Health Sciences, 7(19), 94- 102. http://dx.doi.org/10.5281/ zenodo.6976429
• Turan, N., Güven Özdemir, N., Çulha, Y., Özdemir Aydın, G., Kaya, H., & Aştı, T. (2021). The effect of undergraduate nursing students’ e-Health literacy on healthy lifestyle behaviour. Global health promotion, 28(3), 6–13. https://doi.org/10.1177/1757975920960442
• Turkish Statistical Institute (2021). Youth with Statistics, 2020. Turkish Statistical Institute News Bulletin. Number: 37242 Retrieved from https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Genclik-2020-37242 Accessed 22 March 2022
• Turkish Statistical Institute (2022). Youth with Statistics, 2021. Turkish Statistical Institute News Bulletin. Number: 45634 Retrieved from https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Genclik-2021-45634 Accessed 23 March 2023.
• Turkish Society of Endocrinology and Metabolism (2019). Obesity Diagnosis and Treatment Guide. Miki Printing, Ankara. Retrived from https://file.temd.org.tr/Uploads/publications/guides/document¬s/20190506163904-2019tbl_kilavuz5ccdcb9e5d.pdf?a=1 Accessed 22 December 2021
• Tuygar, Ş. F., & Arslan, M. (2015). An investigation about the healthy life style behaviours of vocational school of health services students. SDÜ Sağlık Bilimleri Enstitüsü Dergisi, 6(2), 59-66.
• United Nations (2019). International Youth Day, 12 August 2019. Depertmaent of Economic and Social Affairs. Retrieved from https://www.un.org/development/desa/youth/wp-content/uploads/sites/21/2019/08/ WYP2019_10-Key-Messages_GZ_8AUG19.pdf Accessed 22 March 2022
• World Health Organization (2022) Global Accelerated Action for the Health of Adolescent (AA-HA!) Retrieved from https://www.who.int/teams/maternal-newborn-child-adolescent-health-and-ageing/adolescent-and-young-adult-health/aa-ha Accessed 02 March 2022
• Yalçın, R. (2018). The relationship between phsyical activity levels of high school students and healthy lifestyles behaviors. Çocuk Sağlığı ve Hastalıkları Hemşireliği Anabilim Dalı. Master Thesis. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü, Sivas. Retrieved from https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp Accessed 23 March 2023
• Yaşar, Ö., Karadağ, N., & Özsezer Kaymak, G. (2018) Investigation of healty lifestyle behaviors of nursing department students. Balıkesir Health Sciences Journal, 7(3), 82-87. JSHS, 2022, Cilt 8, Sayı 1