背景：慢性腎臟病病人若能持守（Adherence）健康行為，可以延緩疾病的進展、建立良好的健康生活型態、減少心血管疾病的產生，以及降低死亡率，但肥胖會增加罹患慢性腎臟病和末期腎病變的機率，因此肥胖族群更需要盡早建立健康促進生活型態，但目前研究僅探討慢性腎臟病病人持守單一健康行為和健康促進生活型態的相關性研究，未探討持守整體健康行為和健康促進生活型態之相關。
研究目的：探討肥胖慢性腎臟病病人持守健康行為與健康促進生活型態的相關性。
研究方法：橫斷式相關性研究，採方便性、連續性取樣，以持守健康行為量表和健康促進生活型態量表（HPLP-II）了解肥胖慢性腎臟病病人持守健康行為和健康促進生活型態之間的關係，以南部某醫學中心腎臟病衛教室收案，收案人數共130位，納入收案條件為二十歲以上意識清楚、身體質量指數大於等於25 kg/m2、由醫師診斷為慢性腎臟病且持續3個月以上的病人；排除條件為已接受腎臟替代療法者，如血液透析、腹膜透析及換腎、經診斷為認知功能障礙或缺損性疾病，如中風、失智等。資料收集完畢後使用SPSS 17版進行分析，以描述性統計說明人口學變項、持守健康行為和健康促進生活型態之現況；推論性統計運用Pearson’s Correlation了解變項相關的情形，並運用階層迴歸分析預測人口學變項、健康持守行為對健康促進生活型態的影響因子。
研究結果：本研究對象以男性（69.2%）、老年（平均年齡為65.8歲，標準差12.26歲）為主，婚姻狀況以已婚或有伴侶者（86.2%）、無職業者（含退休）（55.4%），以及有其他慢性病者（96.9%）居多，教育程度平均10.1年（標準差4.05年）、平均身體質量指數為28.8 kg/m2（標準差3.94 kg/m2）、腎絲球過濾率平均為44.4 ml/min/1.73m2（標準差31.98 ml/min/1.73m2），平均在慢性腎臟病第三期。本研究對象持守健康行為量表分數平均為43.9分（標準差6.14分），得分偏向滿分，其中戒絕捨棄為得分最高的構面、其次為建議採納，抵禦防護則是得分最低的構面；健康促進生活型態量表平均分數為160.1分（標準差22.19分），得分偏向滿分，人際關係為得分最高的構面，接續為健康責任、壓力處理、靈性成長、營養，得分最低的構面為身體活動。此研究階層多元迴歸模型整體解釋變異量為45 %，共有三個變項可做為健康促進生活型態的影響因子，分別為「持守健康行為」（β = .495，p = .000）、「教育程度」（β = .293，p = .000），以及「婚姻狀況」（β = .224，p = .001），由此得知持守健康行為、教育程度、婚姻狀況和健康促進生活型態呈正相關，意指持守健康行為量表分數越高、教育程度越高者，其健康促進生活型態分數越高；已婚或有伴侶者比未婚或無伴侶者的健康促進生活型態分數更高。
結論：持守健康行為和健康促進生活型態呈顯著正相關，肥胖慢性腎臟病病人持守健康行為有助於建立健康促進生活型態，本研究結果供醫護人員指導肥胖慢性腎臟病病人疾病衛教之參考，加強持守健康行為的指導，例如規律運動、飲食控制，以及維持正常身體質量指數等，即可提升病人整體的健康促進生活型態。

Adherence healthy behaviors can delay disease progression, establish health promoting lifestyle among patients with chronic kidney disease. Obesity increase the morbidity of chronic kidney disease and end-stage renal disease. At present, the studies only explore the correlation between specific adherence healthy behaviors and health promoting lifestyles among patients with chronic kidney disease, the relationships between adherence to healthy behaviors and health promoting lifestyle are unclear. This study aim exploring the correlation between obese patients with chronic kidney disease who adhere to healthy behavior and health promotion lifestyle. A cross-sectional and correlation study with convenience and consecutive sampling. Total 130 subjects were collected. The explain variable of health promoting lifestyle on hierarchical regression model is 45 %. There are three variables as predictors of health promoting lifestyles, which are adherence healthy behaviors (β = .495, p = .000) , years of education (β = .293, p = .000), and marital status (β = .224, p = .001), the result shows adherence healthy behavior, years of education, marital status and health promoting lifestyle are positive relationships, meaning that the higher score of adherence healthy behavior, more years of education, the higher scores of health promoting lifestyle; married person has higher scores for health promotion lifestyle than unmarried person. Adherence to healthy behaviors and health promoting lifestyle are significant positive relationships among obesity patients with chronic kidney disease.

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