Health advocacy in Health Self-Management behaviour: An example of the community psychiatric rehabilitation residents in New Taipei City

Chian-Chi Chen ； Yan-Zin Chang ； Hai-Lun Sun ； Hui-Chuan Lin ； Chih-Ping Chen

《第六屆亞洲健康識能國際會議》 預刊文章 Pp. 1-3

https://doi.org/10.6881/AHLA.201810.SM03

摘要

Introduction: Health self-management behaviour is a result of self-determined process. Generally, people with adequate health- and/or medical-related information could have greater Health self-management action relatively. Individuals with psychiatric disorder have multiple dysfunctions in variety life aspects, and Health self-management which influences the mental stability and health status is no exception. The ability of health self-management could have far-reaching impact on their health status, including chronic diseases and obesity which might be the common comorbidity indirect effects from the psychiatric medications. Otherwise, according to the suggestion by the World Health Organization and Ministry of Health and Welfare, National Health Administration, obesity is seen as a chronic disease and over one-third adult in our country is over-weighted or obesity and the body part of fat accumulation would affect health status majorly. The health self-management in the group of psychiatric disorder is given more and more attentions because of cost loss in not only Health insurance but social cost. Materials and Methods: In our preliminary investigation in the privacy community psychiatric rehabilitation institution allocated at New Taipei City, we explored the relationship between health status and autonomy control of movement and diet individual with psychiatric related diagnosis. Health status was monitored by weekly and quarterly assessing the body mass index (BMI) and waistline respectively. The standard of BMI and waistline are in accordance with the announcement by World Health Organization. Their diet and movement details in a week within the second and fourth quarter of a year were collected by themselves. The diet and movement details in the first and third quarter of a year were collected by their case manager in the institution. Results: The health status of the residents in the first and third quarter of a year had a lower standards compliant rate than another, but not significantly. The lower diet control and regular movement could be taking; the lower of standards compliant rate can be achieved. Discussion and Conclusions: The diet and movement details collected by the case manager shows greater information integrity than by resident themselves and can affect the explanation about their results in MBI and waistline. The health related behaviour of diet control and regular movement could be seen as a self-determined behaviour, and the results reveals that the health promotion behaviours (diet-control and regular movement) have positive influence on well-control of BMI and waistline.

關鍵字

Self determination ； Health self-management ； psychiatric disorder