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  • 學位論文

術後先天性心臟病學齡期兒童身體活動之探討

Physical Activity Levels of School-Aged Children With Post-Operation Congenital Heart Disease

指導教授 : 張碧真
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摘要


先天性心臟病為兒童常見之健康問題,隨著醫療進步,多數的先天性心臟病病童皆能在兒童早期接受手術矯正,改善心肺功能。研究指出先天性心臟病童在手術後其運動能力可達到與正常兒童相等的程度,但其實際身體活動程度是否能與正常兒童一樣,需進一步瞭解,以避免日後因低身體活動造成慢性病。因此,本研究目的在探討先天性心臟病學童與健康學童的身體活動之差異。   本研究採個案對照研究設計,以立意取樣34位年齡介於9至12歲並已接受完全矯正手術之先天性心臟病兒童與34位健康兒童為對照組。以三日身體活動紀錄量表(3d-PA)為個案主觀身體活動評估工具,RT3 Tri-axial加速器為客觀身體活動評估工具,連續監測三天的身體活動。 結果發現先天性心臟病男童的三日身體活動紀錄量表和RT3之總身體活動量皆顯著低於健康男童(t=-3.39, p<.05; t=-3.43, p<.05),並且先天性心臟病男童的身體活動程度也顯著低於健康男童(t=-2.29, p<.05),而先天性心臟病女童與健康女童的三日身體活動紀錄量表和RT3之總身體活動量則無顯著差異(t=0.58, p=.57; t=-0.27, p=.79),以及身體活動程度也無顯著差異(t=-0.51, p=.61)。先天性心臟病男童與健康男童的中重度身體活動量和時間無顯著差異(t=-0.53, p=.60; t=-0.09, p=.93),先天性心臟病女童與健康女童的中重度身體活動量和時間也無顯著差異(t=0.83, p=.41; t=0.91, p=.37)。 本研究認為先天性心臟病兒童之身體活動低於健康兒童,應該鼓勵先天性心臟病兒童從事更多身體活動尤其是中重度身體活動,本研究結果可作為日後醫療人員在指導先天性心臟病童身體活動之參考。

並列摘要


Congenital heart disease (CHD) is a common childhood health problem. Due to medical advances, most children with CHD receive correction surgery to improve cardiopulmonary function. Evidence indicates that their exercise capacity can reach the level of normal children after surgical repair. However, it is necessary to further investigate if their physical activity is comparable to their healthy peers to prevent chronic disease caused by low physical activity. The purpose of the study is to investigate the differences of physical activity level between health children and children after total correction for CHD. This study is a case-control design. A purposive sampling was used to recruit thirty-four CHD children aged between 9 to 12 and thirty-four age and gender- matched children. The data collection tools included Three-Day Physical Activity Record (3-d PAR) for subjective measurement and RT3 Tri-axial accelerator for objective measurement. Total energy expenditure of 3d-PAR and RT3 were lower for CHD boys than Healthy boys (t=-3.39, p<.05; t=-3.43, p<.05). Physical activity level was lower for CHD boys than Healthy boys (t=-2.29, p<.05). Total energy expenditure of 3d-PAR and RT3 did not differ between girls (t=0.58, p=.57; t=-0.27, p=.79). Physical activity level did not differ between girls (t=-0.51, p=.61). The level and time of moderate-to-vigorous physical activity did not differ between CHD boys and Healthy boys (t=-0.53, p=.60; t=-0.09, p=.93). The level and time of moderate-to-vigorous physical activity did not differ between CHD girls and Healthy girls (t=0.83, p=.41; t=0.91, p=.37). These results suggest that children with CHD engage in less physical activity than Health children. Hence, CHD children should be encouraged to engage in more physical activity especially moderate-to-vigorous physical activity. It can be used as clinical references for health professionals to physical activity among children with CHD.

參考文獻


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被引用紀錄


楊馥菱(2016)。先天性心臟病學童之能量平衡相關行為、健康體位及相關因素探討〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU201603694
陳紀雯(2010)。輕度先天性心臟病青少年運動行為之決定因素探討〔博士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342%2fNTU.2010.02886

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