衛生教育和改良式太極拳介入對社區老人健康指標成效之先驅研究

The preliminary effects of health education and modified Tai Chi Chuan programs on health indicators among community-dwelling elders

戴芳台(Fang-Tai Tai)

指導教授 ： 郭鐘隆

國立臺灣師範大學/教育學院/衛生教育學系在職進修碩士班/碩士(2005年)

摘要

本研究目的在探討衛生教育和改良式太極拳的介入對社區老人體適能、三高數值（膽固醇、飯後血糖及血壓）、健康促進生活型態及健康相關生活品質的成效。教學內容包含整合性的健康促進生活型態課程和改良式太極拳訓練，執行期間達四個月。
本研究為準實驗研究設計，以立意取樣的方式選取研究對象，將取樣所得樣本分為控制組32位、實驗組33位。以實際測量體適能和三高數值，以及填答結構式問卷來收集資料，問卷包括健康促進生活型態問卷和健康相關生活品質量表。
主要的研究結果如下：
1.教育計畫介入能顯著改善心肺適能、身體柔軟度及腰臀圍比。
2.教育計畫介入能顯著降低血壓。
3.教育計畫介入有助於增進整體健康促進生活型態，以及健康責任、運動、
營養及人際支持層面的執行。
4.教育計畫介入後，健康相關生活品質無顯著改變。
本研究結果可以做為發展社區老人健康促進計畫的參考。建議未來老人健康促進實務工作者可採取的措施，包括於開設健康方面的課程、培訓種子教師，以及推廣改良式太極拳，以達到促進老人健康的目標。

關鍵字

衛生教育 ； 改良式太極拳 ； 社區老人

並列摘要

The purpose of this study was to explore the effectiveness of health education and modified Tai Chi Chuan programs on physical fitness, three high data (cholesterol, blood sugar and blood pressure), health promotion lifestyle and health-related quality of life among community-dwelling elders. Programs were implemented over a 4-month period.
A quasi-experimental design was employed in this study. Criteria for selecting subjects are based on purposive sampling. One group was assigned to be a controlled group (n=32) and the other was an experimental group (n=33).The subjects were measured by physical fitness, three-high data and structural questionnaires. Structured questionnaire included Health Promotion Lifestyle Profile (HPLP) and the Medical Outcome Study Short Form-36 (SF-36).
The major findings of the study were as the followings:
1. The cardio-pulmonary fitness, flexibility and waist / hip ratio (WHR) were significantly improved.
2. The blood pressure was significantly decreased.
3. The performance improved in overall health promotion lifestyle, health responsibility, exercise, nutrition and interpersonal support.
4. The health-related quality of life did not significantly change.
Based on the results, this present study suggests that in the future the health promotion programs for the elders be feasible and promising. The health promotion practitioners can develop a series of health education programs, seed teachers for health education teaching and extend modified Tai Chi Chuan exercise training in order to promote the elder’s health.

並列關鍵字

health education ； modified Tai Chi Chuan ； community-dwelling elders

參考文獻

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