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研究生:陳素惠
研究生(外文):Chen, Su-Hui
論文名稱:飲食與運動之自我監測措施對高脂血病患血脂與體脂控制之成效
論文名稱(外文):The Effects of Diet and Exercise Self-Monitering on Blood and body Lipids for Patients with Hyperlipidermia
指導教授:梁靜祝梁靜祝引用關係---
指導教授(外文):Ching-Chu Liang
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:護理學系
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:1998
畢業學年度:86
語文別:中文
論文頁數:1
中文關鍵詞:高脂血症知識自我效能自我監測
外文關鍵詞:hyperlipidermiaknowledgeself-efficacyself-monitoring
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本研究目的在探討高脂血個案,實施自我監測措施對改善血脂與體脂之成
效,採準實驗研究法(Quasi-Experimental Design),以立意取樣(
Purpose Sampling)方式選取112位台大醫院門診之高脂血個案,其中實驗
組與控制組各56位,收案方式於單週收取實驗組,給予提供自我監測措施
,雙週收取控制組,僅提供高脂血之個別衛教,經過三個月後評估控制高
脂血知識、執行控制高脂血自我效能、血脂指標與體脂指標等成效。
結果發現個案普遍擁有對高脂血之認知,但彼此間仍存有極大的差異性,
對於飲食的控制擁有一半以上的把握程度,但是在運動自我效能方面則較
欠缺自信;血脂的分佈較欠理想,分別為TC平均251.8 mg/dl,LDL-C平均
值為153.4 mg/dl ,HDL-C平均值為46.7mg/dl,TG平均值為295.0mg/dl;
最後個案之體脂的分佈多數屬於理想的範圍,例如BMI平均為24.6kg/m2,
TSF之平均值為18.2mm,而WHR的平均值為0.86。
本研究發現,經自我監測措施後,能有效提升控制高脂血知識,及執行控
制高脂血之自我效能,於血脂的改善方面普遍有明顯的進步,唯有HDL-C
的成效較為有限,而體脂經自我監測措施所減少的比率亦較為有限,並未
與控制組達到統計上的顯著差異。進一步分析成效的影響因素,發現個案
背景資料中,女性、追蹤時有提出問題者,以及教育程度較低的個案,經
由自我監測所提升的知識成效較佳,而年齡大者與運動自我效能的提升則
呈正相關,且血脂的成效中,LDL-C的改善以男性較為明顯,但HDL-C的提
升則以女性較為顯著,另外,TG的下降則受到危險因子的多寡而有不同的

The purpose of this present study was to understand the effect
of self-monitoring on the decreasing of blood and body lipids
for the patients with hyperlipidermia. Quasi-experimental
Design was utilized and purposive sampling was conducted at an
OPD of a medical center. One hundred and twelve sample subjects
were randomly assigned into experimental and control group.
Subjects in both groups received a standard and systemic
teaching program that one to one oral teaching and a pamphlet
were provided to each s
In the pretest, both groups of subjects showed that the
knowledge of hyperlipid control and the efficacy of execute
diet control were moderate high; however, efficacy of execute
exercise to control their blood lipid was low. The blood lipid,
such as T-C, LDL-C, HDL-C and TG were high than normal in most
of subjects. However, in the body lipids, such as BMI, TSF and
WHR were within the normal range.
After three months self-monitoring, subjects in the
experimental group showed significant improvement of the
knowledge of hyperlipid control, the efficacy in execute both
diet and exercise for the control of hyperlipid, and the
decrease of the blood lipids profiles, but there were no
significant changes in the body lipid profiles. The study also
found that subjects with female, higher education, and brought
questions in the telephone reminding had better improvement in
the knowledge of hyperlipid-control th
To sum up, findings of this study demonstrated that patients''
self-monitoring for their hyperlipidermia can not only
effective on the improvement of knowledge and self efficacy in
lipid control, but also on the improvement of their blood and
body profiles. In addition, self-monitoring can modify
patients'' behavior on the diet and exercise and influence lipid
profile outcome directly.
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