精神科日間病患體重控制專案

The Weight Control Program in a Day Care Psychiatric Ward

馮瑞珠(Chu-Jui Feng) ； 鄧惠琴(Hui-Chin Teng) ； 王惠予(Hui-Yu Wang) ； 戴春慧(Chun-Hui Tai) ； 熊碧雲(Pi-Yun Hsiung) ； 邱飄逸(Piao-Yi Chiou)

《新臺北護理期刊》 13卷2期 (2011/11) Pp. 73-84

https://doi.org/10.6540/NTJN.2011.2.008

摘要

The prevalence of obesity and overweight within psychiatric patients is quite high. There were 64 % of patients with body mass index (BMI) ≧ 24 kg/m^2 and 58% with BMI ≧ 27 kg/m^2 in our day care psychiatric ward. The reasons for obesity and overweight were less exercise (no motivation and space limited), inaccurate diet behavior, high caloric food intake, inadequate nutritious knowledge, and no cognition and skill of weight control for the nurses and family. In order to help patients to control their weight, a weight control team was formed. After gaining the common view of weight control in nursing conference, 23 patients whose BMI ≧ 24 kg/m^2 were recruited by purposive sampling. We used the design of pre test and post test in one group. The 18 week weight control intervention was held from 12 August 2008 to 25 December 2008. We conducted and offered the 60 minute nutrition education and counseling once a week, ninety minute exercises group for five times per week and low caloric diet in every lunch. In addition, a reward system, group experience sharing, and encouragement from families were designed to promote patients' motivation. The post test results show the mean body weight was 1.1 kg (t=4.138, p＜0.001) with the reduction rate of 1.46%. BMI dropped 0.5 kg/m^2 (2.61, p＜0.05). The mean body fat was reduced by 1.1% (t=4.17, p＜0.001). The score of diet behavior and nutrition knowledge increased 4.7 (t=4.06, p＜0.05) and 1.62 (t=2.78, p＜0.001), respectively. The weight control design of our program can be the reference o f other psychiatric wards and research.

關鍵字

日間病房 ； 體重控制 ； 肥胖 ； 營養 ； 運動

並列摘要

The prevalence of obesity and overweight within psychiatric patients is quite high. There were 64 % of patients with body mass index (BMI) ≧ 24 kg/m^2 and 58% with BMI ≧ 27 kg/m^2 in our day care psychiatric ward. The reasons for obesity and overweight were less exercise (no motivation and space limited), inaccurate diet behavior, high caloric food intake, inadequate nutritious knowledge, and no cognition and skill of weight control for the nurses and family. In order to help patients to control their weight, a weight control team was formed. After gaining the common view of weight control in nursing conference, 23 patients whose BMI ≧ 24 kg/m^2 were recruited by purposive sampling. We used the design of pre test and post test in one group. The 18 week weight control intervention was held from 12 August 2008 to 25 December 2008. We conducted and offered the 60 minute nutrition education and counseling once a week, ninety minute exercises group for five times per week and low caloric diet in every lunch. In addition, a reward system, group experience sharing, and encouragement from families were designed to promote patients' motivation. The post test results show the mean body weight was 1.1 kg (t=4.138, p＜0.001) with the reduction rate of 1.46%. BMI dropped 0.5 kg/m^2 (2.61, p＜0.05). The mean body fat was reduced by 1.1% (t=4.17, p＜0.001). The score of diet behavior and nutrition knowledge increased 4.7 (t=4.06, p＜0.05) and 1.62 (t=2.78, p＜0.001), respectively. The weight control design of our program can be the reference o f other psychiatric wards and research.

並列關鍵字

day care ward ； weight control ； obesity ； nutrition ； exercise