[[alternative]]The Effectiveness of Health Management Platform Intervention on Health Behavior and Health Indicators among Career Women with Metabolic Syndrome risk factors

[[abstract]] 代謝症候群個案需要飲食及運動等日常生活之健康管理，然而對於忙碌的職業婦女而言，執行正確的健康管理，較難確實做到。本研究採實驗研究，於北區某一區域級教學醫院，研究期間為98年12月至99年06月，以健康管理平台介入代謝症候群危險因子的職業婦女，進行1.5個月和3個月的縱貫性的追蹤評值。運用以下工具及訪談，評值健康管理平台的成效：（1）健康行為量表（2）健康指標，包括：測量血糖，血脂，腰圍，體重，血壓。（3）實驗組職業婦女使用健康管理平台之主觀經驗評值。健康行為方面以Mixed model分析 於前測、1.5個月及3個月之介入成效，健康指標方面以重覆測量ANCOVA進行分析。實驗組為31人，控制組為32人，就整體而言，健康管理平台介入後於1.5個月及3個月後，實驗組較控制組有顯著提高運動方面的健康行為（β＝2.55，P= 0.025）。健康指標在介入後3個月：腰圍減少 2.63公分(P=0.046），血糖降低 5.86mg/dl(P=0.040），代謝症候群危險因子減少0.59個因子(P=0.009）。因此，健康平台介入三個月後能有效增加其健康行為、血糖及腰圍，而且實驗組有兩人成功脫離代謝症候群。參與實驗組的婦女覺得透過平台有人在關心及促進健康行為，能輕鬆便捷獲得健康訊息，並協助她們建立監測與評估自己的健康狀態。綜合以上結果，健康管理平台讓職業婦女建立自我監測和照護，可以進行各相關機構推廣或健康促進人員執行以維護職業婦女健康。[[abstract]] People with Metabolic syndrome need health management to modify their diet and exercise in daily life. However, it is difficult for the busy career women to perform the right way of health management for their metabolic syndrome. This research applied experimental study design. The purposes was to evaluate the longitudinal effects, after 1.5month and 3 month, of a internet health management platform（IHMP） intervention for career women with metabolic syndrome risk factors. This study was conducted at one region teaching hospital in Taipei city during December, 2009 to June, 2010. There were two instruments and one interview for the evaluation effects of IHMP : （1）the practice of health behaviors scale （2）the health indicators including the measurement of blood sugar, Lipid profile, waist circumstance, body weight, blood pressure. （3）the subjective experiences of using internet platform of health management for women in experimental group. The intervention effects from the study baseline to 1.5month and 3month follow-up were estimated using the mixed effect model for repeated measures of health behaviors and using ANCOVA for health indicators. A total of 31 women were in the experimental group, while 32 women were in the control group. After 1.5mont and 3 month follow-up, IHMP intervention had significantly increased the practice of exercise health behavior（β=2.55,P =0.025）. Meanwhile, IHMP intervention had significantly decreased the following health indicators after 3 moth follow-up : the waist circumstances（β=-2.63,P =0.046）,blood sugar（β=-5.86,P = 0.040） and metabolic syndrome risk factors(β=-0.59,P =0.009) .In addition, There were two women in experimental group had successfully reversed from metabolic syndrome to normal cases. Women in experimental group expressed that IHMP can provide them an easy and friendly access to health information, help them to establish self monitoring and evaluating their own health status, knowing someone else to concern their health and push them to practice health behaviors. IHMP can be recommended to other companies or organization for the health promotion for staff in the future