運動教育介入對心臟病學童之社會心理因素及身體活動量影響之探討

Effects of Exercise Education Intervention in Improvement of Psychosocial Factors and Physical Activity among Children with Heart Disease

高毓秀(Yu-Hsiu Kao) ； 廣怡秀(Hsiu Kuang) ； 黃奕清(Yi-Ching Huang)

《醫護科技期刊》 13卷1期 (2011/03) Pp. 1-13

https://doi.org/10.6563/TJHS.2011.13(1).1

摘要

目的：增加兒童時期的身體活動量，將會提升成年以後的身體活動能力與生活品質，因此，本研究將探討心臟病兒童在運動教育介入之運動社會心理因素及身體活動量之成效，以促進運動行為認知及增加身體活動量。方法：以立意取樣方式選擇台北市北投區國小四至六年級心臟病學童為研究對象，最後完成前後測之有效個案有31位。研究工具之結構式問卷內容包括個人資料、運動認知量表、自覺運動利益量表、自覺運動障礙量表、運動自我效能量表及身體活動量。運動教育介入內容包括教學活動及每月一次共三次的訪視活動。結果：研究結果顯示運動教育介入能顯著提高研究對象之運動認知及自覺運動利益，並有效的提升假日中重度身體活動量，但對於降低自覺運動障礙及提高運動自我效能與平日身體活動量卻無預期之顯著效果。結論：本研究結果能做為未來有關心臟病學童運動教育介入實務推廣及相關研究之參考。

關鍵字

心臟病學童 ； 社會心理因素 ； 身體活動量

並列摘要

Purposes: Increasing physical activity in children improves levels of physical activity and the quality of life in adulthood. Thus, the purpose of this study was to explore the improvement of psychosocial factors and physical activity in children with heart disease after exercise education intervention in order to increase cognition of exercise behavior and physical activity. Methods: Thirty-one children in the fourth, fifth, and sixth grades who had been diagnosed with heart disease and were enrolled in elementary schools in the Pei-tou district of Taipei were recruited through purposive sampling. Pre- and post-tests were given. Structural questionnaires included subject variables, perceived benefits of exercise, the amount of physical activity, and scales of exercise cognition, perceived barriers to exercise, and perceived self-efficiency of exercise. The exercise education intervention included teaching activities and *three visits each month. All participants were visited three times each month for three months, and the exercise education intervention, including teaching activities, was given. Results: Our study shows that exercise educational interventions were able to significantly enhance exercise cognition and perceived exercise benefits, and to increase moderate-to-vigorous physical activity on weekends. However, there weren’t able to significantly decrease perceived exercise barriers, promote exercise self-efficacy, and increase physical activity on weekdays. Conclusions: The results of this study may serve as a reference for both exercise education intervention and research in children with heart disease.

並列關鍵字

Heart disease children ； psychosocial factors ； physical activity

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