術後先天性心臟病學齡期兒童身體活動之探討

邱靖雯

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術後先天性心臟病學齡期兒童身體活動之探討

Physical Activity Levels of School-Aged Children With Post-Operation Congenital Heart Disease

邱靖雯 , Masters　　Advisor：張碧真　　

繁體中文

先天性心臟病；學齡期兒童；身體活動； Congenital heart disease ； School-aged child ； Physical activity

Abstract │ Reference (154) │ Times Cited (2) │ Altmetrics

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Congenital heart disease (CHD) is a common childhood health problem. Due to medical advances, most children with CHD receive correction surgery to improve cardiopulmonary function. Evidence indicates that their exercise capacity can reach the level of normal children after surgical repair. However, it is necessary to further investigate if their physical activity is comparable to their healthy peers to prevent chronic disease caused by low physical activity. The purpose of the study is to investigate the differences of physical activity level between health children and children after total correction for CHD. This study is a case-control design. A purposive sampling was used to recruit thirty-four CHD children aged between 9 to 12 and thirty-four age and gender- matched children. The data collection tools included Three-Day Physical Activity Record (3-d PAR) for subjective measurement and RT3 Tri-axial accelerator for objective measurement. Total energy expenditure of 3d-PAR and RT3 were lower for CHD boys than Healthy boys (t=-3.39, p<.05; t=-3.43, p<.05). Physical activity level was lower for CHD boys than Healthy boys (t=-2.29, p<.05). Total energy expenditure of 3d-PAR and RT3 did not differ between girls (t=0.58, p=.57; t=-0.27, p=.79). Physical activity level did not differ between girls (t=-0.51, p=.61). The level and time of moderate-to-vigorous physical activity did not differ between CHD boys and Healthy boys (t=-0.53, p=.60; t=-0.09, p=.93). The level and time of moderate-to-vigorous physical activity did not differ between CHD girls and Healthy girls (t=0.83, p=.41; t=0.91, p=.37). These results suggest that children with CHD engage in less physical activity than Health children. Hence, CHD children should be encouraged to engage in more physical activity especially moderate-to-vigorous physical activity. It can be used as clinical references for health professionals to physical activity among children with CHD.

Reference ( 154 ) 〈TOP〉

呂鴻基(1999)•三十五年來台灣兒童的健康水平•台灣醫學，3(5)， 505-514。
連結：
李淑莉、陳月枝(2001)•兒童經歷開心手術治療過程母親的壓力源及因應行為•護理研究，9，172-182。
連結：
周正亮、游惠玲、劉作仁、徐道昌(1995)•兒童先天性心臟病患術後之運動心肺功能評估-初步報告•中華復健醫誌，23，21-24。
連結：
高玉玲、王如華、白璐、黃碧桃(2000)•先天性心臟病學童手術後生活適應之探討•護理雜誌，47，43-53。
連結：
孫懿英、王如華、黃碧桃、白璐(2001)•學齡前期先天性心臟病童與一般兒童之氣質、母親教養方式比較•護理研究，9，39-52。
連結：

Times Cited (2) 〈TOP〉

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