精神科日間病房減重之健康促進專案

Health Promotion Project for Weight Loss in Psychiatric Day Ward

在國家社會政策中，「肥胖防治」是「健康促進」重要項目之一。2015年予進行監測某精神科日間病房之病人BMI值，發現其24位病人的平均BMI：26.9 kg/m²，≧BMI：25 kg/m²佔71%。本專案目的：為減重之健康促進方案。經現況分析發現：病人對食物選擇不良、缺乏正確飲食觀念及認知、缺乏對運動認知及行為。擬定改善方案：提供飲食及營養相關護理指導、利用認知團體治療建立健康減重及運動相關知識，搭配規律運動及獎勵制度提高運動動機達到專案目標。結果：呈現17位體重過重病人平均體重由75.4 kg減輕至71.6 kg，BMI值由平均28.9 kg/m²，降低為27.5 kg/m²達專案目標，期此經驗供減重之參考。

Obesity prevention is a critical constituent of health promotion in national social policy. In 2015, the BMI of 24 patients at a psychiatric day ward was monitored, and their mean BMI was 26.9 kg/m²; 71% them had a BMI of ≥25 kg/m². The objective of this project was to develop a health promotion program for weight loss. Analyzing patients’ current health conditions revealed they had poor food choices, lacked correct dietary concepts and awareness, and lacked exercise awareness and behavior. Accordingly, we formulated an improvement program to provide dietary and nutrition-related nursing guidance, use cognitive-behavioral group therapy to establish healthy weight loss and exercise knowledge, and integrate regular exercise with an incentive system, thereby increasing exercise motivation among patients and achieve the project objectives. The results revealed that the mean body weight of 17 overweight patients was reduced from 75.4 kg to 71.6 kg, and their mean BMI was reduced from 28.9 kg/m² to 27.5 kg/m². Therefore, the project objectives were achieved. The experience gained from this project can be used as a reference for subsequent weight loss schemes.