醫療院所健康促進成效-以健康減重後體重維持為例

張晋瑋

山西大学，您好！

感谢采购，人社期刊库｜人社论文库，期间：2024/01/01~2024/12/31

感谢试用，科学期刊库｜科学论文库，期间：2024/10/20~2025/01/20

浏览高级检索

关闭
检索检索高级检索出版物检索
浏览期刊主题浏览核心期刊浏览期刊拼音浏览

关闭

查询符号(半角)	查询符号意义说明
空格	表示为「AND」两个查询词之交集
双引号 ( " " )	片语以双引号标示开始及结束，而且只寻找出现顺序相同的字词，例： " image process "
?	表示一个字母切截，输入两个?表两个字母，依此类推，例：输入「Appl?」，查得结果应为appl e , appl y … ( 常用于英文字查询 )
*	表示不限字母切截，由0~n. 例：输入「appl*」，查得结果应为appl e , appl es , appl y , appl ied , appl ication … ( 常用于英文字查询 )
AND、OR、NOT	布尔逻辑组合关键字，用来扩大或缩小查询范围的技巧。 (1) AND ：缩小查询范围 (2) OR ：扩大查询范围(3) NOT：排除不相关的范围

DOI 是数位物件识别码（ D igital O bject I dentifier ）的简称，
为物件在网路上的唯一识别码，可用于永久连结并引用目标物件。

使用DOI作为永久连结

每个DOI号前面加上「 http://dx.doi.org/ 」便成为永久网址。
如以DOI号为 10.5297/ser.1201.002 的文献为例，此文献的永久连结便是： http://dx.doi.org/ 10.5297/ser.1201.002 。
日后不论出版单位如何更动此文献位置，永久连结所指向的位置皆会即时更新，不再错失重要的研究。

引用含有DOI的文献

有DOI的文献在引用时皆应同时引用DOI。若使用APA、Chicago以外未规范DOI的引用格式，可引用DOI永久连结。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。

书目管理工具

相关连结

问题回报

全文下载

医疗院所健康促进成效-以健康减重後体重维持为例

The effectiveness of health promotion program in hospitals: body weight maintenance as an example

张晋玮 , 硕士　　导师：高月慈　　

繁体中文

健康促进；体重维持；自我效能；社会支持；遵医嘱行为； health promotion ； weight maintenance ； self-efficacy ； social support ； compliance behavior

0 个人觉得这篇文章赞

摘要 │ 参考文献 (126) │ 国际计量

摘要〈TOP〉

藉由健康促进减重後个案的自我效能、社会支持、遵医嘱行为与是否维持体重的关系，了解个案减重後，如何达成维持体重之成效。藉此给予未来求减重者或治疗照顾者在减重计划上的评估和参考。
本研究为横断式研究，以专家之结构式问卷采发放式和邮寄收集资料。研究对象采立意抽样，选取 2013 年 1 月至 2015 年 12 月为某医院健康促进减重计画进行，符合下列条件者为研究对象：确定为肥胖个案(BMI>25)、年龄介於 20 至 65 岁间、参与某医院健康减重期间大於等於 6 个月、减少原有体重达 5 %以上。
   本研究共发出问卷 130 份，除描述性统计分析外，本研究另以卡方、T 检定、ANOVA 分析健康促进减重者体重维持在背景资料上的差异，并进一步以逻辑斯回归、相关因素分析减重後个案维持体重的预测能力。
   本研究有效样本共收 122 位，问卷回收率 94%，性别比率，男占 29 位(23.8%)和女占 93 位(76.2%)，平均年龄 37.29 岁。教育程度以大学为多占 64位(52.5%)。职业以医疗相关者为多占 50 位(41%)。收入以 2~4 万为多占 72 位(59%)。能有效维持体重者共 69 位(57%)，平均减重时间 6~12 个月，减重前BMI 值平均:28.73，减重後 BMI 值平均:27.57，平均 BMI 下降 1.18。此研究中显示 BMI≧25 健康减重族群中，有慢性疾病:最多为脂肪肝占 31 位(29%)，次之为高血脂占 18 位(16.8%)，减重介入措施中，有 81 位(66%)采介入方式， 其中以规律运动占 48 位(39%)，行为改变占 41 位(34%)，药物改变占 12 位(.98%)。
   本研究将所有健康减重的 BMI 族群分成 5组(BMI≦25 一组；25<BMI≦27 一组；27<BMI≦30 一组；BMI>30 一组；全部的 BMI 族群 All BMI)，其中以BMI>30 之族群( p=<.001**, p <.01；成效:7.2%)其减重後 BMI 平均数更达显着性差异，All BMI 之族群(p =<.001**, p <.01；成效:5.3%)达显着性差异。故研究显示，BMI 大於 25 以上减重成效越明显外，此研究不分 BMI 之 All BMI 健康减种之族群，减重成效均达显着性差异。25<BMI≦27 之族群，介入分数总合包含自我效能、社会支持程度、遵医嘱行为的总和(p = -.164) 呈现负相关性；27<BMI≦30 之族群，介入分数总合(p = -.142) 呈现负相关性；BMI>30 之族群，介入分数总合(p =-.353*, p <.05) 呈现负相关性。故研究结果显示，健康减重者之 BMI 大於 30 以上之介入分数总合负相关性越大，减重成效越显着。依据本研究发现，研究减重後个案平均经过 6~12 个月後，能有效维持体重者有 57%。本研究减重後个案恢复原有体重者共 53 位，占 41.8%，减重者於 6~12 个月，复胖率高达 43%。BMI≧30 之族群，其健康减重成效越明显，BMI≦25 之族群不收案建议可继续维持，家庭支持程度、朋友支持程度、遵医嘱行为程度越显着，可减少减重人力资源，BMI≧25~30 建议可以自我管理，以 BMI≧30 以上为主要收案族群，减重成效越高，告知个案短期减重或可达成目标，但健康减重後体重需长期维持才算是真正的成功。
   本研究结果，女性的朋友支持程度越高(r=-.185*, p <.05)，维持体重复胖的程度越长；社会支持程度与体重维持之相关因素分析出，家庭的支持程度越高(r=.022*, p <.05)对於体重的维持有正相关性；教育程度与体重维持相关因素分析出，教育程度越高，专科/大学(r=-.185*, p <.05)， 复胖时间越长；收入与体重维持相关因素分析出，收入越高 4~6 万/月(r=.315*, p <.05)其遵医嘱行为越高，复胖时间越长。

并列摘要〈TOP〉

Health promotion of self - efficacy in post weight loss cases, social support, Obeys the doctor's advice behavior with whether maintains the body weight the relations. After understood the populace reduce weight, how achieves effect of the maintenance body weight.Will take advantage of this gives the future to seek the reduction or treats watcher's in reduction plan appraisal and the reference.
    This study is a cross-sectional study, the structure of the experts to collect and collect questionnaires by mail collection of information. Subjects sampled from January 2013 to December 2015 were enrolled in a hospital health promotion weight loss program, and those who met the following criteria were identified as obese (BMI> 25), aged between 20 and 65 years old, participate in a hospital healthy weight loss period greater than or equal to 6 months, reducing the original weight of more than 5%.
    In this study, 130 questionnaires were sent out. In addition to the descriptive statistical analysis, the difference of body weight of health-promoting weight loss was analyzed by chi-square, T-test and ANOVA, and the logistic regression and related factors The predictive ability of weight maintenance was analyzed.
    This research effective sample altogether receives 122, Questionnaire recovery rate was 94%，Sex ratio,with the ratio of male to female, male 29 (23.8%) and female 93 (76.2%), with an average age of 37.29 years. The education level is university-wide (52.5%). Occupationalhealth-related is about 50 (41%). Income to 2 to 4 million accounted for 72(59%). A total of 69 (57%) of 69 subjects (57%) were effective in weight maintenance, and the average weight loss time was 6 to 12 months. The average BMI value was 28.73, the mean BMI value after weight loss was 27.57 andthe average BMI decreased by 1.18. The average weight loss of BMI was 1.18 . This study showed that BMI≧25 healthy weight loss group,there are chronic diseases: up to 31 fatty liver (29%), followed by hyperlipidemia accounted for 18 people (16.8%), weight loss intervention measures, 81 (39%),behavioral changes (41%), and drug changes (12%) (98%). In this study, all healthy weight loss BMI groups were divided into 5 groups (BMI≤25; 25≤BMI≤27; 27≤BMI≤30; BMI≥30; all BMI),(P: <.001; effect: 7.2%). The mean BMI of the group with BMI> 30 was significantly higher than that of the control group (P < Sexual differences. Therefore, the study shows that BMI greater than 25 or more significant reduction in weight. This study regardless of the BMI of the All BMI healthy reduction of ethnic groups, weight loss achieved significant differences. 27<BMI ≤ 30, which include self-efficacy, social support, and prescribing behavior,the score of intervention (-.142) showed a negative correlation;BMI> 30 of the ethnic groups, BMI ≤ 30 of the ethnic groups, the score of the total score of intervention (-164) showed a negative correlation; (-.353 *) showed a negative correlation. Therefore, studies have shown that healthy weight loss of BMI  ≧30 greater than the total score of the negative correlation between thegreater involvement of weight loss effect is more significant.
     Wherever  according to the study found the cases that weight loss after an average of 6 to 12 months abd can effectively maintain body weight are 57%. In this study, domestic weight loss cases to achieve the success rate of maintaining weight higher than abroad, but it still need to continue to track. In this study, weight loss cases after the restoration of the original weight is a total of 53.
     Accounting for 41.8% weight loss in 6 to 12 months will be back fat, obesity rate as high as 43%, BMI ≧ 30 of the ethnic groups, the effect of their health weight loss more obvious, BMI ≦ 25 of the ethnic groups do not accept the proposal can continue to maintain family support degree; friend support; degree of compliance with the more significant, can reduce weight loss, BMI ≧ 25 ~ 30 Suggested to self-management, BMI ≧ 30 or more as the main income groups, the higher the effectiveness of weight loss, short-term weight loss to inform the case or achieve the goal, but healthy weight loss after long-term maintenance is considered a real success .
     The results of this study showed that the higher the level of support of female friends (r = -. 185 *, p <.05), the longer the degree of maintaining weight gain; the degree of social support and weight-related factors, family support (R = - .052 *, p <.05) had positive correlation with the maintenance of body weight. The higher education level was correlated with education level and weight maintenance. (R = .315 *, p <.05), the higher the follow-up behavior, the more fat, the longer the time to re-fat; income and weight maintenance factors related to the analysis, the higher the income of 4 to 6 million / The longer the time.

参考文献 ( 126 ) 〈TOP〉

吴孟玲、薛凤姬、张淑惠、杨灿 (2013)•护理人员健康促进生活型态与代谢症候群相关性探讨-以南部某区域医院为例•澄清医护管理杂志，9 (3)，23-33 。
连结：
李明宪(2002)•国小学童角色楷模、社会支持与身体活动量之关系探讨•慈济护理杂志，1(1)，46-55。
连结：
李金治(2013)．金门县基层员警饮食习惯、运动习惯、压力调适与体重过重之关系研究．金门县卫生局．取自: www.kinmen.gov.tw/Layout/sub_D/ArtHtml_Show.aspx
连结：
李碧霞(2001)•社区中年人运动阶段、身体活动及其影响因素之研究(博士论文)•国立台湾师范大学卫生教育研究所。
连结：
林士杰、曹又中、蔡依纹、张诗鑫、陈昭源(2015)•健康促进减重活动策略之成效探讨：以北部某地区医院为例•中华职业医学杂志 22(2)，115-121。
连结：

国际计量

〈TOP〉

E-mail ：

文章公开取用时，将寄通知信至您填写的信箱地址

E-mail ：

使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。