肥胖所伴隨的代謝症候群及增加罹患慢性疾病的風險有關，不僅造成個案健康的威脅，也增加對其家庭及社會的負擔。相較於一般人，患有精神障礙的病人，有更高的肥胖比率，此乃因為精神疾病特性、常見不良的生活型態、及可能與其長期服用抗精神病藥物副作用有關。本研究旨在探討社區慢性精神病人接受「自我管理減重課程」的減重效果與探討研究對象在介入方案實施後，對健康自主管理（認知、態度、效能、行為）之相關性影響。以東部某精神科專科教學醫院自願參與計畫之社區家園慢性精神病人為研究樣本（n=18），採前測、後測實驗設計，施以十二週的「自我管理減重課程」。資料蒐集透過自製「健康促進團體健康體位議題問卷」於介入實施前及第三個月施測取得健康自主管理（認知、態度、效能、行為）量化數據，並測量介入前、介入後一個月及三個月的體重。所得資料以SPSS Window version 22.0進行整理及資料前後測差異比較分析。研究結果發現：研究對象身體質量指數與健康自主管理（認知、態度、效能、行為）在介入課程前後皆未達顯著差異，但BMI值變化可見些許減少，顯示十二週的減重課程仍對於精神科社區家園住民體重管理有些幫助。當臨床精神科團隊在設計或執行體重管理健康教育方案有需求時，本研究結果可以提供有價值的參考。 Obesity among individuals suffering from mental disorders is more prevalent compared to normal population. Furthermore, there has been an increasing risk of developing metabolic syndrome and chronic disease among obesity group. While all seem to agree that not only does obesity threaten the health of the patients, but also causes burdens on family and society. The purpose of the study here was to explore the effectiveness of self-management healthy weight-loss program, which was provided for independent living psychiatric community home residence patient.
All data processing were performed using the pretest-posttest quasi-experimental design. Using the local hospital’s community placement as mental illness unit, we enrolled 18 patients who had undergone mental disorder participating in the study. All subjects were willing participants in this study and met the conditions required. The study participants were received health education programs via weight management for 12 weeks. Patients must attend 50 minutes session once a week. Effectiveness was investigated by a structured questionnaire, created by the researcher and anthropometric measurements. The study was designed to compare the result of before and after participation in the health education programs. We investigated this study by analyzing the quantitative data with IBM SPSS20.0. All participants could complete this intervention project. Data for comparison consists of knowledge of weight management, attitude, behavior, self-efficacy and body mass index (BMI). It seems that the results of knowledge of weight management, attitude, behavior and self-efficacy had no significant differences; but had mild decreased body mass index (BMI). All of the above result may have contributed to the fact that health education programs were effective. Nevertheless, future study with more sample size is needed to confirm the finding of this study. However, results of this research can provide a valuable reference for clinical psychiatric teams when facing the demand of designing weight management health education programs.
