以多元策略改善精神科日間照護病房病人體位異常專案

Applying Multiple Strategies to Decrease the Abnormal Rate of Body Mass Index for Day Care Ward Psychiatric Patients

本單位2019年6至8月發現病人有動態活動出席率不佳且覺察未出席健康操者身型豐腴，追溯該期間中BMI趨勢變化體位異常率達73.3%，此狀態可能導致慢性病纏身風險，因此有提供專案改善的必要性。經歸納主要原因有：病人不喜歡活動或運動且缺乏減重動機、未有與健康體位有關之主題課程、健康操策略需改變及缺乏健康識能友善教材。解決辦法導入多元策略如：創建多樣化健康操、舉辦系列性健康課程、建構體位紅綠燈小卡及擬定獎勵制度等。介入後健康操出席率提升且BMI降至25.82kg/m2，改善結果呈正向，過程改變病人對體位的態度及維護的識能，使找回自我掌握度以付諸新的健康維繫行為，最終朝向復元之路邁進。

Between June and August 2019, our unit observed a low attendance rate for exercise activities among patients. Those who did not participate in health exercises had higher body weights, and tracking the BMI trends during this period revealed that 73.3% of patients had abnormal body status, increasing their risk of chronic diseases. Addressing this issue was critical. The low participation rates were attributed to several factors: patients' dislike of activities or exercises, lack of motivation to lose weight, insufficient courses related to maintaining a healthy body status, and a lack of effective health exercise strategies and health literacy-friendly teaching materials.
To address these challenges, we implemented diverse strategies, including creating various health exercises, introducing a series of health courses, developing ''body status traffic light'' cards, and establishing a reward system. Following the intervention, the attendance rate for health exercises increased, and the average BMI decreased to 25.82 kg/m2. These improvements demonstrated a positive trend, with enhanced patient attitudes toward body status, improved literacy regarding body status maintenance, and better self-control over health maintenance behaviors. Ultimately, these efforts are expected to contribute to patient recovery.