- 期刊
精神科日間照護病人減輕體重方案
The Program of Reducing Body Weight of the Patient in Psychiatric Day Care
摘要
慢性精神病人因疾病症狀及藥物服用，容易導致體重過重，而引發健康問題，也會降低生活品質。日間照護病房53位病人，追縱三個月其中有36人BMI超過25kg/m^2，平均BMI為30kg/m^2，調查體重過重病人，發現其體重控制認知不足、無正確之飲食、運動習慣及病房未安排體重控制課程等；醫療團隊及專案小組透過多元化活動課程安排，增加病人減輕體重的認知；設計創意運動器材、舉辦減重比賽，提供獎勵等，提高病人對課程的參與興趣，培養規律的運動習慣及正確的飲食認知。經過三個月實施，36人平均體重由76.3kg減輕為72.4kg，平均BMI值由30.0kg/m^2減低為28.5 kg/m^2，達專案目標。若能有預防勝於治療的態度，未來可在病人住院的初期，就開始提早為病人做有效之體重控制計畫，藉以維持或增加慢性精神病人之健康狀態，提升其生活品質。
並列摘要
Due to the conditions of disease and medicine taken, the chronic psychiatric patient gets weight exceed easily. It causes health problem and lowers living quality. There are 53 patients in daycare. After 3 month tracing, there are 36 people whose BMI is over 25 kg/ m^2, the average is 30 kg/m^2. After investigating the patient that weight exceeding, the cognition of weight controlled, diet and exercise custom are insufficient. At the same time, there is no weight controlled course arranged in ward. The Medical team and special matter team arrange variety courses to add the knowledge of weight reduced for patient; design creative exercise instrument; hold game for on diet; offer prize for encouragement and etc. These methods can enhance patient's interest for course attending, develop discipline for exercise regularly and provide the correct knowledge on diet. After 3 month implementing, the average of weight is reduced from 76.3 kg to 72.4 kg and BMI is from 30 kg/m^2 to 28.5 kg/m^2. It met the target of program. A better prevention than cure, the hospital can make weight controlled plan for patient in the early stage of admission. By the way, it can maintain or gain health for chronic psychiatric patient and improve their living quality.