太極拳訓練對改善老年高血壓個案之健康信念、健康狀況與運動行為之成效

張瓊丹

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太極拳訓練對改善老年高血壓個案之健康信念、健康狀況與運動行為之成效

Effect of Tai-Chi Chuan Training on Health Belief、Health Status and Exercise Behavior in Hypertensive Elderly

張瓊丹 , Masters　　Advisor：陳靜敏　　

繁體中文

太極拳訓練；高血壓；認知；健康信念；健康狀況；運動行為； Tai-Chi Chuan Training ； hypertension ； knowledge ； health belief ； health status ； exercise behavior

Abstract │ Reference (113) │ Times Cited (9) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

The purpose of this study was to explore the effects of Tai-Chi Chuan exercise training on the health belief, health status, and exercise behavior in hypertension elderly. The quasi-experimental design and Health Belief Model was utilized in this study. Hypertensive subjects who were sixty-five years old and over were recruited from two veterans homes in Taipei county and were divided into two groups：the experimental group (n=14) and the control group (n=25). The elderly in experimental group took the regular Tai-Chi Chuan exercise training for ten weeks, and the control group one continued their usual lifestyles during the study period. The demographic data, health belief, health status, and exercise behavior of the two groups were collected through the structured questionnaire, and health fitness status of these two groups were measured before and after ten weeks. The results were analysis with statistics software (SPSS 10.0). The average age of the elderly in this study is 77.1 years old. The majority of the elderly was high school graduates, married, and had religious belief in the experimental group ; on the other hand, subjects in the control group was in middle school level(or below), still single, and had no religious belief. There was no significant difference between the two groups in their hypertension related knowledge, health belief, and perceived health status. The average diastolic blood pressure showed that the experimental group had a better health status than control group in pretest. After 10 weeks, regular Tai-Chi Chuan exercise training results were shown as follows: (1)There was no significant improvement in either domain of the health belief in the experimental group. (2) In term of health status, the experimental group’s mean body mass index was 2.37kg/m2 less than the control one. In 1600m walking test, the experimental group was 258.16 second faster than the control group in term of cardiorespiratory endurance. Also, there was a significant improvement in average systolic blood pressure control before and after Tai-Chi Chuan training in the experimental group. However, there was a significant difference in the improvement of diastolic blood pressure between 2 groups. The average improvement of diastolic blood pressure of the control group shown better may be due to the diastolic blood pressure of the experimental group was already better than the control one before test. (3)In post test, the experimental group showed more complied in the exercises of stretching and Tai-Chi Chuan training, it showed that after taking the Tai-Chi Chuan training, the experimental group maintained their exercise behaviors.(4)There was a negative correlation between age and the improvement of muscular strength. Those without religious belief showed better improvement in average diastolic blood pressure. Base on the results of the study, hypertensive elderly’s health status and exercise behavior could be partially improved by Tai-Chi Chuan exercise training. And it could provide the reference for health care providers to design the health promotion and exercise service for the elderly. Keywords：Tai-Chi Chuan training, hypertension, knowledge, health belief, health status, exercise behavior

Reference ( 113 ) 〈TOP〉

3.方進隆(1997)．提昇體能的策略與展望．台北:國立臺灣師範大學體育研究與發展中心。
連結：
6.王瑞霞(1994)．社區老年人健康體能活動參與及相關因素的探討．臺北:行政院衛生署八十三年度委託研究計劃報告書。
連結：
13.行政院衛生署(2000)．老人醫療保健照護工作指引．台北:行政院衛生署。
連結：
14.行政院衛生署(2001)．衛生統計．台北:行政院衛生署。
連結：
18.林大豐(1990)．身體不同部位負重走路之生理反應比較研究．國立臺灣師範大學體育研究所碩士論文。
連結：

Times Cited (9) 〈TOP〉

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