精神科日間病房病人體重控制改善方案

A Program to Improve Weight Control of Psychiatric Patients in a Day Ward

黃冠錦(Kuang-Chin Huang) ； 陳菁菁(Chin-Chin Chen) ； 劉麗英(Li-Ying Liu)

《榮總護理》 27卷1期 (2010/03) Pp. 29-35

https://doi.org/10.6142/VGHN.27.1.29

摘要

精神病患體重過重問題造成健康威脅、影響生活品質及導致服藥遵從性差等問題是不容忽視的，本單位2007年6月調查42位病人身體質量指數(Body Mass Index, BMI)為25.8 kg/平方公尺，顯示有體重過重的問題。專案發現體重控制差的原因為病人缺乏動機、無運動習慣、飲食行為不良，在建立體重控制衛教課程、提供規律運動時間，並運用獎勵措施提高運動執行率與確實度、書寫運動日誌後，運動執行率由47%提升至88%，運動確實度也由27%提升至76%；飲食認知正確率由17%提升至58%，飲食行為正確率由58%提升至75%；24位體重過重病人BMI由28.2 kg/平方公尺下降、至27.8 kg/平方公尺。專案結果期望做為其他精神病患執行體重控制之參考。

關鍵字

體重過重 ； 體重控制 ； 精神病人

並列摘要

When we provided dietary education and physical activity program, the results were as follows: the exercise execution rate improved from 47% to 88% and exercise practice rate also increased from 27% to 76%. Moreover, accurate diet cognition levels were enhanced from 17% to 58% and diet habit levels increased from 58% to 75%. In addition, 24 overweight psychiatric patients saw a decline in their BMI average from 28.3 kg/m^2 to 27.9 kg/m^2. These results might serve as a reference for other psychiatric nurses who wish to help overcome weight issues among psychiatric patients.
The overweight problem of psychiatric patients threatens their health and drug compliancy of which cannot be neglected. An investigation in June 2007 of 45 psychiatric patients revealed that the Body Mass Index (BMI) average was 25.8 kg/m^2 indicating that they were overweight. Main factors were: low motivation, lack of exercise, and inappropriate diet behavior.

並列關鍵字

overweight ； weight control ； psychiatric patients