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冠狀動脈繞道術患者最大攝氧量、自覺體能效能及生活品質之探討

An Investigation of Maximal Oxygen Uptake, Fitness Self-Efficacy, and Quality of Life Among Coronary Artery Bypass Graft Patients

Abstracts


本研究之目的在探討國內冠狀動脈繞道術患者術後之最大攝氧量、自覺體能效能和生活品質,並分析最大攝氧量和自覺體能效能對生活品質之影響。以立意取樣法選取47位符合條件之個案爲對象,以跑步機運動測試來估算其最大攝氧量,測量工具包括自覺體能産能量表和生活品質量表。結果顯示,冠狀動脈繞道術患者之最大攝氧量爲5.48mets,自覺體能效能在中下程度,生活品質指數在中上程度,且身體功能層面明顯低於心理功能層面(t=4.67,P<0.0001)。年齡是唯一能有效預測自覺體能效能的變項,其解釋力爲12.6%。最大攝氧量的主要預測變項爲年齡和身體肌肉指數,二者之解釋力達24.9%。自覺體能效能是決定生活品質總指數的決定變項,其解釋力爲35.1%。研究結果可提供擬定改善冠狀動脈繞道術患者生活品質策略之能攷。

Parallel abstracts


The purpose of this study was to explore maximal oxygen uptake (VO2 max), fitness self-efficacy, and quality of life (QOL), and to examine the impact of VO2 max and fitness self-efficacy on QOL, among coronary artery bypass graft (CABG) patients. A total of 47 subjects who met the selection criteria were selected from a medical center. A graded exercise test was performed to estimate each subject’s VO2 max. Fitness self-efficacy and QOL were measured by the 18-item Fitness Self-Efficacy Scale and the SF-36, respectively. The results of the study revealed that the average VO2 max was 5.48 mets. A subjects’ fitness self-efficacy was medium low and QOL was medium high. The average score in the physical dimension of QOL was significantly lower than in the mental health dimension. Age was a significant predictor of fitness self-efficacy, and both age and body mass index were significant predictors of VO2 max. However, fitness self-efficacy was a more dominant predictor of QOL than was VO2 max. These findings may provide some directions in improving QOL in CABG patients.

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陳玉雯(2011)。居家步行運動訓練對周邊動脈疾病患者血管功能、行走功能、與生活品質之成效〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831/TMU.2011.00128
鄭素月(2000)。探討乳癌病人的症狀困擾、自我效能、社會支持與生活品質之關係〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714450792
王佳慧(2001)。運動訓練對老年周邊動脈阻塞患者行走功能與自覺健康狀態成效之探討〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714395322
陳玉蘭(2001)。冠狀動脈繞道術病患接受住院期跑步機心臟復健運動計劃成效之探討〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714450785
陳蓓蒂(2002)。規律耐力運動訓練對高血壓患者血壓控制與生活品質改善成效之探討〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714505598

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