精神科日間病房病人肥胖之改善方案

A Fitness Project that Decreased Obesity of Psychiatric Day Ward Patients

第二代抗精神病藥物的副作用，常導致腹部肥胖與身體質量指數上升，提高罹患新陳代謝疾病的風險，2011年6月調查本單位99位病人中，53位有腰圍肥胖，59位的病人身體質量指數＞24Kg/m^2，本專案目的在改善精神科日間病房病人肥胖情形，藉由安排衛教課程及有獎徵答、建立健走運動課程、減重比賽等措施，專案啟動後，達到腰圍肥胖平均值由97.2降至91.8公分，肥胖病人之身體質量指數平均值由29.7降至27.8Kg/m^2，整體而言，在腰圍、身體質量指數、飲食習慣、減重動機、認知減重及運動習慣之重要性皆獲得改善，本專案建議使用自我健康管理的方式可以改善精神科病人的肥胖問題。

Second-generation antipsychotics are known for side effects that lead to abdominal obesity and increased body mass index (BMI) which increase the risk of metabolic diseases. In June 2011, 99 patients of the psychiatric day ward were recruited. Among them, 53 had abdominal obesity, and 59 had BMI greater than 24Kg/m^2. This project aims to improve the physical fitness of the day ward patients, by arranging health education classes, quiz, walking programs, and weight-loss competition. After intervention, the average waist circumference decreased from 97.2 to 91.8 cm, and the average BMI of obese patients decreased from 29.7 to 27.8 Kg/m^2. Overall, the patients' waist circumference, BMI, diet habit, motivation to lose weight, understanding the importance of losing weight and exercise improved. This project suggested that self health management could decrease obesity of psychiatric day ward patients