Wu Ya-Ke, Lin Chiu-Chu
Kaohsiung Veterans General Hospital & Graduate Student, Graduate Insitute of Nursing, Kaohsiung Medical University, ROC.
Hu Li Za Zhi. 2011 Aug;58(4):99-105.
Obesity is often caused by an unhealthy lifestyle, which is a composite of various individual behaviors. Nurses may assist obese patients to lose weight and avoid chronic disease by identifying risky lifestyle behaviors and helping to develop improvement strategies. This article describes the nursing experience of the authors in caring for an obese patient who had made several unsuccessful attempts to reduce weight. An intervention approach was used to review the patient's lifestyle. Using self-regulation theory, the authors identified that the patient's fat-related daily behavior included: lack of exercise, high-fat diet, and daily snacks consumed even late at night. The authors also helped the patient discover the reasons underlying his fat- related behavior and his previous failed attempts to lose weight and to develop a feasible improved approach that considered such. After six weeks of care, the patient's body weight had reduced and body fat and body mass index had decreased with no relapse. The patient further lost significant weight and body fat during the three-month follow up period. The authors would like to share with nursing professionals this approach to weight loss, with the hope that this case study can contribute to medical efforts to help obese patients not only lose weight but also prevent chronic illnesses.
肥胖通常由不健康的生活方式引起，而这种生活方式是多种个人行为的综合体现。护士可以通过识别有风险的生活方式行为并帮助制定改进策略，协助肥胖患者减肥并预防慢性病。本文描述了作者护理一名多次减肥尝试均未成功的肥胖患者的经历。采用了一种干预方法来审视患者的生活方式。运用自我调节理论，作者发现患者与肥胖相关的日常行为包括：缺乏运动、高脂饮食以及甚至深夜仍食用日常零食。作者还帮助患者找出其与肥胖相关行为以及先前减肥失败尝试背后的原因，并据此制定了一种可行的改进方法。经过六周的护理，患者体重下降，体脂和身体质量指数降低，且未出现反弹。在三个月的随访期内，患者进一步大幅减轻了体重和体脂。作者希望与护理专业人员分享这种减肥方法，希望该案例研究能有助于医疗工作，帮助肥胖患者不仅减轻体重，还能预防慢性病。
