| Summary: | 碩士 === 國立台北護理學院 === 護理研究所 === 98 === Metabolic syndrome has been viewed as an important health issue by all governments around the world and the academia in recent years. Under the influence of lifestyle and side effect of medication, psychiatric patients suffer from a significantly higher prevalence rate of metabolic syndrome than general population. Enhancing clinical nurses’ care ability to solve this serious problem will thus be an imperative task in the future. The purpose of the present study was to construct and standardize the process of coaching psychiatric patients with metabolic syndrome to perform aerobics and confirm nurses’ ability to execute the process. Based on the results, this study designed modular-based curriculums and instructions to provide a basis for training nursing coaches of aerobic exercise for psychiatric patients with metabolic syndrome. The research comprised three stages. In the first stage, the researcher first reviewed domestic and foreign literatures associated with metabolic syndrome mechanisms and aerobic exercise. Later, the researcher obtained an international certification for professional fitness instructors and integrated his clinical experience in psychiatric nursing to construct a tentative process of coaching psychiatric patients with metabolic syndrome to perform aerobics. The ability to execute the process was confirmed, and modular-based curriculums were developed in this stage. In the second stage, the researcher engaged in the design of a tree structure, creation of instructional materials, and editing of modular-based curriculums. The third stage was focused on examination of the quality of the curriculums and the instructional design. Two focus-group interviews were also conducted in this stage. 13 senior nursing specialists in the psychiatric department of Hospitals of Department of Health were invited to participate in the first focus-group interview, and 5 experts, including psychiatric physician, fitness trainer, nutritionist, and senior nursing specialists were invited to participate in the second focus-group interview. These participants discussed the process of coaching psychiatric patients with metabolic syndrome to perform aerobics, design of modular-based curriculums, and evaluation methods. Their conclusions were analyzed and used as a basis for modifying the modular-based curriculums and the instructional design.
The results are as follows: (1) The process of coaching psychiatric patients with metabolic syndrome to perform aerobics was standardized and the ability to execute the process was confirmed. (2) Five modular-based curriculums were developed, including: 1. prerequisite knowledge about coaching psychiatric patients with metabolic syndrome to perform aerobic exercise; 2. issues regarding safety of aerobic exercise of psychiatric patients with metabolic syndrome; 3. the process of coaching psychiatric patients with metabolic syndrome to perform aerobics; 4. common situations of and decisions for metabolic syndrome in psychiatric sickrooms; 5. fitness and exercise prescription. (3) Learning goals, evaluation indexes and guidelines, learning activities, evaluation methods and tools were designed for each modular-based curriculum. (4) A learner manual about the modular-based curriculums on coaching psychiatric patients with metabolic syndrome to perform aerobics was designed. The results of this research could be a basis for training nursing coaches of aerobic exercise for psychiatric patients with metabolic syndrome. Moreover, it could also serve as a reference for medical institutions, Psychiatric Mental Health Nurses’ Association, and related regional associations on arrangement of continuing education or on-the-job training.
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