新營醫院投稿 21nd HPH 期刊

本文全為自己傳寫、設計問卷、問卷調查、跑SPSS、分析及翻譯的

Study of cognition questionnaire of weight-loss in hospital and neighboring communities: An instance in a hospital in southern Taiwan.

SinYing Hospital, Ministry of Health and Welfare, Republic of China.

Ya-Fang, Wang 、Chine-Chun, Chen、Shuen-fa, Lin、Hua-Kuei, Li、Li-Lan, Huang、Cheng-Chin, Pan

Abstract introduction:

Related diseases that arise from overweight are cardiovascular disease, diabetes, high cholesterol and high blood pressure, etc. Regular weight control activities not only prevent "re fat" but also achieve a healthy effect. Cognition influence behavior, behavior affects the results. First of all is to find out people's cognition of weight-loss. Based on community, we surveyed cognition of weight-loss of community residents, to provide enhancement or reference direction of weight-loss cognition in the future.

The main purpose of this study is to find out the cognition of weight-loss in the hospital and neighboring communities, we use questionnaire survey in order to compare and discuss the differences between cognition and behavior of weight-loss of respondents in SinYing hospital and neighboring communities, after the discussion and analysis, put forward as the direction for future research.

Purpose/Methods:

The questionnaire is restricted by the areas and scale, therefore in the proximity of the hospital and neighboring communities, discussion on the staff, volunteers, patients and community residents design a questionnaire for cognition of healthy weight-loss.

Name of Questionnaire: Cognition questionnaire of healthy weight-loss

Content of Questionnaire: Basic data, the most effective methods of weight-loss, the correct methods of weight-loss, rapid weight-loss is easy regain weight, satisfaction of my figure now, with or without weight-loss experience, the reason of weight-loss and the mean duration of weight-loss program etc. total 8 items.

Date of Questionnaire: June 1, 2012 to November 31, 2012

Area of Questionnaire: SinYing Hospital (SinYing District, Tainan city, Taiwan, R.O.C.) and neighboring communities.

Object of Questionnaire: Staffs, volunteers and patients of hospital, community residents.

Persons of Questionnaire: 500 people

Definition of BMI: This article roughly divided BMI (Body Mass Index) into three kinds of weight: BMI < 18.4 is underweight; 18.5 ≦ BMI ≦ 23.9 is normal weight; BMI ＞ 24 is overweight.

Data sources are from the questionnaire, SPSS carry out cross-comparison and then analysis the data, in order to compare and discuss the differences between cognition and behavior of weight-loss of respondents in SinYing hospital and neighboring communities as the direction of future studies.

Results:

The healthy weight-loss issues results are as follows:

Statistical results of basic data of respondents are as follows:

Gender:

Age：

Education:

Identity of respondents:

BMI：

Regular exercise (30 minutes or more per day):

Five fruits and vegetables every day:

Via the statistical results, there are 287 people have regular exercise habit (excercise control), account for 57.4% and there are 306 people have five fruits and vegetables every day (diet control), account for 61.2%.

Topics of Questionnaire:

1. Most effective weight-loss methods that you think. This is multiple response questions, the finding of top three are:

2. Most proper weight-loss methods that you think. This is multiple response questions, the finding of top three are:

From the results presented in this population of survey, the most effective proper weight-loss methods are: exercise, eating smaller meals more frequently and diet are among the top three. Means that the cognitive aspects of weight-loss of majority respondent are fit with the advocacies of healthy weight-loss method from the Ministry of Health and Welfare: Eating smart, exercise happily. That is, from diet and exercise two elements carried on weight control.

The population of survey divided into three kinds of weight with BMI and Survey content (rapid weight-loss is easy regain weight, satisfaction of my figure, with or without weight-loss experience, the reason of weight-loss and the mean duration of weight-loss program etc.) carry out cross-comparison, the results are as follows:

Table 1: Cross-comparison results with BMI and rapid weight-loss is easy regain weight

The results show that:

Rapid weight-loss is easy regain weight, respondents of the majority show Agree have 233 people account for 46.7%; followed Strongly Agree have 137 people account for 27.5%. That is, in the cognitive concept, 74.15% of people agree that rapid weight-loss is easy regain weight.

Table 2: Cross-comparison results with BMI and satisfaction of my figure now

The results show that:

Respondents of the majority show general satisfaction of their figure now; followed Disagree.

Interestingly, normal weight (18.5 ≦ BMI ≦ 23.9) group show Disagree and Strongly Disagree with the satisfaction of their figure now have 99 people, account for 36.9%. Agree or strongly agree have 48 people, account for 17.9%;

And overweight (BMI ＞ 24) group show Disagree and Strongly Disagree with the satisfaction of their figure now have 56 people, account for 27.5%. Agree and strongly agree have 75 people, account for 36.8%.
     Compared to overweight group and normal weight group, overweight group show higher  satisfaction of their figure than normal weight group; normal weight group have higher self cognitive required standard of figure than overweight group, it seems correspond to a Chinese proverb, ”心寬體胖xīnkuāntǐpàng” means optimistic and cheerful mood, carefree life, the body's naturally fattening.

Table 3: Cross-comparison results with BMI and with or without weight-loss experience

The results show that:

Normal weight group (18.5 ≦ BMI ≦ 23.9) also have experience of weight-loss are 153 people, account for 57.1%;

  Overweight group (BMI ＞ 24) also have experience of weight-loss are 126 people, account for 61.8%. Show that either normal weight or overweight groups, there are nearly sixty percent people had weight-loss experience.

Table 3 compare to Table 2:

Table 3, although 57.1% of normal weight group have experience of weight-loss, but Table 2 normal weight group show Disagree and Strongly Disagree with the satisfaction of their figure now account for only 36.9%;

Table 3, 61.8% of overweight group despite have weight-loss experience, but Table 2 overweight group show Disagree and Strongly Disagree with the satisfaction of their figure now account for only 27.4% ;

Table 2, the self cognitive of satisfaction of their figure in overweight group: General, Agree, Strongly Agree with 72.5%, indicated that the majority of overweight people think their figure as good or acceptable.

Also overweight people of the total number acount for 40.9%, amount them only 61.8% have experience of weight-loss, 38.2% actually don’t have experience of weight-loss, which explain nearly forty percent of overweight people on the cognitive aspects of satisfaction of their figure as good or acceptable, do not think weight-loss is necessary. While sixty percent of overweight people despite have weight-loss experience, and overweight people show the satisfaction of their figure as well as Disagree and Strongly Disagree only account for 27.4%, this point is also show that overweight people think their figure as good or acceptable.

Table 4: Cross-comparison results with BMI and The reason of weight-loss

The results show that:

In the cognitive aspects, three BMI groups are considered that healthy is the most important reason for the weight-loss, account for 84%.

Table 5: Cross-comparison results with BMI and The mean duration of weight-loss program

The results show that:

In the practice aspects, 188 respondents account for 51.2%, their weight-loss program were within a month, more than half of the respondents were only do short-term weight-loss program. 102 respondents account for 27.8% of the total number. Their weight-loss program has never stopped.

Conclusions:

The results of the questionnaire, responses of the respondents in the cognitive aspects of weight-loss on exercise, eating smaller meals more frequently and diet are consistent in healthy weight-loss which is start weight-loss program from exercise and diet. Also in the cognitive aspects nearly seventy percent of people agree that rapid weight-loss is easy regain weight, but in practice aspects, about fifty percent of people taken short-term weight-loss program. There is a considerable gap on cognitive and practice aspects of short-term weight-loss.

Cognition influence behavior, behavior affects the results. The recommends in the future is strengthened in the direction of cognition of healthy weight-loss: 1.Sustained and persevering excerice or 2.Cultivate all citizens excerice habits or 3.Lifetime excerice are three main contents of healthy weight-loss to be propagate in the future.