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頁籤選單縮合
題名 | 高血壓控制的飲食衛教活動在都會原住民部落之成效=The Effectiveness of a Dietary Education Program for Hypertension Control among Urban Aborigines |
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作者 | 史麗珠; 蔡玉霞; 鄭學慧; 涂慧慈; 林琴玲; 薛敏生; 何佩紋; 藍旻暉; | 書刊名 | 臺灣營養學會雜誌 |
卷期 | 33:3 2008.09[民97.09] |
頁次 | 頁97-107 |
分類號 | 411.3 |
關鍵詞 | 高血壓; 都會原住民; 高血壓控制的飲食衛教活動; 社區健康營造計畫; Hypertension; Urban aborigines; Hypertension-control diet education; Healthy community; |
語文 | 中文(Chinese) |
中文摘要 | 都會原住民離開原鄉部落到都會工作,容易忽略自己的健康問題。聖保祿醫院於2007年選定桃園縣大溪鎮某社區為推行社區健康營造地區。在計劃初期(2007年3月,T0),發現研究地區都會原住民有高血壓的健康問題,於是對高血壓居民實施個案管理,推行兩次高血壓控制的飲食衛教活動(2007年3月15日(T1)及7月27日(T2)),又在2007年12月(T3)由個案管理師追蹤其飲食習慣。本研究便是評估研究醫院對都會原住民提供第二次高血壓控制的飲食衛教活動(T2)之成效,希望研究地區都會原住民的高血壓問題能獲得改善。結果:有效人數29位。屬高血壓個案管理組有12位,有高血壓而非個案管理組有12位,血壓正常組有5位。又17位有參加T1的衛教活動。在T2的前測,飲食知識分數非常高(平均答對率達94.1%)、飲食攝取態度分數為30.9分(滿分為40分)、飲食習慣分數則只有20.5分(滿分為44分)。經衛教後,T2的後測飲食知識分數有提升(97.9%),但未達統計上意義。T2的後測飲食攝取態度分數上升為33.3分,與前測分數有統計顯著意義(p=.0009)。衛教5個月後,T3的飲食習慣沒有改善。又飲食知識、攝取態度兩者間有顯著相關,卻與飲食習慣沒有顯著關係。在T2前測的分數,高血壓組的飲食知識顯著優於血壓正常組(p=.0083);飲食攝取態度則是高血壓個案管理組高於另外兩組(p=.0109);飲食習慣則與高血壓組別沒有顯著關係。是否參加T1則與T2前測的飲食知識、攝取態度、習慣沒有顯著關係。比較T2的前後測分數,高血壓組別、是否參加T1在飲食知識、攝取態度的提升均未達統計顯著意義。所有參加者對T2的高血壓控制的飲食衛教活動都給予肯定。 |
英文摘要 | Urban aborigines, who leave their traditional lands in rural areas and settle in urban areas, might often neglect their health problems. In 2007, researchers at St. Paul’s Hospital selected an urban aboriginal village in Taoyuan County as their research locale for a "Healthy Community" program. In March 2007 (T0), we found that many urban aborigines had hypertension problems. Case management of individuals with high blood pressure was provided thereafter. An education program on dietary control of hypertension was given twice (March 15 (T1), and July 27, 2007 (T2)). The case manager also followed-up their eating habits in December 2007 (T3). This study reports the effectiveness of our second education program of a hypertension-control diet, as an attempt to ameliorate this hypertension problem. Results: Twenty-nine urban aborigines participated in the second educational program. In terms of the blood pressure status, 12 participants had hypertension and were also in our case management program; 12 had hypertension but were not in our case management program; another 5 had a normal blood pressure. Seventeen participants had attended the T1 diet educational program. With regards to the pre-test score at T2, all participants demonstrated a high knowledge of (with an average correct rate of 94.1%) and good attitudes toward (30.9 out of a full score of 40), but bad intake (20.5 on a scale of 0-44) of a hypertension-control diet. With regards to T2 post-test scores, no significant improvement in knowledge of the hypertension-control diet was seen, but a significant increase in attitudes towards the hypertension-control diet was seen (p=0.0009). No significant improvement in the intake of the hypertension-control diet was noted at T3. There was a significant correlation between knowledge of and attitudes towards a hypertension-control diet but not in the intake of the hypertension-control diet. Those in the hypertension group performed significantly better than those in the normal blood pressure group in knowledge of (p=0.0083) and attitudes (p=0.0109) toward the hypertension-control diet at T2. For participants who did or who did not attend the T1 education program, no significant differences in knowledge of, attitudes toward, or intake of the hypertension-control diet at T2 were seen. In terms of hypertensive grouping, participants who did or who did not attend the T1 education program did not show significant improvement in knowledge of or attitudes toward the hypertension-control diet. All participants were highly satisfied with the second educational program. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。