精神科日間照護病人體重控制成效

Effects of a Weight-Control Program in a Day-Care Psychiatric Ward

慢性精神病人體重過重及肥胖情形極為嚴重，根據統計台灣地區住院中精神分裂症病人的肥胖盛行率達16.4%，藉由體重控制養成病人良好的健康行為且有效改善肥胖問題。調查本院慢性精神病人肥胖佔46.2%，分析原因為飲食認知不足、運動時間不足、未監測體重變化、缺乏獎勵制度以及未提供低卡輕食餐。為能達到病人體重控制，本專案於2011年4月1日至9月30日成立專案小組，共同推動六項體重控制的改善方案(1)推行享瘦享受手冊；(2)舉辦飲食衛教課程；(3)推行運動課程；(4)實施飲食及運動監測日誌；(5)實施獎勵制度；(6)提供低卡輕食餐。經方案實施後BMI由30.1Kg/m^2降至28.7Kg/m^2，平均體重由80.2Kg降幅至77.3Kg，顯示本專案介入方案能有效達到體重控制成效。

Overweight and obesity are highly prevalent in psychiatric patients. The prevalence of obesity was 16.4% among inpatients with schizophrenia in Taiwan. Through appropriate weight-control programs, patients can develop healthy behaviors to resolve obesity effectively. 46.2% of psychiatric patients are obese in our hospital. The reasons for overweight and obesity were lack of dietetic knowledge, exercise, monitoring of weight changes, incentive programs and provision of low-calorie meals. To help patients control their body weight, a weight-control team was formed. This project, performed between 1 April 2011 and 30 September 2011, comprised six weight-control programs: (1) distributing ＂Fitness and Blissfulness＂ handbooks; (2) delivering dietetic courses; (3) offering exercise classes; (4) maintaining diet and exercise diaries; (5) implementing incentive programs; and (6) providing low-calorie meals. After these programs were implemented, the participants' average BMI decreased from 30.1 to 28.7 kg/m^2, and the average weight decreased from 80.2 to 77.3 kg, indicating that this intervention project was effective in weight control.