本研究目的在應用跨理論模式作為研究架構依據,進行慢性阻塞性肺疾病患之運動行為探討。採用結構式問卷調查法,使用「個人基本資料」、「運動改變階段量表」、「運動改變過程量表」、「運動決策平衡量表」及「運動自我效能量表」等研究工具進行訪談,在南部某醫學中心附設教學醫院,以立意取樣方式共收集98位慢性阻塞性肺疾門診病患。本研究所得結果以JUMP 5.0版設計套裝軟體進行統計分析,研究結果發現: (1)研究對象之運動階段分佈:25.5%動機前期,2%動機期,21.4%準備期,4.1%行動期,46.9%維持期。(2)教育程度高者、過去有運動習慣者,其自覺運動利益越高;男性自覺運動障礙高於女性。(3)年齡大於65歲者、過去有運動習慣者較能維持規律運動,規律運動者運用行為過程改變方法多於非規律運動者,運動改變過程與運動改變階段兩者呈現顯著正相關。(4)運動改變階段與自覺運動利益、自覺運動障礙、運動自我效能均呈現正相關。(5)規律運動的預測因子為居家無用氧、年齡較大、過去有運動習慣與運用行為過程越多,共可解釋變異量為41.09%。根據研究結果,針對慢性阻塞性肺疾病患不同運動改變階段,策畫或推廣多選擇性運動計畫與提出未來研究建議,作為將來設計階段性運動計畫的參考。
The purpose of this study was the application of the transtheoretical model to the exercise behavior of patients with chronic obstructive pulmonary disease. constructed questionnaires were utilized to interview the subjects;the questionnaires contained personal demographics, stages of exercise, processes of changes? exercise decisional balances (pros and cons), and exercise self- efficiency. The purposive sampling was conducted at a medical center in Southern Taiwan. Ninety-eight valid questionnaires were collected. The results showed that: 1.exercise activities in the sample were almost divided between pre-contemplation (25.5%), contemplation (2%),preparation(21.4%),action (4.1%),and maintenance (46.9%). 2.the high level of education and past habits of the exercise subjects had higher pros; males who exercise perceived cons more than females. 3.Those whose age was over sixty-five,and who had past exercising habits had maintenaned regular exercises;subjects with regular exerises had used the behavioral processes more than irregular exercises subjects;the processes of change indicated significant positive correlation between the stages of exercises. 4.The perceived pros of exercises,the perceived cons of exercises, and the exercising self-efficacy indicated significant positive correlation between the stages of exercises. 5.the related variables explain 41.09% of the stages of exercises, the oxygen therapy support at home,the age,past habits of exercising, and behavioral processes were major predictors for the stages of exercises. The findings of this study provide guidance to clinical practitioners in developing stage-matched interventions, promotional strategies with a variety of program planning,and provide suggestions for research agencies in the future.
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