跨領域團隊衛教方案對於代謝症候群患者的自我效能、健康知識及生理指標之影響

背景：不健康的生活方式是代謝症候群的主要原因之一，不良生活習慣，如吸煙、飲酒、低體力活動和不均衡飲食，會增加罹患心血管疾病與代謝症候群的發生率，因此，提供良好的教育方案是重要的，本研究期望應用跨領域團隊衛教來增強代謝症候群患者自我效能、知識並改善代謝症候群生理指標。目的：透過跨領域的團隊合作介入提升代謝症候群者的自我效能、健康知識。方法：本研究為類實驗研究（quasi-experimental study），以符合代謝症候群條件的患者為研究對象，運用跨領域團隊衛教，於介入後追蹤六個月後的結果。結果：本研究共有564人參加，平均年齡為62.19歲，實驗組在介入後空腹血糖下降1.82 mg/dl，對照組反而增加2.03 mg/dl，兩組前後差異達顯著（p = 0.002），而腰圍、血壓、三酸甘油脂皆無顯著差異；在知識方面，實驗組介入後增加1.36分、對照組增加0.46分，實驗組高於對照組且達顯著（p = 0.001），在行為自我效能方面實驗組介入效果高於對照組且達顯著（p< 0.05）。結論：跨領域團隊衛教計劃可顯著提升代謝症候群患者的健康知識、行為自我效能及飯前血糖控制。

Background: Unhealthy lifestyle stands as a major contributor to the development of metabolic syndrome. Extensive research highlights the correlation between habits like smoking, excessive drinking, sedentary behavior, and poor dietary choices with heightened risks of cardiovascular diseases and metabolic syndrome. Thus, the implementation of educational initiatives becomes important. This study aims to assess the effectiveness of an interdisciplinary health education program in enhancing selfefficacy, health literacy, and ameliorating physiological markers associated with metabolic syndrome. Objective: The primary objective of this study is to evaluate the impact of an interdisciplinary education program on enhancing knowledge and bolstering self-efficacy among individuals diagnosed with metabolic syndrome. Methods: Conducted as a quasi-experimental study, participants meeting the criteria for metabolic syndrome were enrolled and received a comprehensive health education curriculum integrating various disciplines. Follow-up assessments were conducted six months post-intervention. Results: A cohort of 564 individuals, with an average age of 62.19 years, participated in the study. Notably, among physiological indicators, the experimental group demonstrated a reduction in fasting blood glucose levels by 1.82 mg/dl following the intervention, whereas the control group exhibited an increase of 2.03 mg/ dl. This disparity between the groups proved statistically significant (p < 0.05), unlike observations in waist circumference, blood pressure, and triglyceride levels. Regarding health literacy, the experimental group displayed a mean increase of 1.36 points post-intervention, surpassing the control group's increase of 0.46 points significantly (p < 0.05). Furthermore, the experimental group exhibited notably higher levels of medical knowledge and self-efficacy post-intervention compared to the control group. Conclusion and Recommendation: Findings underscore the efficacy of interdisciplinary education programs in substantially enhancing health literacy, bolstering behavioral self-efficacy, and improving pre-meal blood glucose regulation in individuals with metabolic syndrome. These results advocate for the continued integration of such comprehensive educational initiatives in managing and mitigating the adverse outcomes of metabolic syndrome.