衛生教育介入對日間留院精神病患體重管理之成效探討

The Effects of Health Education Programs on Weight Management for Day Care Unit Patients with Mental Disorders

李幸容(Hsing-Jung Lee)

指導教授 ： 林麗鳳

中臺科技大學/護理學院/護理研究所/碩士(2011年)

https://doi.org/10.6822/CTUST.2011.00075

摘要

精神疾患肥胖盛行率高於正常一般人，而肥胖又為各種代謝症候群及慢性疾病危險因子，威脅病患的健康、造成家庭和社會的負擔。本研究旨在探討衛生教育介入對日間留院精神病患體重管理之成效，採前測-後測（pretest-posttest design）類實驗設計（quasi-experimental design），以立意取樣於中區某醫院精神科日間病房同意參與研究且符合收案條件之精神病患為對象共64位，採隨機分配為實驗組及對照組各32位，實驗組施以八週整合動態生活、體型意識、健康飲食體重管理衛生教育介入方案，每週一次，每次二小時，對照組以自擬結構式問卷及體位測量，比較兩組在衛生教育介入前、後，體重管理的知識、態度、行為及身體組成之成效。結果顯示實驗組接受體重管理衛生教育介入方案後，在動態生活的知識和健康飲食的行為達顯著提昇；在身體組成方面，實驗組身體質量指數顯著降低，對照組後測身體質量指數顯著增加，顯示衛教介入有效。本研究結果可提供臨床精神科治療團隊，設計體重管理衛教方案之參考。

關鍵字

精神病患 ； 體重管理方案 ； 日間留院 ； 衛生教育

並列摘要

Obesity among individuals suffering mental disorders is more prevalent compared to normal individuals. Furthermore obesity increases the risk of developing metabolic syndrome and chronic diseases. Not only does obesity threaten the health of the patients, but also causes burdens on family and society. The primary objective of this study is to explore the effectiveness of weight management health education programs for day hospital mental disorder patients. A pretest-posttest quasi-experimental design was used. A total of 64 mental disorder patients were chosen from a local hospital’s psychiatric day care unit. All subjects were willing participants in this study and met the conditions required. Using random selection, two groups , one control and one experimental, were created, each with 32 subjects. The experimental group were recived AID(Active Living,Body Image,Health Diet) weight management health education programs for 8 weeks, once a week, two hours each session. The control group was not recived to any programs. Effectiveness was evaluated with a structured questionnaire created by the researcher and anthropometric measurements. The two groups were compared before and after participation in the health education programs. Data for comparison consists of weight management knowledge, attitude, behaviour, and body composition. The results of the knowledge of active life style and behavior of healthy diet showed that the experimental group had significant difference the weight management health education programs; in terms of body composition, the experimental group had a significantly reduced body mass index (BMI), whereas the control group’s post test analysis showed a significantly increased BMI. This shows the health education programs were effective. The results of this research can provide a valuable reference for clinical psychiatric teams when designing weight management health education programs.

並列關鍵字

Day Care Unit ； Health Eduction ； AID Weight Management program ； Mental Disorder Patients

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