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  • 學位論文

居家運動處方介入對氣喘兒童運動心理及肺功能影響研究

The effectiveness of home exercise prescription on asthmatic children’s exercise psychology and lung function

指導教授 : 賴香如
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摘要


本研究旨在評估居家運動處方對氣喘兒童運動心理及肺功能影響,並探討家長和氣喘兒童對居家運動處方之評價和實際執行情形。 研究採不相等實驗組對照組設計,立意選取台北市和桃園縣各兩所國小二至五年級氣喘兒童為對象,對照組則無。兩組在介入前和介入後一週分別進行前、後測,所得資料以單因子共變數分析進行分析。重要研究結果如下: 一、八週居家運動處方介入後,實驗組運動滿意度顯著優於對照組。而實驗組前測運動自我效能低於61.31以下者,介入後之得分顯著高於前測同分的對照。但兩組之運動享樂感則無顯著差異。 二、實驗組和對照組後測肺功能檢測值皆高於前測。但兩組肺功能的改變則無顯著差異。 三、實驗組家長和氣喘兒童表示居家運動處方使其學會測量心跳數、計算個人最佳心跳數範圍和擬定個人運動計畫等技能。另外,對於『創造健康體能運動計畫親子手冊』也有正向評價。 四、由深度訪談結果可知,氣喘學生成功執行居家運動處方的主要因素是重要他人支持、發覺身體正向改變,以及運動興趣和信心的提升。而執行上的主要困難是時間不足、以學業為主的想法、身體不適,以及擔心運動會有不良後果發生。 由介入結果可發現,藉由八週居家運動處方的介入,可有效提升氣喘兒童運動滿意度和運動自我效能,而對氣喘兒童肺功能之改善成效不大。整體而言,實驗組表示居家運動處方促其學習相關技能。

並列摘要


The main purpose of the study was to assess the effectiveness of home exercise prescription on exercise psychology and lung function among asthmatic children. Furthermore, opinions about this home exercise prescription were interviewed. The study employed the nonequivalent groups design method. Moreover, asthmatic students from 2nd to 5th graders of four elementary schools in Taipei City and Taoyuan County were selected as the study subjects. The asthmatic students in the experimental group performed an 8-week home exercise prescription program. On the contrary, the students in the control group received no intervention. A standard questionnaire was designed to the collect data before and one week after the intervention. All data was analyzed using analysis of covariate (ANCOVA). The main results of this study were concluded and summarized as follows. 1. After 8-week home exercise prescription, exercise satisfaction of the experimental group was higher than that of the control group. Furthermore, those with pre-test exercise self-efficacy score below 61.31; the post-test score of self-efficacy was higher in the experimental group than in the control group. However, the results there was no significant differences in exercise enjoyment between these two groups. 2. The post-test of lung function were higher than the pre-test in both experimental and control group. But the results showed no significant differences in the post-test lung function between two groups. 3. The asthmatic children and their parents indicated that they learned how to measure heart rate, calculate personal best heart rate range and draft personal exercise program by home exercise prescription. In addition, they showed positively attitude toward the program materials. 4. The results from in-depth interview showed that the main reasons for a successful home exercise prescription program were support from significant others, perceived positively physical change, interesting in exercise, and self-confidence in exercise. On the other hand, the difficulties for doing home exercise prescription included lack of time, focusing at schoolwork, physical uncomfortable, and being afraid of bad consequences when exercising. In conclusion, the 8-week home exercise prescription program could effectively enhance exercise satisfaction and exercise self-efficacy of asthmatic children but not lung function of asthmatic children.

參考文獻


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鄭志富(1998)。其他功能性障礙。載於:國立台灣師範大學學校體育研究與發展中心,適應體育導論。台北:教育部,355-364。
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被引用紀錄


張美智(2006)。國小學童對氣喘同儕之關懷態度與效能研究〔碩士論文,國立臺灣師範大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0021-0712200716124993

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