運用自我調節理論協助－－肥胖成人飲食控制之成效

Self-regulation Effect in Dietary Control of Obesity

全世界體重過重及肥胖盛行率有增加的趨勢，可能會引發代謝症候群、心血管疾病、高血壓等慢性病，而要延緩這樣的現象，需由飲食控制及運動著手，即藉由自我察覺問題，設立目標以進行生活型態的改變。本文依據自我調節理論為基礎架構，設計一肥胖個案的飲食控制方案，活動期間為2009年2月至2009年7月，運用飲食日誌、運動日誌、電子信箱及體重趨勢圖方式，引導個案思考兩者間的關係，從中發現自我行為與理想行為的差距，進而自我判斷主要原因並回應如何改善，環繞著目標導航前進，成效顯著，同時也提升自我效能，體重由原本106.1kg，透過習得自我調節之技能，順利減輕體重至84.4kg，預測其成果持續，可望延緩慢性病的發生，希望憑藉分享此照護過程，讓護理同仁協助類似個案時，可做為參考模式。

Problems associated with excess bodyweight and obesity are increasing worldwide. These problems increase risks of metabolic syndrome, cardiovascular disorders and hypertension. Improving diet and exercise control and self-monitoring, self-evaluating and self-adjusting are critical to modify risky lifestyles. In this paper, the author's designed a diet control protocol and then applied it to an obese adult. The project ran from Feb 2nd to July 30th, 2009, and used the principles and concepts of self-regulation theory, a daily diet plan, and body weight chart to guide the patient to consider and appreciate the gaps between his behavior and the standard in order to encourage improvement. The processes related to the goal and effect are significant. By learning self-regulation skills the patient’s weight declined from 106.1 kg to 84.4 kg. Self-efficacy also improved. The author predict the efficacy of the approach in helping prevent chronic disease. The author wishes to share their experience with nursing colleagues and propose this protocol as an effective diet control approach for obese patients.