運用食物圖片單張輔助個別化營養衛教對慢性腎臟病患之營養知識、態度及行為成效

Effect of using food picture with personal nutrition education on the knowledge, attitudes and behavior in chronic kidney disease patients

李惠英(Hui-Ying Lee)

指導教授 ： 林娉婷

中山醫學大學/健康管理學院/營養學研究所/碩士(2016年)

摘要

本研究目的為利用食物圖片單張輔助營養衛教慢性腎臟病（chronic kidney disease；CKD）患者低蛋白飲食，了解對其營養知識、態度及行為之成效。本研究共募集50位受試者，並收集受試者基本資料比較營養教育前後生化值、飲食記錄及填寫營養知識、飲食態度及飲食行為之問卷。結果發現，使用食物圖片單張輔助營養教育介入後，受試者之體重（P = 0.001）及身體質量指數（BMI，P = 0.002）皆有顯著下降。營養素攝取量方面，在CKD第3b期（67.0 ± 18.3下降至52.1 ± 9.9克/天，P < 0.005）及第4期（57.8 ± 17.1下降至47.4 ± 6.9克/天，P = 0.001）受試者之蛋白質攝取量於營養教育後亦顯著下降。此外，營養教育介入後，受試者營養知識（5.5 ± 2.6分上升至8.4 ± 1.6分，P < 0.01）、飲食態度（22.2 ± 4.5分上升至23.4 ± 3.5分，P = 0.004）及飲食行為（27.2 ± 4.8分上升至31.4 ± 4.7分，P < 0.01）分數皆顯著上升。利用Pearson correlation分析發現，營養教育介入後，受試者之營養知識與飲食態度（r = 0.383，P = 0.006）及飲食行為（r = 0.315，P = 0.026）呈顯著之正相關。因此，由以上結果推論，運用食物圖片單張輔助營養衛教，有助於提高CKD患者之營養知識、態度及行為成效。

關鍵字

營養衛教食物圖片 ； CKD ； 低蛋白飲食

並列摘要

The purpose of this study was to investigate the effect of food pictures assist with nutrition education on nutrition knowledge, food attitudes, and eating behaviors in patients with chronic kidney disease (CKD). We recruited 50 subjects with CKD and collected basic information, biochemical values, diet records, and diet questionnaires before and after nutrition education. The results shows the values of body weight (P = 0.001) and body mass index（BMI, P = 0.002）were significantly decreased after nutrition education. With regard to nutrients intake of the subjects, patients with 3b phase (67.0 ± 18.3 decreased to 52.1 ± 9.9 g/day, P < 0.005) and IV phase (57.8 ± 17.1 decreased to 47.4 ± 6.9 g/day, P = 0.001) of chronic kidney disease had significantly lower protein intake after nutrition education. The scores of nutrition knowledge (5.5 ± 2.6 increased to 8.4 ± 1.6 points, P < 0.01), attitudes (22.2 ± 4.5 increased to 23.4 ± 3.5 points, P = 0.004), and behaviors were significantly increased (27.2 ± 4.8 increased to 31.4 ± 4.7 points, P < 0.01) after nutrition education. In addition, the scores of nutrition knowledge were significantly positive correlated with food attitude (r = 0.383, P = 0.006) and eating behaviors (r = 0.315, P = 0.026) after nutrition education. In conclusion, using food pictures assist with nutrition education can help CKD patients to increase their nutrition knowledge, food attitudes, and eating behaviors.

並列關鍵字

nutrition education, food picture, ； chronic kidney disease ； low-protein diet

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