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中高齡者肥胖成因及其對應行為態度之研究 : 以長期肥胖者為例

紀錄類型:	書目-語言資料,印刷品 : 單行本
副題名:	以長期肥胖者為例
作者:	鄭秀敏,
其他作者:	詹秀員,
出版地:	[南投縣]
出版者:	南開科技大學福祉科技與服務管理研究所;
出版年:	民103[2014]
面頁冊數:	159葉 : 圖,表 ; 31公分+1張光碟
標題:	中高齡者
標題:	The elderly
電子資源:	https://hdl.handle.net/11296/9ydffj
附註:	指導教授: 詹秀員
附註:	參考書目: 葉148-157
附註:	碩士論文--南開科技大學福祉科技與服務管理所
摘要註:	隨著當代國民生活飲食型態，肥胖已成為世界流行病，肥胖不僅是導致中高齡者罹患各類慢性病的無形殺手，更是增加家庭及國家醫療照顧負擔的元凶。由於研究者本身為基層診所管理者，為關懷當代中高齡者致胖原因、肥胖對其身心健康之影響及其因應對策等議題，本研究採質性研究之立意取樣原則，選取五位長期肥胖的中高齡者為研究對象，進行深度訪談蒐集相關資料。研究分析結果發現：（1）受訪者肥胖多發生於成年期，致胖原因以代謝緩慢居多；（2）肥胖對受訪者生理層面的影響，以罹患骨骼神經系統和代謝症候群慢性疾病居多；（3）肥胖對受訪者心理層面的影響，常因體態變形造成自我概念低落與逃避人際互動為主；（4）肥胖對受訪者家庭層面的影響，以需添購衣物及仰賴他人照顧而增加經濟及照顧負擔為主；（5）肥胖對受訪者社會層面的影響，由於參與社會活動類型受限而形成社會退縮現象；（6）面對肥胖受訪者曾嘗試較激烈的偏方或較溫和的飲食控制等，但皆無具體減重成效；（7）受訪者自評減重失敗原因以擔心偏方對身體有害及自我意志力薄弱為主；（8）受訪者當前面對肥胖之態度，雖各有積極的健康管理概念但行動上卻呈現消極放任態度。本研究依研究結論，提出相關建議如下：（1）對中高齡肥胖者建議：A.及早自我健康管理，預防肥胖上身；B.落實養成規律運動習慣，促進新陳代謝；C.突破自我心理障礙，積極參與社區學習活動，獲得健康資訊。（2）對中高齡者家屬的建議：A.健康管理應以「家」為單位，進行飲食調控，避免家人肥胖；B.積極蒐集健康管理相關資訊，提供家人分享並共同實踐；C.支持與關心家中肥胖者，進行健康管理。（3）對政府相關單位的建議：A.國民健康署應利用各種管道宣導預防肥胖之方法及增進國人健康，和有關健康宣導資源能適時給予中高齡者；B.社政單位應利用各社區關懷照顧據點，提供健康管理課程及運動場地專供中高齡者使用；C.教育單位應利用社區大學及樂齡大學推廣健康管理課程，並於高等學府培訓健康管理教師。（4）對未來研究者的建議：能擴大研究取樣範圍，有更多醫學專業資訊及文獻提出理論與探討。以上相關建議，期作為協助長期肥胖的中高齡者突破健康管理困境，積極參與社會以增進身心健康、減輕家庭及社會照顧負擔之參考。

中高齡者肥胖成因及其對應行為態度之研究 : 以長期肥胖者為例
鄭, 秀敏

中高齡者肥胖成因及其對應行為態度之研究 : 以長期肥胖者為例 / 鄭秀敏 - [南投縣] : 南開科技大學福祉科技與服務管理研究所, 民103[2014]. - 159葉 ; 圖,表 ; 31公分.
指導教授: 詹秀員參考書目: 葉148-157碩士論文--南開科技大學福祉科技與服務管理所.
中高齡者The elderly

詹, 秀員

中高齡者肥胖成因及其對應行為態度之研究 : 以長期肥胖者為例
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330 $a 隨著當代國民生活飲食型態，肥胖已成為世界流行病，肥胖不僅是導致中高齡者罹患各類慢性病的無形殺手，更是增加家庭及國家醫療照顧負擔的元凶。由於研究者本身為基層診所管理者，為關懷當代中高齡者致胖原因、肥胖對其身心健康之影響及其因應對策等議題，本研究採質性研究之立意取樣原則，選取五位長期肥胖的中高齡者為研究對象，進行深度訪談蒐集相關資料。研究分析結果發現：（1）受訪者肥胖多發生於成年期，致胖原因以代謝緩慢居多；（2）肥胖對受訪者生理層面的影響，以罹患骨骼神經系統和代謝症候群慢性疾病居多；（3）肥胖對受訪者心理層面的影響，常因體態變形造成自我概念低落與逃避人際互動為主；（4）肥胖對受訪者家庭層面的影響，以需添購衣物及仰賴他人照顧而增加經濟及照顧負擔為主；（5）肥胖對受訪者社會層面的影響，由於參與社會活動類型受限而形成社會退縮現象；（6）面對肥胖受訪者曾嘗試較激烈的偏方或較溫和的飲食控制等，但皆無具體減重成效；（7）受訪者自評減重失敗原因以擔心偏方對身體有害及自我意志力薄弱為主；（8）受訪者當前面對肥胖之態度，雖各有積極的健康管理概念但行動上卻呈現消極放任態度。本研究依研究結論，提出相關建議如下：（1）對中高齡肥胖者建議：A.及早自我健康管理，預防肥胖上身；B.落實養成規律運動習慣，促進新陳代謝；C.突破自我心理障礙，積極參與社區學習活動，獲得健康資訊。（2）對中高齡者家屬的建議：A.健康管理應以「家」為單位，進行飲食調控，避免家人肥胖；B.積極蒐集健康管理相關資訊，提供家人分享並共同實踐；C.支持與關心家中肥胖者，進行健康管理。（3）對政府相關單位的建議：A.國民健康署應利用各種管道宣導預防肥胖之方法及增進國人健康，和有關健康宣導資源能適時給予中高齡者；B.社政單位應利用各社區關懷照顧據點，提供健康管理課程及運動場地專供中高齡者使用；C.教育單位應利用社區大學及樂齡大學推廣健康管理課程，並於高等學府培訓健康管理教師。（4）對未來研究者的建議：能擴大研究取樣範圍，有更多醫學專業資訊及文獻提出理論與探討。以上相關建議，期作為協助長期肥胖的中高齡者突破健康管理困境，積極參與社會以增進身心健康、減輕家庭及社會照顧負擔之參考。 $u With contemporary national life eating patterns, obesity has become an epidemic in the world, obesity is not only the invisible killer which is the cause of the elderly suffering from various types of chronic diseases, but also the culprit increasing the burden on families and national health care. As the researcher who is a manager of the clinic, in order to care for the reasons why the contemporary elderly become fat, the impact of obesity on their physical and mental health issues and their coping strategies. The qualitative purposive sampling method is employed in this study. Five elders with long-ter obesity are selected for the subjects of the study and utilize in-depth interviews to gather relevant information.Analysis results showed that: (1) Respondents mainly began to gain weight in adulthood, their obese reasons are mainly due to slow metabolism;(2) The influences on the physiological aspects of the respondents toward obesity are most of them were affected with chronic diseases such as skeletal nervous system and metabolic syndrome; (3) The influences on psychological aspects are mostly low self-concept followed by evading in interpersonal interaction due to figure deformation; (4) The influence on obesity in family aspect to the respondents are mainly the clothes of purchase and relying on others’ care which increase ecomomical and caring burden; (5) The influence on obesity in social dimension to the respondents is the type of social activities participation is limited and causes social withdrawal phenomenon; (6) Obese respondents had tried more intense folk remedies or more moderate diet control, etc., but there are no specific weight loss results; (7) The weight loss failure reasons which respondents self-assess are worry about the harmful remedies and weak self-determination; (8) As for the current attitudes of respondents towards obesity, although they have their own proactive health management concepts but have negative actions, laissez-faire attitudes.According to the results of this study, some suggestions are listed as follows: First, the recommendations to the obese elderly:(1) Do self-health management early to avoid having an obese body; (2) Implement regular exercise habits to promote metabolism;(3) break through the psychological barrier and participate in community learning activities aggressively to gain health information. Second, suggestions to the families of the elderly: (1) Health management should be based on "home" as a unit and control the diet to prevent families from getting obese; (2) Actively collect health management information and provide families to share; (3) Support and care obese people in the family and reinforce health management. Third, suggestions to government agencies concerned: (1) Health Promotion Administration should apply a variety of methods to strengthen obesity prevention advocacy; (2) Social affairs agency should take advantage of each caring site in the community to provide health management programs and sports venues; (3) Educational institutions advocate health management should be established on the foundation, it should start from junior high, primary schools and train the teachers of health management in prestigious colleges. Fourth, the suggestion for future researchers: expand the scale of population and range on samples, there should be more professional information and literature reviews. More theories and discussions should be involved in the future study.The above recommendations are aimed at assisting the elderly with long-term obesity break through health management difficulties, actively involve in the society to improve physical and mental health and reduce the burden of the family and social care for reference.
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