Department of Nutrition, China Medical University, Taichung 40402, Taiwan.
Department of Dietetics, Yunlin Christian Hospital, No. 375, Shichang S. Rd.Xiluo Township, Yunlin 64866, Taiwan.
Int J Environ Res Public Health. 2021 Feb 5;18(4):1543. doi: 10.3390/ijerph18041543.
This study was the first institution-wide health promotion program in Taiwan to apply the five priority areas for taking action in public health highlighted in the Ottawa Charter for diabetes patients. We aimed to improve the quality of home care received by diabetic patients by training health care professionals in health promotion. This program consisted of developing personal skills, reorienting health services, strengthening community actions, creating supportive environments, and building healthy public policy. It was applied in the Yunlin Christian Hospital located in central Taiwan from August 2011 to November 2011. A health-promoting education course consisting of weight control, diabetes care, and quality management for diabetes was developed and applied to all 323 hospital staff. Then, hospital staff volunteers and diabetes patients were recruited to participate in the program. A total of 61 staff volunteers and 90 diabetes patients were involved in this study. Staff volunteers were trained to participate in communities to provide care and guidance to patients with diabetes. The World Health Organization Quality of Life(WHOQOL)-BREF-Taiwan Version questionnaires were investigated before and after implementation of this program for the patients. A health-promoting lifestyle profile questionnaire was filled by the staff. The investigation data were then analyzed by statistical methods. The diabetes patients experienced a significant increase in their satisfaction with health and health-related quality of life as well as significant improvements in health-promotion and self-management behaviors ( < 0.05). In addition, staff volunteers significantly consumes food from the five major groups than the other staff ( < 0.05). Various improvements in health-promoting behaviors were observed amongst the hospital staff and the diabetic patients. Our project could be a reference for other medical organizations to implement an institution-wide health-promotion program for diabetic patients.
本研究为台湾首家以渥太华宪章所强调之五大公共卫生行动优先领域，针对糖尿病患来规划全院健康促进方案，希望能提升糖尿病患之居家照护品质，以促进健康之专业人员来进行健康促进之训练。此方案包含发展个人技能、重新调整卫生服务、强化社区行动、营造支持性环境以及建立健康公共政策。本方案于 2011 年 8 月至 11 月在台湾中部之云林基督教医院实施，规划一系列健康促进课程，包括体重控制、糖尿病照护及糖尿病质量管理，施予院内 323 位员工，接著招募院内员工志工与糖尿病患参与。本研究共招募 61 位员工志工与 90 位糖尿病患，员工志工接受训练后，将进入社区，为糖尿病患提供照护与指导。在实施方案前后，利用世界卫生组织生活质量简表（WHOQOL-BREF-Taiwan Version）问卷调查病患之生活质量，由员工填写健康促进生活型态量表，以统计方法分析资料。糖尿病患于健康与健康相关生活质量之满意度明显增加，健康促进与自我管理行为亦明显改善（ < 0.05）。此外，员工志工之五大类食物摄取量明显多于其他员工（ < 0.05）。本研究发现医院员工与糖尿病患之健康促进行为皆有各种程度之改善。本研究方案可作为其他医疗院所规划全院性糖尿病患健康促进方案之参考。
