運動與骨質疏鬆症相關性之探討

Exploration the Connection between Exercise and Osteoporosis

骨質疏鬆症是中外最重要的健康問題，一般常發生於停經後婦女和老年人，但男女皆可發生。預防骨質疏鬆的主要目標是維持骨骼完整性，合適飲食、運動和生活型態的選擇是三個主要預防方向，其中包括攝取富含鈣質、維生素的飲食，規律運動，及完全避免吸菸和喝酒等。雖有研究顯示荷爾蒙補充治療對更年期婦女可預防骨質流失，但其成本相當可觀，藥物也會帶來副作用，荷爾蒙治療對於預防骨質疏鬆則仍具爭議。相反的，非藥物介入特別是有氧運動，不僅不貴也很少有副作用，而且規律運動除促進骨骼健康外，更可獲得全身健康的好處。

Percutaneous Transluminal Coronary Angioplasty （PTCA） is one of major treatments of coronary artery stenosis. How to provide complete preparation prior to PTCA by busy nurses, is an important responsibility of nurses. The purpose of this project was to establish trans-unitary quality control with concept of total quality management to decrease incomplete rate of preparation in PTCA. It showed 68% of incomplete rate of preparation in PTCA during this study. There were many problems found after data analysis such as un-exact checks, inexperience, incomplete doctors' orders and the content of clinic pathway being too complex to practice. This project was designed to provide the nursing care standards and orders for patients of PTCA, and to establish a examining system. The result in this study showed the incomplete rate of preparation in PTCA that decreased to 15%. Beside, through the participation of doctors and nurses, it provided not only the better quality of care, but also the cooperation and agreement of the medical-nursing team.