The Effects of Diet and Exercise Self-Monitoring on Blood and Body Lipids in Patients with Hyperlipidemia

本研究目的在探討高脂血個案，實施自我監測措施對改善血脂與體脂之成效，以立意 取樣方式選取高脂血個案共112位，包括實驗組與控制組各56位。首先針對所有參與 之個案提供高脂血飲食與運動之個別衛教，並給予實驗組病患進行高脂血飲食與運動 行爲之自我監測，且以每兩週一次之電話提醒方式，提醒個案如期完成每日記 錄，並將記錄表按時寄回給研究者，以利資料的收集與分析。歷經三個月後，發現自 我監測措施能有效提昇控制高脂血之知識，及執行控制高脂血之自我效能，於血脂的 改善方面普遍有明顯的進步，最後並能促使體脂指標的分佈更趨理想。總而言之，自 我監測措施不僅能提昇個案對高脂血之認知、增加控制高脂血行爲之信心，進 而有效改善血脂指標與體脂指標的分佈。換言之，自我監測能藉由逐漸修正個案飲食 與運動行爲，而達到改善血脂與體脂分佈的目的，故一項值得推廣 的行爲改變措施。 The purpose of this study was to evaluate the effects of self-monitoring intervention on blood and body lipids in patients with hyperlipidemia. Purposive sampling was conducted at the OPD of a medical center. One hundred and twelve sample subjects were randomly assigned into experimental and control groups. Subjects in both groups received a standard and systemic teaching program in which one to one oral teaching and a pamphlet were provided to each subject. The teaching program focused on diet modification and exercise to control their blood and body lipids. In the experimental group, subjects were taught to use a self-monitoring sheet to record their weekly diet and exercise information . Every two weeks for three months each subject would receive a phone call which reminded them to record and mail the sheet to the researcher . After three months' self-monitoring, subjects in the experimental group showed significant improvement in knowledge of hyperlipid control, self- efficacy in both diet and exercise regimen for the control of hyperlipidemia, and the levels of blood lipids. However, there were no significant changes in body lipid profiles. To sum up, the findings of this study demonstrated that patients' self- monitoring of their hyperlipidemia can not only be effective for the improvement of knowledge and self efficacy in lipid control, but also for the improvement of their blood and body profiles. In addition, self-monitoring can modify patients' exercise diet and behavior and influence lipid profile outcome directly.