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題名:運用健康促進生活型態模式照護一位代謝症候群個案之護理經驗
書刊名:長庚護理
作者:吳淑貞林秀珍陳麗琴李秀芳
作者(外文):Wu, Shu-chenLin, Hsiu-chenChen, Li-chinLee, Hsiu-fang
出版日期:2017
卷期:28:1=97
頁次:頁131-141
主題關鍵詞:代謝症候群健康促進健康促進生活型態Metabolic syndromeHealth promotionHealth promotion life style
原始連結:連回原系統網址new window
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  • 共同引用共同引用:13
  • 點閱點閱:8
代謝症候群是影響生理代謝機能之多重心血管危險因子聚集的現象,使其血脂異常、血壓偏高、血糖偏高與腹部肥胖等,並導致心血管疾病、糖尿病等慢性疾病的發生,因而增加疾病的死亡率;本文主要描述協助一位代謝症候群個案工作職場的健康促進護理經驗。護理期間於2014年5月1日至11月30日,筆者以Pender的健康促進生活型態模式為主軸,身、心、靈及社會為輔評估個案的生活型態,針對問題訂出護理目標,確立個案主要護理問題為健康維護能力改變、特定的健康尋求行為、營養狀況改變:多於身體所需之護理問題。於護理過程中,運用團隊照護模式,擬定系列講座、體適能課程、飲食指導、合併網路資訊之護理措施以協助個案改善健康問題,並鼓勵家屬及同事間共同參與增強個案的自我信心,且能漸進式的改變運動以及飲食習慣。經過持續半年的追蹤,個案代謝症候群的得分由4分下降至2分,其高血脂及痛風情形亦同步改善,希冀藉此護理經驗分享,提供護理人員重視代謝症候群的危險訊號,作為以後社區護理個案之參考。
Metabolic syndrome can influence our physical metabolism with a combination of multiple risk factors related to cardiovascular disorders. It induces dyslipidemia, high blood pressure, hyperglycemia, and abdominal obesity…, etc. The purpose of article is to describe the experiences of promoting health of a patient diagnosed with metabolic syndrome in workplace. The caring period was from May 01 to November 30, 2014. Based on Pender's model of health promoting lifestyle and the physiological, psychological, spiritual, and social dimension of human, researcher assessed the lifestyle of the patient. Nursing problems identified included: ability to maintain health changed, specific health seeking behavior, and nutritional status changed: more than needed. Multidisciplinary care model was selected to guide the nursing care. We designed series lectures, provided physical fitness courses, instructed diet control and combined web information to help the client. We also encouraged his family and colleague to participate these strategies to reinforce the patient's confidence and to modify his habits of exercise and diet gradually. After 6 months, the score of metabolism syndrome dropped from 4 to 2, and the status of hyperlipidemia and gout were also improved. This nursing experience could help the nursing staff to pay more attention to the risky signal of metabolism syndrome and take care of the similar clients in the community.
期刊論文
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2.黃健富、林貴福(20100500)。職場健康生活形態面向之分析。輔仁大學體育學刊,9,274-284。new window  延伸查詢new window
3.許妙如、廖麗君、張雅如(20120600)。代謝症候群與中風。物理治療,37(2),136-145。  延伸查詢new window
4.葉清華(20090300)。減重課程介入實施成效分析與追蹤評估。大專體育學刊,11(1),93-104。new window  延伸查詢new window
5.彭仁奎、黃國晉、陳慶餘(20061200)。肥胖與代謝症候群。基層醫學,21(12),367-371。  延伸查詢new window
6.馮世祥、羅慶徽、陳宏一、徐尚為、朱基銘、林金定(20070700)。某醫學中心員工代謝症候群盛行率與影響因子初探。中華職業醫學雜誌,14(3),141-147。  延伸查詢new window
7.吳佳珍、林秋菊(20090400)。動機式會談於護理之應用。護理雜誌,56(2),89-93。new window  延伸查詢new window
8.林光中、劉燦宏、孫郁文、林佳儀、邱泓文(2005)。遠距醫療及遠距教學的應用網路減重計畫之初探。醫療資訊雜誌,14(4),27-40。  延伸查詢new window
9.陳德仁、朱基銘、羅慶徽、林金定(20090100)。醫院員工生活型態、工作壓力與代謝症候群相關性之研究。中華職業醫學雜誌,16(1),39-53。  延伸查詢new window
10.陳惠如、羅財章、李璧霞、何玉鈴(20110600)。教育課程對成人代謝症候高危險群個案血液生化指標成效之評估。Chung Shan Medical Journal,22(2),153-163。  延伸查詢new window
11.黃玉燕、陳秀月、吳佳倩、陳幼梅(20150600)。健康促進運動計畫之運動腳踏車機使用改善專案。護理雜誌,62(3附冊),65-73。new window  延伸查詢new window
12.劉秋松、黃亦潔、廖珮彤、林正介、李采娟、葉志清(20120600)。代謝症候群危險因子探討。長庚科技學刊,16,1-14。  延伸查詢new window
13.劉美蘭、陳俊瑜、徐儆暉(20130600)。高科技職場員工健康促進介入性方案對代謝症候群員工之影響。健康促進與衛生教育學報,39,27-52。new window  延伸查詢new window
14.Lin, J. W.、Caffrey, J. L.、Chang, M. H.、Lin, Y. S.(2010)。Sex, menopause, metabolic syndrome, andall-cause and cause-specific mortalitycohort analysis from the Third National Health andNutxition Examination Survey。The Journal of Clinical Endocrinology and Metabolism,95(9),4258-4267。  new window
15.Sharma, S. K.、Ghimire, A.、Radhakrishnan, J.、Thapa, L.、Shrestha, N. R.、Paudel, N.、Brodie, D.(2011)。Prevalence of hypertension, obesity, diabetes, and metabolic syndrome in Nepal。International Journal of Hypertention,2011,1-9。  new window
16.Orchard, T. J.、Temprosa, M.、Goldberg, R.、Haffner, S.、Ratner, R.、Marcovina, S.、Fowler, S.(2005)。The effect of metformin and intensive lifestyle intervention on the metabolic syndrome: The Diabetes Prevention Program randomized trial。Annals Internal of Medicine,142(8),611-619。  new window
研究報告
1.行政院衛生福利部(20140904)。102年國人死因統計結果。  延伸查詢new window
圖書
1.Pender, N. J.、Murdaugh, C. L.、Parsons, M. A.(2011)。Health promotion in nursing practice。Pearson。  new window
其他
1.國民健康署(20080320)。代謝症候群防治工作手冊,http://www.hpa.gov.tw/BHPNet/Web/HealthTopic/TopicArticle.aspx?No=200803200034&parentid=200712250023。  延伸查詢new window
 
 
 
 
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