原 著 論 文 營 養 診 斷 與 介 入 於 糖 尿 病 營 養 門 診 之 應 用 摘 要 ( international dietetics and nutrition terminology, IDNT ) ( nutrition diagnosis ) ( nutrition intervention ) 1352 (excessive carbohydrate intake)( inadequate fiber intake ) / ( overweight/obesity ) 38.3%15.1% 13.6% ( modify distribution, type, or amount of food and nutrients within meals or at specified time ) ( general/healthful diet ) 33.3% 24% 前 言 ( nutrition care process and model, NCP&M ) ( American dietetic association, ADA ) 60 08-73686836 2530 08-7374337 nu001@ptch.org.tw TJD 2010;2(2):23-30 Taiwan Journal of Dietetics
劉 純 君 等 2003 (1) 2008 (2) ( nutrition assessment ) ( nutrition diagnosis ) ( nutrition intervention ) ( nutrition monitoring and evaluation ) ( ) SOAP ( the Dutch association of dietitians ) ( systemized nomenclature of medicine-clinical term, SNOMED ) NUTRITION ASSESSMENT NUTRITION DIAGNOSIS NUTRITION MONITOR AND EVALUATION NUTRITION INTERVENTION Nutrition Care Process and Model (NCP&M) Lacey K, Pritchett E. Nutrition care process and model: ADA adopts road map to quality care and outcomes management. J Am Diet Assoc 2003; 103: 1061-1072.. 24.
(3) 方 法 2010 03 2010 06 2255 1352 IRB226A ( international dietetics and nutrition terminology, IDNT ) ( nutrition care process and model, NCP&M ) ( nutrition assessment ) ( nutrition diagnosis ) ( nutrition intervention ) ( nutrition monitoring and evaluation ) ( intake, NI ) ( clinical, NC ) / ( behaviorenvironmental, NB ) / ( food and/or nutrient delivery, ND ) ( nutrition education, E ) ( nutrition counseling, C ) ( coordination of nutrition care, RC ) / ( food/nutrition-related history, FH ) ( anthropometric measurements, AD ) ( biochemical tests and procedures, BD ) ( nutrition-focused physical findings, PD ) ( client history, CH ) (comparative standards, CS ) PES ( problem ) ( etiology ) ( signs&symptoms ) SPSS 10.0. 25.
劉 純 君 等 323 4 5 2007 2003 IDNT 2008 IDNT 結 果 1352 662 ( 49.0% ) 690 ( 51.0% ) 6112.4 9 92 293 ( 21.7% ) 517 ( 38.2% ) 207 ( 15.3% ) 234 ( 17.3% ) 101 ( 7.5% )( ) ( excessive carbohydrate intake ) 518 ( 38.3% ) ( inadequate fiber intake ) 204 ( 15.1% ) / ( overweight / obesity ) 184 ( 13.6% ) / ( not ready for diet/lifestyle change ) 139 ( 10.3% ) ( ) ( modify distribution, type, or amount of food and nutrients within meals or at specified time ) 450 ( 33.3% ) ( general/healthful diet ) 325 ( 24.0% ) ( goal setting ) 307 ( 22.7% ) ( motivational interviewing ) 263 ( 19.5% ) ( bioactive substance supplement administration schedule specify alcohol ) 7 ( 0.5% ) ( ) 662 (49.0%) 690(51.0%) 1352 1 () 60 12.9 62 11.9 6112.4 67(10.2%) 226(32.8%) 293(21.7%) 233(35.2%) 284(41.2%) 517(38.2%) 139(21%) 68(9.9%) 207(15.3%) 149(22.5%) 85(12.3%) 234(17.3%) 74(11.2%) 27(3.9%) 101(7.5%) 1. n (%). 26.
(n=1352) (%) ( excessive carbohydrate intake ) 518 (38.3%) ( inadequate fiber intake ) 204 (15.1%) /( overweight/obesity ) 184 (13.6%) /( not ready for diet/lifestyle change ) 139 (10.3%) ( excessive energy intake ) 105 (7.8%) ( excessive fat intake ) 41 (3.0%) ( excessive alcohol intake ) 25 (1.9%) ( inappropriate intake of types of carbohydrate ) 24 (1.8%) ( inability or lack of desire to manage self-care ) 23 (1.7%) ( food and nutrition-related knowledge deficit ) 17 (1.3%) 1. n(%) (n=1352) (%) ( modify distribution, type, or amount of food and nutrients within meals or at specified time ) 450 (33.3%) ( general/healthful diet ) 325 (24.0%) ( goal setting ) 307 (22.7%) ( motivational interviewing ) 263 (19.5%) ( bioactive substance supplement administration schedule specify alcohol ) 7 (0.5%) 1. n(%). 27.
劉 純 君 等 討 論 74% 45.4% ( excessive carbohydrate intake)( inadequate fiber intake ) / ( overweight/ obesity ) 67% / ( not ready for diet/ lifestyle change ) 10.3% / ( not ready for diet/lifestyle change ) ( excessive energy intake ) 7.8% ( excessive fat intake ) 3.0% ( excessive alcohol intake ) 1.9% / ( overweight/obesity ) (4) ( foodand nutrition-related knowledge deficit ) 1.3% ( modify distribution, type, or amount of food and nutrients within meals or at specified time ) ( general/healthful diet ) 57.3% ( goal setting ) ( motivational interviewing ) ( bioactive substance supplement administration schedule specify alcohol ) 7 25 ( excessive alcohol intake ). 28.
( excessive alcohol intake ) ( bioactive substance supplement administration schedule specify alcohol ) ( excessive alcohol intake ) ( modify distribution, type, or amount of food and nutrients within meals or at specified time ) ( general/healthful diet ) ( excessive alcohol intake ) ( bioactive substance supplement sdministration schedule specify alcohol ) ( Likert ) 4.25 4.59 (5) 結 論 誌 謝. 29.
劉 純 君 等 參 考 文 獻 1. Lacey K, Pritchett E. Nutrition care process and model: ADA adopts road map to quality care and outcomes management. J Am Diet Assoc. 2003, 103:1061-1072. 2. Writing group of the nutrition care process/ standardized language committee. Nutrition Care Process and Model Part I. The 2008 Update. J Am Diet Assoc 2008,108:1113-1117. 3. Spahn JM, Reeves RS, Keim KS, Laquatra I, Kellogg M, Jortberg B, Clark NA. State of the evidence regarding behavior change theories and strategies in nutrition counseling to facilitate health and food behavior change. J Am Diet Assoc. 2010;110(6):879-91. 4. 2000;13(3:52):1-17 5. Safran C, Bloomrosen M, Hammond WE, Labkoff S, Markel-Fox S, Tang PC, Detmer DE, Expert Panel. Toward a national framework for the secondary use of health data: an American medical informatics association white paper. J Am Med Inform Assoc 2007;14:1-9.. 30.