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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
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dc.contributor.advisor | 黃恆獎,陳忠仁 | |
dc.contributor.author | Tun-Jen Hsiao | en |
dc.contributor.author | 蕭敦仁 | zh_TW |
dc.date.accessioned | 2021-06-15T16:08:20Z | - |
dc.date.available | 2017-08-26 | |
dc.date.copyright | 2015-08-26 | |
dc.date.issued | 2015 | |
dc.date.submitted | 2015-08-18 | |
dc.identifier.citation | 1. 糖尿病的流行病學 潘文涵,傅茂祖 2006
2. American Diabetes Association. Standards of medical care in diabetes—2015. Diabetes Care. 2015;38(suppl 1):S1-S93. 3. Look AHEAD Research Group, Pi-Sunyer X, Blackburn G, et al. Diabetes Care. 2007 Jun;30(6):1374-83. Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the look AHEAD trial. 4. Look AHEAD Research Group. Arch Intern Med. 2010 September 27;170(17):1566-1575. 5. Look AHEAD Research Group. N Engl J Med 2013 July 11; 369(2):145-154. 6. Melanie Swan. BIG DATA 2013;1(2): 85-99. 7. S Duval and R.A. Wicklund. A theory of objective Self-Awareness (New York: Academic Press, 1972) S Duval and R.A. Wicklund. 8. C.S. Carver and M.F. Scheier. Attention and self-regulation: a control theory approach to Human Behavior (New York: Spring-Verlag, 1981) 9. A.L. Beaman, B. Klentz, E. Diener, and S. Svanum. “Self-Awareness and Transgression in children: Two Field Studies” Journal of Personality and social Psychology. 10. Anthony Trollope, An Autobiography of Anthiny trollope( New York: Dodd Mead, 1912), 104-5, 237. 11. QuantifiedSelf.com, http://quantifiedSelf.com 12. R.F. Baumeister and E.E. Jones, “When Self-Presentation is constrained by the Target’s knowledge: consistency and compensation”, Journal of Personality and Social Phenomena. 36(1978): 608-18. 13. Snow, M. G., Prochaska, J. O., & Rossi, J. S. (1992). Stages of change for smoking cessation among former problem drinkers: A cross-sectional analysis. Journal of Substance Abuse, 4, 107–116. 14. Michael Vallis, Helena Piccinini-Vallis, Arya M. Sharma, Yoni Freedhoff. Can Fam Physician 2013;59:27-31. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/52125 | - |
dc.description.abstract | 肥胖問題是目前全世界共同面臨的公共衛生議題,而糖尿病是與肥胖關係最密切的慢性病。本研究分析某一台灣基層醫療診所中糖尿病患對體重管理的認知與行為分析,希望能據以發展未來積極以體重管理為核心的新糖尿病照護模式。
探討的問題如下: 糖尿病患的肥胖比率?患者知道肥胖症是糖尿病的原因之一嗎?是否知道減肥有助於糖尿病控制?糖尿病患曾接受過哪一些肥胖治療?哪類糖尿病病患較願意談論及接受肥胖治療?目前有新的量化自我的減肥方法,哪些是糖尿病患比較願意接受的?目前減肥屬於自費範疇,糖尿病患每月願意付多少錢接受減肥治療? 此次研究先選定桃園某一內科診所的糖尿病患做為主要研究標的,由研究人員先擬定問卷內容,並請2015年7月有回診的病患填寫。所有問卷在填寫完畢後由工作人員鍵入excel 2010中,再轉入SAS 9.2版做進一步分析。 最後收集113份完整問卷,其中男性54位 (48%),女性59位 (52%)。平均年齡為58.2 ± 12.7歲(32-83歲間)。平均BMI為26.9 ± 4.3,依台灣體位標準BMI≧24為過重,BMI≧27為肥胖,則此診所糖尿病患過重與肥胖者共佔74.3%。若與第五次台灣國民營養調查比較,明顯BMI較大。113位中,認為體重過重是糖尿病的因之一的有54位(47.8%)。在瞭解減重可以改善糖尿病情方面,81位(71.7%)回答減肥有助糖尿病制。47位(41.6%)糖尿病患者曾減肥過,其曾經用過的減肥方法主要為飲食控制及增加運動量。目前有31位(27.4%)糖尿病患正在減肥,其中30位是BMI ≧ 24者,佔需要減肥84位之35.7%,而其用的方法主要仍為飲食控制及增加運動量。74位(65.5%)願意醫師與他談體重問題,但若只看BMI ≧ 24的84位,則也有56位(66.7%)願意醫師與他談體重管理,病患願意與醫師談論體重問題的比率與肥胖與否並無統計相關。若減肥費用自付,則84位中只有27位(32%)願意接受;而這27位願意自費減肥者每月願意花費平均為3046元/月。在診所打算用一些新方法協助糖尿病患減肥的問題中較受歡迎的第一名為每天量體重,並記錄追蹤減肥成效76位(67.3%),第二名為每天帶計步器或電子手環,實行每日5000步計畫,並上傳資料至診所36位(31.9%),三名為跟親朋好友一起進行體重管理,並互相監督減重進度18位(15.9%)。 綜合此次研究發現,我們了解此基層診所糖尿病患體重過重的比率約3/4;只有約一半的患者了解體重上升與糖尿病有關係;而七成病患了解減重有助糖尿病控制;四成糖尿病患有減肥經驗;過重或肥胖的糖尿病患有36%正在減肥,方法以飲食控制與增加運動為主;而新的減肥法中以每天量體重、量化自我、及公開資訊為主,這些發現可作為未來在設計糖尿病患減肥計畫時之參考。 | zh_TW |
dc.description.abstract | Obesity is one of the greatest public health problems in the world. The prevalence of obesity in Taiwan is increasing these decades. Diabetes correlates closely with obesity. In this study, we focused the diabetes patients in a primary clinic in Tao-Yuan city, Taiwan, and tried to research the cognition and behavior regarding to weight control in them. We want to develop a weight control- based diabetes care model after this work.
The issues we want to study are as below: 1. The prevalence of overweight and obesity in these diabetes patients? 2. Do they know obesity in one of the causes of diabetes? And do they know that weight loss can improve diabetes condition? 3. Has they received any obesity treatment before? And how many patients are on a diet now? 4. Do the diabetes patients want their physicians to discuss body weight issue with them? 5. What percentage of diabetes patients might pay for obesity treatment? And how many new Taiwan dollars they could pay? 6. What kinds of quantified self about weight control they like to adopt? Questionnaire was developed by the problems we want to discuss. And the subjects who visited the clinic during 1st to 31st July 2015 were invited to fill out the questionnaire. All the data was keyed in in Excel 2010 edition and was transformed to SAS 9.2 edition for further analysis. Finally, 113 patients completed the questionnaires. They were 54(48%) male gender and 59(52%) female gender. The mean age was 58.2 ± 12.7 years old. The mean BMI was 26.9 ± 4.3. The percentage of the subjects whose BMI ≧ 24 was 74.3%. 54(47.8%) subjects knew that obesity is a cause of diabetes. And 81(71.7%) answered weight loss had good influence in diabetes control. 47(41.6) had the experience of weight control, and the main methods were on a diet and exercise. 30(35.7%) among the 84 whose BMI ≧ 24 has a weight control program now, and the methods were on a diet and exercise also. 74(65.5%) accept their physician to talk weight control issue to them. 27(32%) is willing to pay for weight control program with a mean of 3046 NT dollars/month. The most accepted new methods in weight control were: weight daily, quantified self in walking steps per day, and open information of self. Based on the information gathered from this study, we will keep going to develop a new weight control program for overweight diabetes patients. | en |
dc.description.provenance | Made available in DSpace on 2021-06-15T16:08:20Z (GMT). No. of bitstreams: 1 ntu-104-P01748011-1.pdf: 1631162 bytes, checksum: 0a7d2d56303d00530cad6f79ccffc3e8 (MD5) Previous issue date: 2015 | en |
dc.description.tableofcontents | 目錄
致謝II 中文摘要III 英文摘要V 目錄VII 表目錄VIII 圖目錄IX 專有名詞解釋X 第一章 導論 第一節 研究背景與研究動機1 第二節 研究目的與研究問題3 第三節 研究流程4 第二章 文獻探討 第一節 糖尿病患的肥胖盛行率5 第二節 肥胖是糖尿病的危險因子之一6 第三節 減重可以改善糖尿病的控制10 第四節 量化自我12 第三章 研究方法 第一節 問卷設計18 第二節 抽樣方法19 第三節 統計分析與方法20 第四章 資料分析 第一節 樣本profile22 第二節 統計結果27 第三節 因果分析31 第五章 結論與建議 第一節 研究發現35 第二節 管理、行銷、與政策意涵38 第三節 研究限制與未來研究建議41 參考文獻42 附錄: 問卷43 表目錄 表1 第2型糖尿病的主要危險因子6 表2 QS的種類及變數12 表3 不同性別糖尿病患基本資料25 表4 糖尿病患與台灣國民營養調查的體位比較25 表5 糖尿病患的飲食習慣26 表6 糖尿病患用的減肥方法29 表7 糖尿病患願意採用那些量化自我的方式減肥30 表8 肥胖程度與體重管理認知與行為的關係33 表9 不同年齡層糖尿病患的體重管理認知與行為34 圖目錄 圖1 行為改變的跨領域模式(Trans-theoretical model of behavior change) 37 圖2 加拿大肥胖防治網工具5A’s 系統37 圖3 神通MiPHS系統38 | |
dc.language.iso | zh-TW | |
dc.title | 糖尿病患體重管理的認知與行為分析
以某內科診所為例 | zh_TW |
dc.title | Diabetes Patients’ Cognition and Behavior Analysis
Regarding Weight Control: Case Study of an Internal Medicine Clinic | en |
dc.type | Thesis | |
dc.date.schoolyear | 103-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 王仕茹 | |
dc.subject.keyword | 糖尿病,肥胖,減肥,量化自我,電子穿戴裝置, | zh_TW |
dc.subject.keyword | quantified self,diabetes,obesity,weight control,electronic wearing device, | en |
dc.relation.page | 46 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2015-08-19 | |
dc.contributor.author-college | 管理學院 | zh_TW |
dc.contributor.author-dept | 商學組 | zh_TW |
顯示於系所單位: | 商學組 |
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