探討參與社區健康營造活動對高齡者健康體適能之影響

The study on the influence of participation in community health building activity on health-related physical fitness of the elderly

彭筱芸(Hsiao-Yun Peng)

指導教授 ： 鄭雅愛 ； 高月慈

義守大學/醫學院/醫務管理學系/碩士(2016年)

摘要

本研究的目的是透過健康體適能檢測的方式，來驗證社區健康營造活動對高齡者健康體適能有無影響，希望能透過此研究所得出的結果與建議，作為今後推廣高齡者相關社區健康營造計畫的參考。以高雄市四個行政區共六個社區健康營造據點之高齡者為對象進行健康體適能檢測，分為無參與活動組307名，以及有參與活動組196名，合計503位為本研究之受測對象。分析方法以描述性統計進行樣本分析，採用獨立樣本t檢定法、單因子變異數分析統計方法(One-way ANOVA)進行差異比較，最後再進行事後比較。研究結果發現，高齡者的健康體適能的狀況除了上肢肌力與下肢肌力之外，都是有參與活動組優於無參與活動組。因此，參與社區健康營造活動對高齡者健康體適能是有幫助的。本研究認為參與社區健康營造活動可以有效的提昇健康體適能，因此建議能夠確實的實施參與社區健康營造活動的計畫，並且對肌力與肌耐力進行針對式的加強，以達到提升健康體適能的目標。

關鍵字

高齡者 ； 健康體適能 ； 社區健康營造

並列摘要

This study investigated whether participation in community health building activities influenced the health-related physical fitness of elderly people by performing a physical fitness assessment. The results of this study can serve as a reference for promoting community health activities designed for elderly people. A total of 503 elderly people from six centers for community health building activities in four administrative districts in Kaohsiung City participated in this study. These elderly people received health-related physical fitness assessments and were divided into two groups: those who did not participate in community health activities (307 elderly people) and those who participated in community health activities (196 elderly people). Descriptive statistics, an independent-samples t test, a one-way analysis of variance, and post hoc comparisons were applied to analyze samples. According to the results, the health-related physical fitness of elderly people who participated in community health activities was superior to that of elderly people who did not participate in community health activities except regarding the muscle strength of their upper and lower limbs. Therefore, participation in community health building activities helped elderly people improve their health-related physical fitness. We concluded that participation in community health building activities effectively enhances the health-related physical fitness of the participants. Thus, we suggest that elderly people should be encouraged to participate in community health building activities and their muscular strength and endurance should be reinforced to enhance their health-related physical fitness.

並列關鍵字

elderly ； health-related physical fitness ； community health building

參考文獻

王秀紅(2000)。老年人的健康促進-護理的涵義。護理雜誌，47(1)，19-25。

王瑞霞、邱啟潤(1996)。老年人體能活動參與及其相關因素的探討。The Kaohsiung Journal of Medical Sciences，12(6)，348-358。

中文部分

于漱、楊桂鳳(2003)。在地化：社區健康營造永續發展的策略。臺灣醫學，7(1)，132-136。

內政部統計處(2015)。內政統計通報104年第3週。取自 http://sowf.moi.gov.tw/stat/week/list.htm