醫院減重活動介入冠心症高危險群的健康改善成效探討

The Health Improvement Effect of Hospital Body Weight Control Courses on the Coronary Heart Disease High Risk Patients

劉藝萍(Yi-Ping Liu)

指導教授 ： 黃英家

亞洲大學/健康學院/長期照護研究所在職專班/碩士(2010年)

摘要

摘要
因營養過剩及運動不足導致體重過重或肥胖引發心臟血管疾病、糖尿病、高血壓等慢性疾病。此健康議題日漸讓全球人類重視，其慢性病對健康有所威脅，進而減低壽命並影響個人日常生活及家人的生活品質並會增加醫療成本。研究之目的為探討八週減重活動介入冠心症高險群，藉由飲食控制、規律運動、行為修正介入，降低體重、腰、臀圍、身體質量指數、血脂、飯前血糖、糖化血色素、血壓之成效。
樣本個案取自2006-2008年三年間參加某教學醫院所舉辦減重班學員為對象，篩選BMI＞24而且至少有高血壓或高血糖或高血脂其中一項以上之個案為收案對象，經簽署同意書後納入追蹤。研究設計採實驗介入前後測量並比較個案之體重、腰、臀圍、身體質量、膽固醇、三酸甘油脂、高密度脂蛋白、低密度脂蛋白、飯前血糖、糖化血色素、血壓，以SPSS 12.0次級分配、描述性統計、成對相依T檢定等統計方法進行描述性分析與推論統計。
本研究共收案34位，結果發現：八週減重活動介入後，個案除高密度脂蛋白未提升指數外，其他指標後測總平均數值均低於前測。另外，八週減重活動介入後，個案體重、腰、臀圍、身體質量指數、膽固醇、三酸甘油脂、糖化血色素、飯前血糖等變項，統計分析結果達顯著差異；惟低密度脂蛋白、高密度脂蛋白、血壓未達顯著水準。
本研究結果支持醫院內八週減重活動介入後，可以降低個案體重、腰、臀圍、身體質量指數、膽固醇、三酸甘油脂、飯前血糖、糖化血色素，達到預防疾病，改善冠心症高險群健康之成效，建議醫療機構持續並推廣舉辦此類健康促進活動。

關鍵字：冠心症高險群、醫院內減重活動、健康促進

關鍵字

冠心症高險群 ； 醫院內減重活動 ； 健康促進

並列摘要

Abstract
Overweight or obesity caused by nutrition excess and lack of exercise will induce chronic diseases such as heart disease, diabetes, and hypertension. Chronic diseases not only threat the health but also impact on individual’s daily life , and they will interfere the quality of life and increase medical costs. The purpose of this study was to explore the effectiveness of eight weeks hospital-based weight control activities among coronary high risk patients.
By applying the intervention of diet control, regular exercise, and behavior modification to reduce body weight, waist-hip size, body mass index, blood lipids, fasting blood sugar, HbA1c, and blood pressure.
Study samples were selected from the members of weight control classes which were held by hospital in 2006-2008. Members who had BMI> 24 and with high blood pressure, high blood sugar, or high blood lipid were eligible for this study. Total samples were 34.
An experimental study design was used to compare the differences of pre-test and post-test data. The changes of samples’ body weight, waist-hip size, body mass index, cholesterol, triglycerides, high density lipoprotein, low-density lipoprotein, fasting blood sugar, HbA1c, and blood pressure were recorded.
Data was analyzed by SPSS 12.0. Sub-allocation, described statistics, and paired t-test were used in this study.
The study results were as follows: after eight-week weight control activities, in addition to the average of samples’ post-test high-density lipoprotein data did not increase, other post-test data average were lower than pre-test data average. Results of paired t-test also found that after eight-week weight control activities, the variables of body weight, waist-hip ratio, body mass index, cholesterol, triglycerides, fasting blood sugar, and HbA1c were significant, while low-density lipoprotein, high-density lipoprotein and blood pressure were not significant.
The study results supported that weight control activities held by hospital had the effectiveness of reducing body weight, waist-hip size , body mass index, cholesterol, triglycerides, fasting blood sugar and HbA1c. By means of preventing and reducing the risk from coronary heart diseases, it was recommended that medical institutions should promote such health promotion activities.

Key words: coronary heart disease high risk group, weight control activities in hospital, health promotion.

並列關鍵字

coronary heart disease high risk group, weight control activities in hospital, health promotion. ； weight control activities in hospital ； health promotion

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