輕中度和重度肺功能障礙慢性阻塞性肺疾病患者運動自我效能和運動測試結果比較之探討

本研究目的在探測肺功能障礙程度對運動自我效能和運動測試結果之影響。以立意取樣法，選取台北市四家地區級以上醫院，48位接受門診追蹤治療之慢性阻塞性肺疾病患者爲對象。資料收集法包括跑步機運動測試、肺功能測試和填寫問卷。問卷包括資源訊息量表、運動自我效能量表、呼吸困難量表和焦慮量表。以逐步回歸、卡方檢定、t檢定分析資料。結果顯示輕中度肺功能障礙患者比重度肺功能障礙患者有較高的運動自我效能，較正向的過去經驗和較高的運動量。但整體而言，平均最高運動量偏低，僅2.94mets，且大部份患者（72.9%）低估自己的運動能力。過去的運動經驗是兩組病患運動自我效能的最佳預測變項。本研究結果有助於在發展個別化的護理措施，來增進慢性阻塞性肺疾病患者的運動能力。

關鍵字

運動自我效能；運動測試；肺功能障礙

並列摘要

The purpose of this study was to examine the impact of lung function impairment on exercise self-efficacy and exercise test results in chronic obstructive pulmonary disease (COPD) patients. A descriptive and correlation design was used. Data was collected by means of a treadmill exercise test, a lung function test, and a structured questionnaires, which included a Self-Efficacy Information Source Scale, a Treadmill Self-Efficacy Scale, a Dyspnea Scale, and a State-Trait Anxiety Inventory. Stepwise regression, chi-square, and test were used for data analysis. A total of 48 subjects who met the selection criteria were selected from four mediumsize hospitals by purposive sampling. Results of the study demonstrated that the mild-moderate group had higher exercise self-efficacy, more positive performance accomplishments, and higher peak workload than the severe group. However, the average peak workload for all subjects was extremely low (2.94 mets) and the majority of subjects (72.9%) under-estimated their treadmill performance. The patients past experience was the most important predictor in self-efficacy for both groups. The findings of this study have implications in the development of individualized nursing interventions to help COPD patients improve their exercise performance.

並列關鍵字

self-efficacy ； exercise testing ； lung function impairment

參考文獻

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被引用紀錄

陳雨欣（2012）。不同運動訓練對精神科中老年個案生理功能指標及預防跌倒成效之探討〔碩士論文，中臺科技大學〕。華藝線上圖書館。https://doi.org/10.6822/CTUST.2012.00064

張文（2000）。建立慢性阻塞性肺疾病患者日常活動耗氧量之標準並分析其影響因素〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714450648

何瓊華（2001）。慢性阻塞性肺疾病老年患者出院二星期內日常活動之經驗〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714395318

潘美蓉（2001）。運動誘發性氣喘衛教對氣喘患者成效之探討〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714395214

歐良榮（2002）。比較時間增長型與強度增強型運動訓練計畫對慢性阻塞性肺疾病患者成效之探討〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714505137

延伸閱讀

余美慧、吳柏翰、李彥弘、徐錦興（2013）。身體活動量對慢性阻塞性肺病患者肺功能與生活品質成效評估。南臺灣醫學雜誌，9(1)，40-49。https://doi.org/10.6726/MJST.201306_9(1).0005
Yang, P. S., & Chen, C. H. (2005). 慢性阻塞性肺疾病患者運動改變階段與運動改變過程之探討. The Journal of Nursing Research, 13(2), 97-105. https://www.airitilibrary.com/Article/Detail?DocID=16823141-200506-13-2-97-105-a
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歐良榮、鄭綺、馬素華、施淑娟、周正亮（2002）。兩種運動訓練模式對慢性阻塞性肺疾病患者成效之探討。新臺北護理期刊，4(2)，73-86。https://doi.org/10.6540/NTJN.2002.2.008
Cho, H. Y., Lan, C. C., Chen, Y. J., Wu, M. F., Lin, M. C., Hsiao, H. F., & Huang, C. C. (2009). Predictors of Change in Exercise Capacity after Simple outpatient-based Pulmonary Rehabilitation in Patients with Chronic Obstructive Pulmonary Disease. 呼吸治療, 8(2), 27-38. https://doi.org/10.6269/JRT.2009.8.2.03

國際替代計量

輕中度和重度肺功能障礙慢性阻塞性肺疾病患者運動自我效能和運動測試結果比較之探討

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