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研究生:杜幸芳
研究生(外文):Tu, Hsin-Fen
論文名稱:飲食運動衛教對非胰島素依賴型糖尿病病人之成效
論文名稱(外文):The effects of diet and exercise health educational program for NIDDM patients.
指導教授:馬素華馬素華引用關係莊峻鍠莊峻鍠引用關係黃明達黃明達引用關係
指導教授(外文):Maa Suh-HwaJuang Jyuhn-HuarngHuang Ming-Ta
學位類別:碩士
校院名稱:長庚醫學暨工程學院
系所名稱:護理學研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:1997
畢業學年度:85
語文別:中文
論文頁數:100
中文關鍵詞:非胰島素依賴型糖尿病飲食運動衛教
外文關鍵詞:NIDDMdiet and exercise education program
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飲食控制配合規律運動,進而改變不良的生活型態,將可以有
效地控制糖尿病和延緩大血管病變的發展。 本研究採實驗法,
以評值糖尿病飲食運動衛教的成效。依選樣條件隨機分派至實驗組及對照
組各30名。實驗組病患在2個月內接受2次的飲食、運動、和行為修正策略
的衛教課程。此外,並鼓勵他們遵從此衛教計劃並記錄自己居家的飲食和
運動行為。 結果顯示:1. 衛教實施兩個月後,實驗組病人對糖
尿病飲食與運動之認知、態度及行為有顯著進步。2. 衛教實施後,實驗
組病人於衛教後兩個月和三個月後對血糖控制皆較衛教前有顯著進步。3.
衛教實施2個月後,實驗組病人體重顯著的下降。4. 衛教實施2個月後,
實驗組病人之總膽固醇、高密度脂蛋白和三酸甘油脂值皆有顯著改善。5.
衛教實施2個月後,實驗組病人之血糖值、體重及血脂肪異常的改善與糖
尿病飲食運動之認知、態度及行為的進展有相關性。 本研究結
果顯示,飲食運動衛教可以有效增進糖尿病控制和降低大血管病變的危險
因子。
ABSTRACT Lifestyle modification is a therapy, in which
appropriate diet is combined withaerobic exercise. It is
reported to control and reduce macrovascular complicationsand
have other beneficial effects in diabetic patients. This study
was designed toascertain the value of diet and exercise health
education program in non-insulindependent diabetes mellitus(
NIDDM) patients. An experimental design was used. Sixty
patients at metabolic clinic of oneprivate medical center were
randomly assigned to experimental group (n=30) andcontrol group(
n=30). The diet and exercise health education program with beha-
vioral modification strategies was taught on experimental group,
then practiced it athome and record their diet and exercise
diary for 2 months, whereas control groupreceived conventional
nursing care. During weeks 1 and 9, patient's diabetesknowledge,
attitude, behavior, glycosylated hemoglobin level, body weight,
andserum lipid level were assessed. In addition, during weeks 5
and 13, patient'sglycosylated hemoglobin level were assessed.
The results showed as follows: (1) There was no significant
difference indemographic data between two groups. (2)
Experimental group presented impro-vement of diabetes knowledge,
attitude, and behavior. (3) Experimental groupdemonstrated
improvement of body weight. (4) Experimental proup
demonstratedimprovemnt of glycosylated hemoglobin level. (5)
Experimental group demons-trated improvement of serum lipid
level. (6) The improvement of body weight,glycosylated
hemoglobin level, and serum lipid level on experimental group
wererelated with the improvement of diabetes knowledge,
attitude, and behavior. In conclusion, diet and exercise
education are effective in diabetes control andreduction of
macrovascular risk factors.
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