精神專科醫院復健病房慢性思覺失調症病人飲食行為與代謝症候群之相關性研究

A relativity study of Dietary Behavior and Metabolic Syndrome among the Patients Suffering from Chronic Schizophrenia in the Rehabilitation Wards of Specialized Hospitals

10.6847/TJPMHN.201812_13(2).03

張阿雪(A Hsueh Chang)；劉介宇(Chieh-Yu Liu)；楊秋月(Chiu-Yueh Yang)

慢性思覺失調症 ； 飲食行為 ； 代謝症候群 ； chronic schizophrenia ； dietary behavior ； metabolic syndrome

精神衛生護理雜誌

13卷2期（2018 / 12 / 01）

19 - 28

繁體中文

背景：國外研究發現居住於社區的思覺失調症病人的代謝症候群盛行率高於在機構復健的病人，而飲食行為可能為造成此差異之關鍵因素。目的：探討精神專科醫院復健病房的慢性思覺失調症病人飲食行為與代謝症候群風險的關係。方法：為橫斷面相關性研究，採方便取樣自北部某精神科專科醫院復健病房收案198名慢性思覺失調症病患。研究工具包括：基本屬性、代謝症候群資料、貝克身體活動量表及飲食行為量表。結果：本研究代謝症候群盛行率為37.4%。控制人口屬性後，有「吃宵夜」習慣者，代謝症候群的風險為2.427倍(p=.011)；而有「看電視時吃東西」習慣者，代謝症候群風險為3.092倍(p=.006)。結論／實務應用：建議護理人員注意病人飲食行為與代謝症候群的關係，特別是有吃宵夜、看電視時吃東西的病人，以早期發現代謝症候群的病人，作為日後在臨床照護上的參考。

Background: Many studies from abroad have suggested that the prevalence of metabolic syndrome of patients who suffer from schizophrenia and live in the community should be higher than those who rehabilitate in the hospital-based care settings. However, the result showed different from the studies in Taiwan. Purpose: This study was to examine the connection between dietary behavior and the risk of metabolic syndrome of the patients who suffer from chronic schizophrenia in the rehabilitation wards of a psychiatric hospital in Taiwan. Methods: This is a study designed by cross-section and correlation. We employed a convenient sampling in order to select 198 participants who were between 20 to 64 years old, and were diagnosed of chronic schizophrenia in the chronic psychiatric wards of a psychiatric hospital in northern Taiwan. In addition to demographic data and five metabolic parameters, the Dietary Behavior Questionnaire and modified Baecke physical activity questionnaire were also used. Results: The prevalence of metabolic syndrome in this sample was 37.4%. The multiple logistic regressions revealed that the behavior of having snack (OR = 2.427, p = .011) at night and the behavior of eating and watching television (OR = 3.092, p = .006) were two risky factors of incurring metabolic syndrome after five demographic data and physical activity were in control. Conclusions/Implications for Practice: This study suggested that the patients who like eating and watching TV at the same time and have night snack should be paid more attention for early detection of metabolic syndrome.

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