Health Behavior of Patients with Hypertension, Type 2 Diabetes Mellitus, and Hyperlipidemia.

• Main Authors: Yang,Liu-Ya, 楊琉雅
• Other Authors: Huang,Yueh-Guey
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/75733217958208388961

碩士 === 臺北巿立體育學院 === 休閒與運動管理碩士班 === 98 === Objective: This article explored the characteristics and health behaviors of patients who were suffering from hypertension, type 2 diabetes mellitus, and hyperlipidemia. Methods: Samples of 464 patients were randomly collected to meet any of these three syndromes of ICD diagnostic protocols. The research tools used here including medical records and questionnaires, which complied with the Bureau of Health Promotion in 2005. Health behaviors of physical activities, dietary patterns, compliance behaviors, smoking and alcohol drinking were adopted as the major attributes for later analyses by descriptive statistics, cross tables, and logistic regressions. Results: The average ages of patients with single syndrome, double syndromes, and triple syndromes were 35, 49.5 and 51.5. In this study, 93.3% of male and 89.5% of female patients had abnormal waist sizes, 92.9% of male and 84.3% of female patients had abnormal body fat index, and 78.3% of both male and female had 30 over of BMI value. Four fifth of these patients had abnormal body weights, their average sitting time was 10.4 hours and female patients were 6 minutes more than male patients. There were 47.6% of patients lack of physical activities in past two weeks, and 59.7% of patients remained unchanged for physical activities even though they were aware of their physical conditions. Among the study targets, 70% of them suffered double syndromes and 60% of them were female patients. For patients who had the triple syndromes, there were 239 calories more than the population average on daily consumption, 562 calories more on starch consumption, and 195.6 calories more on poultry and domestic animals. Besides, most patients had high tendency of eating out and insufficiency of consuming enough fruits and vegetables. In compliance behavior, 48.7% of patients took medication on time; and 87.5% of them were suffering from the triple syndromes. Nearly 80% of single and triple syndromes patients were willing to be more cooperative with doctor's advice, but ironically 60% of the double syndrome's patients showed careless attentions on this category. Among these patients, 23.9% had smoking habit, and female patients consumed 3 cigarettes more compared to the national smoking surveys in 2009. The drinking behavior accounted for 21.3%, which was 15% lower than the national average. Furthermore, for every year of age increase, the risk might be 1.22 time higher, unmarried patients were 3.4 time higher for the risk and the divorced or widowed patients were 4 time higher for the risk. With same theory, the higher educational level might reduce the risks of these three syndromes. Patients with regular physical activity were more likely to comply the medical order with odds ratio of 0.458. The odds for both “ No Late Snacking” and “ No Desserts” were 0.363 and 0.393. The “Non Smoking” one has the best rate as 0.242. Conclusion: the treatments for chronic diseases such as these three syndromes rely on the implementation of health behavior. Patients with single syndrome had an average age of 35 years old. Among them, 47 % had not exercised over the past two weeks. They had higher intake of starch and meat, but less of aquatic products, vegetables, and fruit. Female smokers consumed more cigarettes than the national average. Therefore, for people over 30 years of age, health education and promotion should emphasize on the importance of an essential concepts for chronic disease prevention. Particularly, proper instructions from professional medical staff will definitely help patients on compliance behavior, and reduce the risks of double syndromes or triple syndromes that might induce complications. The future course of progress can be changed profoundly. To be concluded, changing health behaviors in patients with hypertension, type 2 diabetes mellitus, hyperlipidemia should have profoundly impacts on their health progess. Key words: Hypertension, Type 2 Diabetes Mellitus, Hyperlipidemia, Health Behavior.