營養教育介入對成年育齡婦女營養知識、鐵攝取量及鐵營養狀況的影響

The effects on nutritional knowledge, dietary intake of iron and serum iron of childbearing women by nutrition education intervention

范揚國(YANG-GUO FAN)

指導教授 ： 藍守仁

亞洲大學/健康學院/健康產業管理學系健康管理組/碩士(2011年)

摘要

衛生署在2008年公佈的國民營養變遷調查結果顯示，國人19~50歲女性缺鐵的比率為15.3％（男性為2.2％），是男性的7 倍，顯示成年女性缺鐵的風險是值得注意的公共衛生議題。有鑑於政府對於婦女的健康政策只注重疾病的治療，而忽略了女性自身的健康保健，本研究探討育齡婦女的鐵營養狀況、鐵攝取量，並探討營養教育介入對營養知識、鐵攝取量及鐵營養狀況之影響。研究對象為25～45歲成年育齡婦女33名，檢測血液中血紅素及血鐵蛋白，進行6堂鐵營養教育課程介入，結果顯示：成年育齡婦女中缺鐵及缺鐵性貧血者佔45.5％；營養教育介入對成年育齡婦女的鐵營養知識較非學員提升（p＝0.00）；在鐵營養教育介入前、後成年育齡婦女飲食鐵攝取量並無差異，惟血基質鐵的攝取量有增加趨勢；在鐵營養教育介入前、後，血紅素及儲鐵蛋白值沒有顯著改善；成年育齡婦女對鐵營養教育滿意程度高。由此可知，成年育齡婦女鐵營養缺乏應及早防範，鐵營養教育雖無法立即改善成年育齡婦女鐵營養狀況，但是提升營養知識仍然是獲得良好營養及健康的必備因素之一，透過營養教育傳授營養知識，進而影響成年育齡婦女對營養健康的態度和行為，達到健康促進的效果。

關鍵字

血紅素 ； 儲鐵蛋白 ； 營養教育

並列摘要

The disease treatment has been the mainstream of the government health policy for many years; however, the women’s health care does not get enough attention.
This study is designed to improve the iron status of child-bearing women by nutrition education intervention. 33 child-bearing women with age from 25 to 45, attend six courses of nutrition education about serum iron. The results reveal: the percentage of iron depletion and iron deficiency anemia accounts for 45.5%. The knowledge score of participant is significantly higher than the score of non-participant (p=0.00, independent t test). The iron intake of these women does not increase significantly after intervention compared with those before intervention, except the amount of heme iron intake. The hemoglobin and ferritin level do not increase significantly after intervention, neither. The participants are satisfactory about the education courses.
In conclusion, the status of iron depletion of child-bearing women should be monitored and prevented early. The iron status may not be improved by nutrition education intervention immediately. The getting of health knowledge remains one of the factors which contribute good health and nutrition, also, is the way to influence the attitude and behavior of child-bearing women, then, the goal of health promotion will be achieved.

並列關鍵字

hemoglobin ； ferritin ； nutrition education

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