健康促進的生活方式，是自1980年以來世界各國的公共衛生領域普遍倡導的主題，文獻顯示不良的生活方式與慢性疾病有關，執行健康促進的行為與減少疾病的發生和死亡有密切關係。而提供民眾或病患實行健康促進的生活，亦是護理專業一項歷史悠久的責任與職務。本研究的目的是在探討實施健康促進的護理指導後，個案生活方式改變之成效。本研充採用準實驗研究設計，於民國84年10月至85年7月間，以三位資深護理人員進行護理指導，取樣對象為某醫學中心一般內科門診病人。以看診時間不同為分派實驗和對照組之依據(星期一，三、五為對照組，星期二、四、六為實驗組)。對照組依傳統門診作業方式，並給與「健康促進的生活方式手冊」;實驗組除上述程序外，再接受「健康促進的生活方式護理指導本」之內容,以1.5-2小時之個案衛教方式進行，三個月時依其前測得分較少之行為給予電話追蹤，並於6個月後評估成效。研究初期共收集得158位個案，對照組78位，實驗組80位。經6個月之追蹤及評估只餘81位個案,對照組44人，實驗組37人。比較158位個案中有完成及沒有完成6個月評估者,其基本資料及健康促進行為分數沒有顯著差異。以完成6個月追蹤之樣本評估其健康行為之增加情形，發現實驗組在衛教後於健康促進的生活方式之行為上，有顯著的成效，也支持實施健康促進的生活方式之護理指導具有推廣的價值。

　　　　　Over the last decade public health institutions around the world have been emphasizing I importance of healthy lifestyles. There is much documentation which shows that healthy lifestyles decrease susceptibility to disease and increase longevity. Unhealthy lifestyles, on other hand, are closely correlated with chronic diseases. Nursing has a long and well-document history of activities directed toward promoting healthy lifestyles. The purpose of this study was to examine the effects of counseling by nurses on a selected group of patients from a gene medical OPD in a medical center in Taoyuan.A two-group quasi-experimental research design was employed. From October 1995 July 1996, 158 OPD patients were selected and assingned to one of two groups. Members the treatment group received counseling from three trained nurses during OPD waiting time, which was followed up by phone calls. The members of the control group were given counseling but instead received traditional care and a booklet promoting healthy lifestyles. Preassessment was carried out after subjects were selected and post-assessment was done months laster. The findings showed that the counseling caused members of the treatment group to adopt healthier lifestyles. The research outcome supports the value of nurses counseling patients on how to make their lives healthier.