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Title: Health-promoting lifestyle and quality of life among Chinese nursing students
Authors: Mak, YW 
Kao, AHF
Tam, LWY
Tse, VWC
Tse, DTH
Leung, DYP
Issue Date: Nov-2018
Source: Primary health care research and development, Nov. 2018, v. 19, no. 6, p. 629-636
Abstract: Aim: This study aimed to examine the relationships between socio-economic status, health-promoting lifestyles, and quality of life among Chinese nursing students. Background: Nursing students will be future health promoters, but they may not always adopt the recommended healthy lifestyle. Currently, there are insufficient studies examining the health-promoting lifestyles of Chinese nursing students, and the impact of socio-economic status and health-promoting lifestyle on their health. Methods: This was a cross-sectional survey. Data were collected from nursing students studying in pre-registration nursing programs of a university in Hong Kong. The survey was conducted through a self-administered questionnaire that solicited information regarding their socio-economic status, health-promoting lifestyle, quality of life, and perceptions of the barriers to adopting a health-promoting lifestyle. Findings: A total of 538 students returned completed questionnaires for analysis. Among the health-promoting lifestyle subscales, the participants performed best in interpersonal relations and worst in physical activity, and the vast majority of them did not actively engage in health-risk behaviors. Hierarchical regression analyses revealed that only 5% of the variance in quality of life was explained by socio-economic variables, whereas a total of 24% of the variance was explained when health-promoting lifestyle variables were added. In particular, health responsibility, physical activity, spiritual growth, and stress management were statistically significant predictors of quality of life. Conclusions: Early concerns about how prepared nurses are to take on the role of promoting health still apply today. School administrators should plan the nursing curriculum to include activities that encourage student nurses to participate in health-promoting lifestyles. Future studies are needed to explore the barriers that prevent students from practicing health-promoting behavior.
Keywords: Health-promoting lifestyle
Health-risk behavior
Nursing students
Quality of life
Publisher: Cambridge University Press
Journal: Primary health care research and development 
ISSN: 1463-4236
DOI: 10.1017/S1463423618000208
Rights: © Cambridge University Press 2018. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
The following publication Mak, Y. W., Kao, A. H. F., Tam, L. W. Y., Tse, V. W. C., Tse, D. T. H., & Leung, D. Y. P. (2018). Health-promoting lifestyle and quality of life among Chinese nursing students. Primary health care research & development, 19(6), 629-636 is available at https://dx.doi.org/10.1017/S1463423618000208
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