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題名:飲食與運動之自我監測措施對高脂血病患血脂與體脂控制之成效
書刊名:護理研究
作者:陳素惠 引用關係梁靜祝李源德呂紹俊
作者(外文):Chen, Su-huiLiang, Ching-chuLee, Yuan-tehLu, Shao-chun
出版日期:1999
卷期:7:4
頁次:頁333-346
主題關鍵詞:高脂血症知識自我效能自我監測HyperlipidemiaKnowledgeSelf-efficacySelf-monitoring
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(6) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:22
  • 點閱點閱:46
     本研究目的在探討高脂血個案,實施自我監測措施對改善血脂與體脂之成效,以 立意取樣方式選取高脂血個案共112位,包括實驗組與控制組各56位。首先針對所有參與 之個案提供高脂血飲食與運動之個別衛教,並給予實驗組病患進行高脂血飲食與運動行為之 自我監測,且以每兩週一次之電話提醒方式,提醒個案如期完成每日記錄,並將記錄表按時 寄回給研究者,以利資料的收集與分析。歷經三個月後,發現自我監測措施能有效提升控制 高脂血之知識,及執行控制高脂血之自我效能,於血脂的改善方面普遍有明顯的進步,最後 並能促使體脂指標的分佈更趨理想。總而言之,自我監測措施不僅能提升個案對高脂血之認 知、增加控制高脂血行為之信心,進而有效改善血脂指標與體脂指標的分佈。換言之,自我 監測能藉由逐漸修正個案飲食與運動行為,而達到改善血脂與體脂分佈的目的,故為一項值 得推廣的行為改變措施。
     The purpose of this study was to evaluate the effects of self-monitoring intervention on blood and body lipids in patients with hyperlipidemia. Purposive sampling was conducted at the OPD of a medical center. One hundred and twelve sample subjects were randomly assigned into experimental and control groups. Subjects in both groups received a standard and systemic teaching program in which one to o ne oral teaching and a pamphlet were provided to each subject. The teaching program focused on diet modification and exercise to control their blood and body lipids. In the experimental group, subjects were taught to use a self-monitoring sheet to record their weekly diet and exercise information. Every two weeks for three months each subject would receive a phone call which reminded them to record and mail the sheet to the researcher. After three months' self- monitoring, subjects in the experimental group showed significant improvement in knowledge of hyperlipid control, self-efficacy in both diet and exercise regimen for the control of hyperlipidemia, and the levels of blood lipids. However, there were no significant changes in body lipid profiles. To sun up, the findings of this study demonstrated that patients' self-monitoring of their hyperlipidemia can not only be effective for the improvement of knowledge and self efficacy in lipid control, but also for the improvement of their blood and body profiles. In addition, self-monitoring can modify patients' exercise diet and behavior and influence lipid profile outcome directly.
期刊論文
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7.蘇大成、陳珮蓉、簡國龍、胡雪萍、許秀卿、宋鴻樟、李源德(19970300)。高膽固醇血症患者對飲食治療的效果--金山社區三個月的經驗。內科學誌,8(1),18-29。  延伸查詢new window
8.Brownell, K. D.、Kramer, M. K.(1989)。Behavioral management of obesity。Medical Clinics of North America,73(1),185-201。  new window
9.Ascion, F. J.、Shimp, L. A.(1984)。The effectiveness of four education strategies in the elderly。Drug Intelligence and Clinical Pharmacy,18,926-931。  new window
10.Caggiula, H. W.、Watson, J. E.、KuIIer, L. S.、Olson, M. B.、Milas, C.、Berry, M.、Germanowski, J.(1996)。Cholesterol-lowering intervention program: Effect of step I diet in community office practices。Archives Internal Medicine,156,1205-1213。  new window
11.Denke, M. A.(1995)。Cholesterol-lowing diets: A review of the evidence。Archives Internal Medicine,155(1),17-26。  new window
12.Forge, R. L.(1997)。Mind-body fitness: Encouraging prospects for primary and secondary prevention。Journal of Cardiovascular nursing,11(3),53-65。  new window
13.Grundy, S. M.、Balady, G. L.、Criqui, M. H.、Fletcher, G.、Greenland, P.、Hiratzka, L. F.、Houston-Miller, N.、Kris-Etherton, P.、Krumholz, H. M.、LaRosa, J.、Ockene, I. S.、Pearson, T. A.、Reed, A.、Smith, S. C.、Washington, R.(1997)。When to start cholesterol-lowing therapy in patients with coronary heart disease: A statement for healthcare professionals from the American Heart Association task force on risk reduction。Circulation,95(6),1683-1684。  new window
14.Kristal, A. R.、White, E.、Shattuck, A. L.、Curry, S.、Anderson, G. L.、Fowler, A.、Urban, N. U.(1992)。Long-term maintenance of a low-fat diet: Our ability of fat-related dietary habits in the Women's Health Trial。Journal of Cardiovascular Nursing,11(3),53-65。  new window
15.Insull, W.、Henderson, M. M.、Prentice, R. L.、Thompson, D. J.、Clifford, C.、Goldman, S.、Gorbach, S.、Moskowitz, M.、Thompson, R.、Woods, M. M.(1990)。Results of a randomized feasibility study of a low-fat diet。Archives Internal Medicine,150(2),421-427。  new window
16.Morgan, S. A.、O'Dea, K.、Sinclair, A. J.(1997)。A low-fat diet supplemented with monounsaturated fat results in less HDL-C lowering than a very-low-fat diet。Journal of the American Dietetic Association,97(2),151-156。  new window
17.Miller, S. P.、Wikoff, R.、McMahon, M.、Garrett, M. J.、Ringel, K.(1988)。Influence of a nursing adherence and societal adjustments postmyocardial infarction。Nursing Research,37(5),297-302。  new window
18.Miller, W. C.、Eggert, K. E.、Wallace, J. P.、Lindeman, A. K.、Jastremski, C.(1993)。Successful weight loss in a self-taught, self-administered program。International Journal of Sports Medicine,14(7),401-405。  new window
19.Lisspers, J.、Ost, L. G.(1990)。Long-term followup of migraine treatment: Do the effects remain up to six years?。Behavior Research and Therapy,28(4),313-322。  new window
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21.Stone, N. J.、Nicolosi, R. J.、Kris-Etherton, P.、Ernst, N. D.、Krauss, R. M.、Winston, M.(1996)。Summary of the scientific conference on the efficacy of hypocholes-terolemic dietary interventions。Circulation,94(12),3388-3391。  new window
22.Wadden, T. A.、Foster, G. D.、Letizia, K. A.(1993)。Response of obese binge eaters to treatment by behavior therapy combined with very calorie diet。Journal of Consulting and Clinical Psychology,60(5),808-811。  new window
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25.Bandura, Albert(1977)。Self-efficacy: Toward a unifying theory of behavioral change。Psychological Review,84(2),191-215。  new window
學位論文
1.倪麗芬(1997)。護理方案介入對輕度中風患者疾病知識,健康信念,遵從行為及健康結果之成效探討(碩士論文)。國立臺灣大學。  延伸查詢new window
2.張淑紅(1995)。衛生教育介入對高脂血個案知識、健康信念、自我效能、行為的影響(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.行政院衛生署(1995)。中華民國公共衛生概況。台北:行政院衛生署。  延伸查詢new window
圖書論文
1.Bandura, A.(1986)。Self-efficacy。Social foundations of thought and action: A social cognitive theory。New York:Prentice-Hall。  new window
2.Dunbar, J. M.、Stunkard, A. J.(1979)。Adherence to diet and drug regimen。Nutrition, lipids, and coronary heart disease。New York:Ravan Press。  new window
 
 
 
 
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