血脂異常者飲食衛生教育方案之成效評估; The Effectiveness of the Health Education   Program  on Diet   among  Adults  with  Dyslipidemia

CMUR > College of Public Health > Graduate Institute of Environmental Medicine > Theses & dissertations > Item 310903500/674

Please use this identifier to cite or link to this item: http://ir.cmu.edu.tw/ir/handle/310903500/674

Title:	血脂異常者飲食衛生教育方案之成效評估;The Effectiveness of the Health Education Program on Diet among Adults with Dyslipidemia
Authors:	洪美智;Mei-Chih Hung
Contributors:	中國醫藥大學：環境醫學研究所碩士班
Keywords:	血脂異常;飲食衛生教育;介入成效;行為改變階段;dyslipidemia;diet education program;interventional effectiveness;the change stage of health behavior
Date:	2009-01-15
Issue Date:	2009-08-11 16:56:46 (UTC+8)
Abstract:	摘要鑑於近年來國人高血脂症盛行，本研究乃針對血脂異常的成人實施飲食衛教方案，並評估此方案的成效。飲食衛教介入的評估是採單組前後比較的研究設計，針對前往中部某衛生所進行成人健檢的55位血脂異常個案實施介入方案，介入方案自2009年2月中旬起實施3個月。方案介入前後皆採集血液樣本測量各項血脂數值，並以結構式問卷在介入前後面訪個案以蒐集與介入成效或血脂質變化有關的資料包括年齡、性別、教育程度、工作等基本資料、慢性病數、自覺健康狀況、物質使用及運動等健康行為及行為改變所處之階段和建議增加或減少攝取的食物量等。飲食衛教方案的實施方式是對個案進行團體衛教課程後再施予個別衛教，並於每月個案回診後再施予1次個別衛教。本研究的飲食衛生教育方案使血脂異常民眾總膽固醇顯著下降14.69mg/dl，而三酸甘油酯顯著下降9.54 mg/dl，高密度膽固醇在此短期介入有顯著下降5.91 mg/dl情形。飲食方案介入後建議不利健康的食物攝取量有顯著下降，而利於健康的食物攝取量有顯著上升，且介入方案也使得不良的健康行為之改變階段朝向正向改變，並與行為的改善有正向的關係。飲食衛教的實施也使參與者藉著健康食物量的增加和不健康食物量的減少有效地降低三酸甘油酯和總膽固醇。除了研究中對血脂異常者進行的飲食衛教方案能有效地改善血脂數值外，參與介入者本身的慢性病數多寡也與血脂質改善有顯著關係。這可能是自身健康較差的客觀因素使血脂異常者更重視自身血脂質的控制。 Abstract Purposes: The aim of this study is to evaluate the effectiveness of the intervention program on diet for adults with dyslipidemia. Methods: The study subjects consisted of 55 adults with at least one abnormal value among Triglyceride, Total cholesterol, High and Low density cholesterol when they participated in a free health examination in a local health center of Taichung city. The program was provided by health professionals in the center from February to May, 2009. It was implemented in a matter of having a group-based education class first and then having an individual-based oral education for each subject. A comparison of pre- and post-test was used to examine the effectiveness of the program. Blood samples for analyzing the values of fats, and face-to-face interviews with questionnaires for related information on sociodemographic factors, the numbers of chronic diseases, self-reported health status, the change stages of health behaviors and behaviors themselves were collected and conducted twice. Results: After three-month diet intervention, the mean values of the changes in Total cholesterol, Triglyceride and High density cholesterol in subjects significantly decreased 14.69mg/dl, 9.54mg/dl, and 5.91mg/dl, respectively. The changes in the quantity of healthy food and unhealthy food were significantly positive, which also significantly associated with the positive changes in Triglyceride and Total cholesterol within subjects. The change stages of smoking, drinking, not regularly exercising and not changing current eating behavior were significantly improved. Conclusions: The health education program on diet for adults with dyslipidemia designed in this study was demonstrated to be effective.
Appears in Collections:	[Graduate Institute of Environmental Medicine] Theses & dissertations

Files in This Item:

File	Description	Size	Format
cmu-98-9565952-1.pdf		18102Kb	Adobe PDF	847	View/Open
index.html		0Kb	HTML	121	View/Open

Loading...