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題名：曾經接受冠狀動脈繞道手術的代謝症候群病患飲食型態之探討
書刊名：護理雜誌
作者：曾麗華／童恒新／魏崢／張忠毅／陳韻佳
作者(外文)：Tseng, Li-hua／Tung, Heng-hsin／Wei, Jeng／Chang, Chung-yi／Chen, Yun-chia
出版日期：2011
卷期：58:3
頁次：頁64-73
主題關鍵詞：代謝症候群；冠心症；冠狀動脈繞道手術；飲食型態；Metabolic syndrome；Coronary heart disease；Coronary artery bypass graft；Diet preference
原始連結：連回原系統網址new window
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背景 : 冠心症患者接受冠狀動脈繞道手術後並非一勞永逸，提供心肌血流的血管也可能發生再次狹窄或阻塞，故手術後更需要減少危險因子，如飲食型態，才能維持血管長期的通暢。 目的 : 為探討代謝症候群於冠狀動脈繞道術後病患其飲食習慣。 方法 : 本研究採橫斷式研究方法，以立意取樣，於北部某區域醫院收案共 104人進行調查。研究工具包括基本資料問卷與飲食頻率問卷，資料收集後以 SPSS 17.0進行統計分析。 結果 : 發現研究對象在手術後所攝取的蔬菜類、奶類之頻率較低，油炸類食品較高；烹調油使用頻率亦偏高。 結論 : 研究對象飲食型態仍應增加蔬菜之攝取，在烹調油及油炸食物的食用頻率應減少，亟需改善飲食型態的攝取頻率以提升較佳之飲食習慣。又研究對象之準備三餐者有半數為配偶，故指導飲食衛教時，更需著重在準備三餐者的飲食觀念與烹調方式；此結果期望可提供醫護人員在術後飲食衛教的參考，讓病患與家人有健康飲食攝取的觀念及落實。
Background: The coronary artery disease (CAD) patients are not free of disease recurrence following coronary artery bypass graft (CABG) surgery. There may be risk of restenosis or occlusion in coronary blood flow. Risk reduction, such as diet control, is needed for long-term vascular patency. Purpose: The purpose of this study was to explore the diet preferences of post coronary artery bypass graft surgery patients with metabolic syndrome. Methods: A cross-section research design and purposive sampling were conducted in this study. The study was conducted at a general hospital in northern Taiwan. A total of 104 samples recruited. And given a respondent demographics questionnaire and Chinese food frequency questionnaire. Eata were managed and analyzed using SPSS 17.0 software. Results: We found that postoperative patients ate less vegetables and milk and more fried food. They also used cooking oil more frequently. Conclusion: We recommend that patients after CABG surgery take more vegetables with less fried food and cooking oil. They should improve their diet preferences and eating habit. More than half of the patients have meals prepared by their spouses. More emphasis should be focused on improving the health knowledge of those who prepare food. We hope this result can provide more information about postoperative diet education for medical staff and help patients and their families consume a diet richer in healthy foods.
期刊論文
1.Carroll, D. L.(1995)。The importance of self-efficacy expectations in elderly patients recovering from coronary artery bypass surgery。Heart & Lung Journal of Critical Care，24(1)，50-59。  new window
2.李源德、朱樹勳、黃博昭、蔡忠文、王水深(19931200)。臺灣的冠狀動脈心臟病。臺灣醫學會雜誌，92(附冊4)，S184-S199。  延伸查詢new window
3.劉秉一(20080000)。中年人的危機--代謝症候群。中華民國重症醫學雜誌，9(1)，26-33。  延伸查詢new window
其他
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2.台灣營養學會Nutrition society of Taiwan(2009)。每日飲食指南National daily food guide。  延伸查詢new window
3.行政院衛生署國民健康局Bureau ofHealth Promotion, Department of Health, Taiwan, ROC.(2008)。96年國人主要死因統計2007 Cause of death statistics。  延伸查詢new window
4.余秀芹、胡瑞桃、葉集孝Yu, H. C., Hu, S. T., & Yeh, C. H.(2008)。冠狀動脈繞道手術後病患之自我效能、社會支持與自我照顧行為之相關探討The relationship between self-efficacy, social support and self-care behaviors in post coronary artery bypass surgery patients。  延伸查詢new window
5.李彩菊Li, T. C.(2009)。探討燕麥飲食介入對改善青少年心血管疾病危險因子之影響Effects of oatmeal intervention on the improvement of the cardiovascular disease risk factors of teenagers。  延伸查詢new window
6.林廷燦Lin, M.(2007)。食物與營養療法對於血管發炎及動脈硬化之臨床影響：最新發展Clinical impacts of diet and nutrition strategies on vascular inflammation and atherosclerosis: An update。  延伸查詢new window
7.林岳佑Lin, Y. Y.(2008)。飲食型態與心臟血管疾病前瞻性流行病學研究Prospective epidemiologic study on dietary pattern and cardiometabolic disease。  延伸查詢new window
8.曾明淑、葉文婷、潘文涵Tzeng, M. S., Yeh, W. T., Pan, W. H.(1999)。台灣地區居民之飲食特性Food Consumption Frequency and Eating Habit among Taiwanese。  延伸查詢new window
9.游素錦、陳漢瑛Yu, S. C., & Chen, H .Y.(2007)。臺彎閩南語諺語中飲食文化與健康觀之研究The study of food & beverage culture and health perspectives in Taiwanese proverbs Chinese。  延伸查詢new window
10.廖惠珍Liao, H. C.(2004)。成人高血糖發生率相關因素之探討A study of related factors of hyperglycemia incidents in adults．未發表的碩士論文Unpublished master’s thesis。  延伸查詢new window
11.劉曉孔、楊石崇Liu, S. K., & Yang, S. C.(2010)。降低心血管疾病風險之飲食及生活型態策略Reduce the risk of cardiovascular disease using dietary changes and lifestyle strategies。  延伸查詢new window
12.Artinian, N. T., Schim, S. M., Vander Wal, J. S., & Nies, M. A.(2004)。Eating patterns and cardiovascular disease risk in a detroit Mexican American population。  new window
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14.Dekker, J. M., Girman, C., & Rhodes, T.(2005)。Metabolic syndrome and 10-year cardiovascular disease risk in the Hoorn Study。  new window
15.Esmaillzadeh, A., Kimlagar, M., Mehrabi, Y., Azabdakht, H. F. B., & Willett, W. C.(2006)。Fruit and vegetable intakes, C-recative protein, and the metabolic syndrome。  new window
16.Flynn, M. K., & Frantz, R.(1987)。Coronary artery bypass surgery: Quality of life during early convalescence。  new window
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