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題名 | 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=The Effect of an Education Program on Blood Indicators and Body Composition of Adults's High Risk of Metabolic Syndrome |
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作者 | 陳惠如; 羅財章; 李璧霞; 何玉鈴; | 書刊名 | Chung Shan Medical Journal |
卷期 | 22:2 2011.06[民100.06] |
頁次 | 頁153-163 |
分類號 | 415.593 |
關鍵詞 | 教育課程; 代謝症候高危險群; 血液生化指標; 身體組成; Health education; , metabolic syndrome high Risk group; Blood indicators; Body composition; |
語文 | 中文(Chinese) |
中文摘要 | 目的:代謝症候群俗稱「不良生活型態文明病」,造就發病之原因與不良生活習慣及遺傳基因有關,預防之道在於早期改善生活型態。本研究在探討中程教育課程對成年人代謝症候高危險群血液生化指標、身體組成影響。 方法:採類實驗性研究設計以中部某社區居民,年齡18歲以上、65歲以下為對象,收案條件:依據修正後代謝症候判定標準,排除條件:已被診斷為糖尿病、高血壓、高血脂症個案且長期服用相關藥物者,採非隨機、立意取樣選取符合收案條件之個案,共計69人,另分衛教組(n=40)、對照組(n=29)。對照組維持平常生活、飲食,而衛教組另給予每週一次,每次2小時教育課程,分別為30分鐘運動課程及1.5小時衛教課程,共12週。採用血液血漿、體重、腰圍、體脂肪、血壓等五項收集資料,所得資料以次數、百分比、平均值、標準差、卡方檢定或Fisher’s exact test、獨立樣本 t 檢定及配對 t 檢定分析。 結果:中程教育課程介入對代謝症候高危險群患者,除了空腹血糖,其他所有血液生化指標、體重、體脂肪、腰圍及血壓皆達統計意義上顯著改善 ( p<.05)。 結論:提供公共衛生單位研擬代謝症候高危險群相關衛生教育計畫參考,另一項結論是規律的運動及飲食型態改變至少要三個月至數年,對各項生理指標數據的改變才具顯著成效,完整及持續性教育課程介入方具充實社區特殊族群個案知識,進而提升自主照顧能力。其影響層面包含疾病的認知、選擇合適的飲食型態、運動種類及密切監測身體各項生理指標意義。 |
英文摘要 | Aim: Metabolic syndrome is generally referred to as “diseases of the civilized resulting from an unhealthy lifestyle.” Risk factors are both genetic, eating habits and lack of physical activity. The best way to prevent this syndrome from developing is early modification of lifestyle. This study evaluated the effect of a medium-term health education program on blood indicators and body compositions in 69 adults at high risk of developing metabolic syndrome. Methods: For this quasi-experimental study, we conducted a community health screening in central Taiwan. Eligibility was being between 18 and 65 years old and being at risk of metabolic syndrome based on modified Metabolic Syndrome guidelines. We excluded subjects diagnosed with diabetics, high blood pressure, or high cholesterol or who were taking long-term medications. Sixty-nine of those eligible volunteered, and divided into health education group (n=40) and control group (n=29). The control group maintained their usual lifestyle and diet, the health education group received 12 weeks of health education involving one 2-hour educational session per week (30 min physical education and 1.5 h of dietary lecture). Check-ups on blood indicators, weight, waist circumference, body fat and blood pressure were conducted at baseline, mid-course and after the 12-week program. Patients were characterized descriptively using count, percentages, mean, and standard deviation. Results were analyzed by Chi-square, Fisher’s exact test, independent sample t-set and paired t-test. Results: The medium-term health education had a marked impact on risks for metabolic syndrome. Significant improvements were achieved in all the blood indicators, body weight, body fat, waist measurement and blood pressure (p<.05), but not fasting blood glucose. Conclusions: This program successfully reduced risk of metabolic syndrome. The results of this study may serve as useful guidance for community health professional designing health promotion plans related to high risk metabolic syndrome. We believe that regular exercise and diet style change will need at least 3 months to several years to achieve significant physiological improvement. Only complete and continuous education will increase the health knowledge of the communities and improve their knowledge toward disease, suitable food choices, exercise methods and the need for monitoring of various physiological parameters. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。