跨領域健康教育介入對降低社區居民代謝症候群盛行率之成效探討－以北台灣四鄉鎮為例

林晶晶; 陳淑賢; 黃莉媛

doi:10.6224/JN.201808_65(4).07

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P36 - 48

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6224/JN

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跨领域健康教育介入对降低社区居民代谢症候群盛行率之成效探讨－以北台湾四乡镇为例

Effectiveness of an Interdisciplinary Health Education Intervention on Metabolic Syndrome in Community Residents: A Study of Four Towns in Northern Taiwan

林晶晶(Ching-Ching LIN) ；陈淑贤(Sue-Hsien CHEN) ；黄莉媛(Li-Yuan HUANG)

护理杂志； 65 卷 4 期 (2018 / 08 / 01) ， P36 - 48

繁体中文 DOI： 10.6224/JN.201808_65(4).07

代谢症候群；跨领域健康教育；代谢症候群指标； metabolic syndrome ； metabolic syndrome of interdisciplinary health education ； index of metabolic syndrome

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摘要 │ 参考文献 (40) │ 国际计量

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Background: Metabolic syndrome, a widespread condition in Taiwan, increases the risks of cardiovascular diseases. Cardiovascular disease is the second leading cause of death in Taiwan after cancer. Thus, this health problem is a priority issue of concern. Purpose: To study the effects of active intervention of interdisciplinary health education on the prevalence of metabolic syndrome in community residents. Method: This longitudinal study was conducted from 2014 to 2015 on 661 participants who were all over 30 years old and living in four towns in northern Taiwan. The data were collected into two steps. In the first step, participants completed a blood study, body measurement, and pretest questionnaires and participated in the entire course of metabolic syndrome health education. The results of the blood test and body measurement were blinded to the experienced metabolic physicians before and after the education courses. In the second step, one year after administering the interdisciplinary health education course, the participants repeated the blood study, body measurement, and posttest questionnaires. Result: 1. The participants had a higher incidence of metabolic syndrome. However, gender and marital status had no significant correlation with metabolic syndrome. Higher education levels were associated with a lower prevalence of metabolic syndrome. 2. The average scores for literacy rose from 2.30 pretest to 5.65 posttest. There were significant correlations (p ＜ .05) between pretest and posttest health education. 3. The diagnosis of metabolic syndrome in this study changed from 215 participants (32.5%) to 170 participants (25.7%) between pretest and posttest (p ＜ .05). 4. active health education had significant and positive effects on the cessation of smoking and chewing betel nut (p ＜ .05). Conclusion: The active interdisciplinary health education intervention used in this study significantly decreased the smoking and betel-nut chewing habits and decreased the overall risk of metabolic syndrome in participants. Therefore, providing active health education on metabolic syndrome holds the potential to significantly decrease the prevalence of metabolic syndrome in at-risk populations. In addition, healthcare providers should make appropriately targeted health education more accessible to elderly patients who are prone to metabolic syndrome. Finally, the cessation of chewing betel nut should be seen as a major factor in the prevention and alleviation of metabolic syndrome.

参考文献 ( 40 ) 〈TOP〉

Abda, E.,Hamza, L.,Tessema, F.,Cheneke, W.(2016).Metabolic syndrome and associated factors among outpatients of Jimma University Teaching Hospital.Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy,9,47-53.
Alefishat, E. A.,Abu Farha, R. K.,Al-Debei, M. M.(2017).Self-reported adherence among individuals at high risk of metabolic syndrome: Effect of knowledge and attitude.Medical Principles and Practice,26(2),157-163.
Amarasekara, P.,de Silva, A.,Swarnamali, H.,Senarath, U.,Katulanda, P.(2016).Knowledge, attitudes, and practices on lifestyle and cardiovascular risk factors among metabolic syndrome patients in an urban tertiary care institute in Sri Lanka.Asia-Pacific Journal of Public Health,28(1, Suppl.),32S-40S.
Ariyoshi, H.,Suzaki, Y.,Takayama, N.,Wakeshima, R.,Ishitake, T.(2010).A health promotion program at a Japanese newspaper undergoing restructuring.AAOHN Journal: Official Journal of the American Association of Occupational Health Nurses,58(9),383-387.
Azizi, F.,Mirmiran, P.,Momenan, A. A.,Hadaegh, F.,Moeini, A. H.,Hosseini, F.,Members of Tehran Lipid and Glucose Study Group(2013).The effect of community-based education for lifestyle intervention on the prevalence of metabolic syndrome and its components: Tehran lipid and glucose study.International Journal of Endocrinology and Metabolism,11(3),145-153.

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