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題名:降低慢性住院精神病人之BMI異常率
書刊名:醫學與健康期刊
作者:陳慧珍梁芸菁王鋕清蔡明世潘正欽
作者(外文):Chen, Hui-chenLiang, Yun-chingWang, Chih-chingTsai, Ming-shihPan, Cheng-chin
出版日期:2013
卷期:2:2
頁次:頁81-88
主題關鍵詞:體重控制精神病BMIWeight controlPsychosis
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:9
  • 點閱點閱:10
在2012年時調查發現某醫院慢性精神病住院病人BMI異常率為49.5%,且有逐月增加的趨勢。於是在同年5月成立體重控制專案小組期望能來降低這群病人的BMI異常率。針對病人體重異常之原因,提出如:減少或增加三餐主食的份量、減少油脂的攝取量、減少或增加點心攝取的份量及次數、增加病人的動態活動時間及次數及宣導相關健康知識等改善策略。經本活動介入後共71位慢性精神病住院病人參與,BMI異常率由2012年5月的52.1%降為該年11月的36.6%;總計體位有明顯進步者有21%(15/71)、體位維持正常或明顯改善者共計69%(49/71),活動介入後對體位改變無效者只有31%(22/71)。體態活動參與率、計步器達成率、飲食控制配合度及團體衛教答對率等監測指標都有顯著上升。總結本專案發現飲食控制、健康認知行為的衛生教育和運動習慣的執行等方法可在半年內降低慢性精神病住院病人肥胖的比例,建議可將相關措施融入病房常規活動及品管指標中。
In a 2012 survey, we found that the body mass index (BMI) rate of hospitalized psychiatric patients at our hospital was abnormal 49.5% in those with chronic diseases. The trend increased monthly. Therefore, in May of the same year we set up a weight control group with the goal of reducing the abnormal BMI rate in these patients. Based on the patient's stated reasons for their abnormal BMI rate, we proposed some strategies for improvement, including changing the amount eaten three meals a day, cutting down the consumption of fat, changing the frequency of the dessert intake, increasing the patient's time and frequency of daily dynamic activity, and promoting the health-related information. The percentage of abnormal BMI among 71 enrolled psychiatric inpatients declined from 52.1% to 36.6% between May and November, 2012. There were 21% of the studied subject with significant improvement of their BMI and, including the normal BMIs, 69% of those with good intervention effects on their BMI. That meant only 31% of poor response to the treatments. All the indicators including activity participation rate, walking count rate, diet control rate and accurate knowledge rate were found significantly enhanced. In conclusions diet control, health education and exercise can improve obesity status among the chronic psychotic inpatients. We recommend that the above methods could be set as routine activities and indicators of medical care quality in a chronic psychiatric ward.
期刊論文
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2.Hsiao, C. C.、Ree, S. C.、Chiang, Y. L.、Yeh, S. S.、Chen, C. K.(2004)。Obesity in izophrenicout patients receiving antipsychotics in Taiwan。Psychiatry and Clinical Neuroscience,58,403-409。  new window
3.劉嘉瑋、馬維芬、周守民、陳清助、劉秋松(20120600)。代謝症候群患者與一般民眾生活品質預測因子之探討。榮總護理,29(2),187-197。new window  延伸查詢new window
4.李幸容、林麗鳳(20110900)。衛生教育介入對日間留院精神病患體重管理之成效探討。醫護科技期刊,13(3),155-168。new window  延伸查詢new window
5.Yang, P. C.、Jou, J. F.、Wang, C. W.、Chong, M. Y.(1997)。Body weight changes in chronic psychotic female in-patients。Nutritional Science Journal,22,457-464。  new window
6.Vieweg, W. V. R.、Thomas, M.、Janisko, M.(2004)。Patient and direct-care staff body mass index in a state mental hospital: implications for management。Acta Psychiatrica Scandinavica,110,69-72。  new window
7.Keltner, N. L.(2006)。Metabolic syndrome: Schizophrenia and atypical antipsychotics。Perspectives in Psychiatric Care,42,204-207。  new window
8.Kiraly, B.、Gunning, K.、Leiser, J.(2008)。Primary care issues in patients with mental illness。American Family Physician,78,355-361。  new window
9.Greenburg, I.、Chan, S.、Blackburn, G. L.(1999)。Nonpharmacologic and pharmacologic management of weight gain。Journal of Clinical Psychiatry,60,31-36。  new window
10.馮煥光、李嘉富、王果行、高森永、高百源、陳中(20071200)。運動介入管理對體重過重精神分裂住院病人體重之影響。臺灣精神醫學,21(4),282-290。new window  延伸查詢new window
11.李宜育、洪芬芳、劉淑娟、林寬佳(20070600)。飲食衛教對肥胖精神病患體重控制之成效。北市醫學雜誌,4(6),470-479。  延伸查詢new window
12.藍毓莉、徐祥明、劉文健、曾洙荔、平烈勇(20061200)。長期住院慢性精神病患之體重過重問題。臺灣精神醫學,20(4),305-315。new window  延伸查詢new window
其他
1.健康體重管理計畫,http://obesity.bhp.gov.tw/web/list.aspx?no=586, 2013/01/02。  new window
 
 
 
 
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