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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 黃璉華 | |
dc.contributor.author | Yen-Chun Lin | en |
dc.contributor.author | 林艷君 | zh_TW |
dc.date.accessioned | 2021-06-13T00:01:53Z | - |
dc.date.available | 2007-08-08 | |
dc.date.copyright | 2007-08-08 | |
dc.date.issued | 2007 | |
dc.date.submitted | 2007-07-30 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/28160 | - |
dc.description.abstract | 本研究目的為:(1)發展社區慢性病老人對執行身體活動之態度、知覺社會影響、知覺行為控制問卷(以下簡稱老人身體活動態度問卷);(2)瞭解社區慢性病老人從事身體活動的種類、頻率、時間與耗能;(3)探討社區慢性病老人執行身體活動之相關因素。
本研究之架構乃參考計畫行為理論修正而訂。研究對象為居住於台北市信義區,年滿65歲且至少罹患一種慢性疾病,但身體活動能力與認知功能完整者。第一階段針對20位個案進行質性訪談,根據此資料發展「老人身體活動態度問卷」初稿。專家效度處理後之問卷以立意取樣方式,請30位個案接受面對面訪談,並經修改後完成老人身體活動態度問卷。正式施測時,於信義區舉辦各里三合一篩檢活動時以立意取樣方式收案,有206位個案接受訪談,回答以下三份研究工具的問題:(1)個人基本資料表(2)老人身體活動態度問卷(3)修正後的CHAMPS身體活動問卷。所得資料以SPSS 12.0版進行描述性統計、卡方檢定、獨立t檢定、單因子變異數分析、皮爾遜積差相關、複迴歸分析及邏輯迴歸分析。 結果顯示,老人最常從事的身體活動依序為散步,輕鬆家務、輕度體操、爬山及太極拳、氣功等。男性老人較女性老人從事較多休閒式的身體活動。合乎衛生署建議的333活動量標準者佔25.7%。年齡、性別、居住狀況、健康自評對老人從事身體活動或休閒式身體活動有顯著影響。以複迴歸分析結果發現,社區慢性病老人每週身體活動與休閒式身體活動的頻率、時間與耗能各有不同顯著的預測因子。將老人每週從事休閒式身體活動的時間當作依變項,最佳迴歸模式的解釋力為27%,顯著的預測因子為性別、對身體活動之感受與環境控制信念。對於男性老人而言,將休閒式身體活動的頻率當作依變項,最佳預測模式的解釋力達34%,顯著預測因子為居住狀況、對身體活動之感受與環境控制信念。對於女性老人而言,將休閒式身體活動的時間當作依變項,最佳預測模式的解釋力達30%,顯著的預測因子為行為結果信念、對身體活動之感受、社會支持與個人控制信念。 未來健康專業人員進行社區慢性病老人身體活動促進計畫前,應針對不同性別、年齡群與獨居者的需求設計不同的措施,提供更多的訊息與資源,改善整體活動環境,以提升老人對身體活動正向的感受,增加活動機會。對女性老人則應鼓勵休閒式身體活動,提供社會支持,提高個人對身體活動的自信心。 | zh_TW |
dc.description.abstract | The purposes of this study were: (1) To develop the “attitude, perceived social influences, perceived behavior control questionnaire for community elderly with chronic diseases” (Attitude to PA Questionnaire for elderly). (2) To explore the types and three components (frequency, duration, caloric expenditure) of physical activity (PA) and leisure time physical activity (LTPA) among community elderly with chronic diseases. (3) To identify the related factors on PA and LTPA among community elderly with chronic diseases.
The framework of this study was modified from the theory of planned behavior. Purposive convenience sampling was used to recruit participants. Inclusion criteria were living in Xinyi District of Taipei, aged 65 and older, with at least a diagnostic chronic disease, being independent concerning activity of daily living, with intact cognitive function. In stage I, qualitative data were generated from a total of 20 in-depth interviews. Based on the qualitative results, the 50-item, initial version of the “Attitude to PA Questionnaire for elderly” was proposed. The content validity of the questionnaire was established by initially reviewing the items with a group of five experts. Ongoing instrument refinement and testing were conducted in a sample of 30 community elderly in stage II. For stage III, a purposive convenience sample was recruited from the “three-in-one on-spot screen test activity. A total of 206 elderly agreed to participate this study and complete three questionnaires: (1) Demographic Information and Health Status; (2) Attitude to PA Questionnaire for elderly; (3) Modified Community Healthy Activities Model Program for Seniors (CHAMPS) physical activity Questionnaire. Data were analyzed using SPSS 12.0 statistical computer software with descriptive statistics, Chi-square, independent t-test, ANOVA, Pearson’s correlation, multiple regression, and logistic regression. The descriptive statistic results showed that walking leisurely was the most frequent PA for participants, followed by light housework, light calisthenics, hiking uphill and various forms of Chinese Kung Fu, such as Tai Chi or Chi Kung. More men were engaged in LTPA than women. When the 333 standard of exercising was applied (including three or more times per week for at least 30 minutes activity of moderate intensity per session), only 25.7% participants reported to have met the criteria. The age, gender, living arrangement, and self-reported health status were associated factors of PA and LTPA. The findings also showed the different determinants on different components of PA among community elderly. Based on the multiple regression analysis results, the duration of the LTPA model was shown as the best predictive model. The significant variables included gender, affective feeling for PA, and environmental control. All the independent variables could explain 27% of the total variance in the duration of LTPA. When comparing different gender participants, the multiple regression analysis showed that the best predictive model for male participants was the frequency of LTPA. The significant variables included living arrangement, affective feeling for PA, and environmental control. All the independent variables could explain 34% of total variance in the frequency of LTPA. For female participants, the best predictive model was the duration of LTPA. The significant variables included behavioral belief, affective feeling for PA, social support, and personal control. All the independent variables could explain 30% of total variance in the duration of LTPA. An effective PA program could be designed by different gender, age and living arrangement among community elderly. Health professionals could provide more information and community resources for older adults, improve PA environment, increase their positive attitudes toward PA, and increase their PA opportunities. For older female, a stronger emphasis on LTPA, providing more social support, and enhancing their confidence of performing PA could be valuable directions for future interventions. | en |
dc.description.provenance | Made available in DSpace on 2021-06-13T00:01:53Z (GMT). No. of bitstreams: 1 ntu-96-D88426004-1.pdf: 1407456 bytes, checksum: 1a57acb8babab000163beb2180080487 (MD5) Previous issue date: 2007 | en |
dc.description.tableofcontents | TABLE OF CONTENTS
CHAPTER I INTRODUCTION 1 Background and Importance 1 Statement of the Problem 3 Purpose of the Study 5 Theory of Planned Behavior 6 Application of the Theory of Planned Behavior 9 CHAPTER II REVIEW OF THE LITERATURES 13 Definition, Recommendation, and Pattern of PA 13 Guidelines of PA for Older Adults 16 Prevalence of PA among Older Adult Population 19 Factors that Influence PA 21 Theoretical Model 24 Operational Definition 28 Research Questions 31 Hypotheses 31 CHAPTER III METHODOLOGY 32 Research Design 32 Stage I: Instrument Development 32 Stage II: Pilot Test 32 Stage III: Identification of Related Factors on PA and LTPA among Community Elderly with Chronic Diseases 33 Participants and Setting 33 Protection for Human Subjects 34 Data Collection Procedures 35 Stage I 35 Stages II & III 35 Instruments 36 Stage I 36 Stages II & III 36 Data Analytic Procedure 38 Stage I 38 Stage II 39 Stage III 40 CHAPTER IV RESULTS 41 Instrument Development 41 Characteristics of the Participants 41 The PA of These Older Adults 43 Beliefs Related to PA 43 Pilot Test 46 Characteristics of the Participants 46 Attitude to PA Questionnaire for elderly 46 Modified CHAMPS PA Questionnaire 50 Modified Framework of this Study 50 Identification of Related Factors for the PA and LTPA among Community Elderly with Chronic Diseases 52 Characteristics of the Participants 52 Components of PA among participants 52 Attitude, Social Support, and Perceived Behavior Control among Participants 64 Associated Factors Affecting the PA, LTPA, and Being Physically Active 66 Key Predictive Factors Related to PA and LTPA 72 Key Predictive Factors Related to Being Physically Active 78 Additional Findings 81 Behavioral Belief 83 Affective Feeling 83 Social Support 84 Personal Control 84 Environmental Control 84 CHAPTER V DISCUSSION 86 Physical Activity among Participants 86 Attitude, Social Support, and Perceived Behavior Control among Participants 88 Influential Cases in the Predicting Models 91 Predicting Models of PA and LTPA for Community Elderly with Chronic Diseases 92 Key Predictive Factors Related to PA and LTPA 93 Gender 93 Age 94 Living Arrangement 95 Self-reported Health Status 95 Behavioral Belief 96 Affective Feeling 97 Social Support 98 Personal Control 100 Environmental Control 101 Measurement Issues Regarding the Questionnaire 101 CHAPTER VI CONCLUSIONS 103 Strengths and Limitations 104 Nursing Implications 105 REFERENCES 107 Appendix A: Approval by the Institutional Review Board of NTUH 120 Appendix B: Consent Form for Stage I Participants 121 Appendix C: Consent Form for Stage II & III Participants 122 Appendix D: Permission from the Health Center 123 Appendix E: Interview Guide 124 Appendix F: Demographic and Health Status Information 125 Appendix G: Modified HAMPS Physical Activity Questionnaire 126 Appendix H: CHAMPS Activities Questionnaire for Older Adults 129 Appendix I: Permission of Using “CHAMPS Questionnaire” 145 Appendix J: Attitude to PA Questionnaire for elderly (Initial Version) 147 Appendix K: Attitude to PA Questionnaire for elderly (Final Version) 151 LIST OF TABLES Table 1 Demographic data of participants in stage I…………………………………42 Table 2 Demographic data of participants in pilot test……………………………….47 Table 3 Personal factors and health status of participants in stage III………………..53 Table 4 Total number of PA…………………………………………………………..55 Table 5 Total number of LTPA……………………………………………………….55 Table 6 Total number of moderate PA……………………………………………….55 Table 7 The most frequently reported PA by participants……………………………57 Table 8 The most frequently reported PA by different gender participants…………..58 Table 9 Frequency of PA……………………………………………………………..59 Table 10 Frequency of LTPA…………………………………………………………59 Table 11 Frequency of moderate PA………………………………………………….59 Table 12 Duration of PA……………………………………………………………...61 Table 13 Duration of LTPA…………………………………………………………..61 Table 14 Duration of moderate PA…………………………………………………...62 Table 15 Caloric expenditure of PA………………………………………………….62 Table 16 Caloric expenditure of LTPA……………………………………………….63 Table 17 Caloric expenditure of moderate PA………………………………………..63 Table 18 Total mean scores and reliability of “Attitude to PA Questionnaire for elderly” among participants………………………………………………...65 Table 19 Items of the highest and lowest scores in “Attitude to PA Questionnaire for elderly” among participants………………………………………………...65 Table 20 Difference of mean scores of attitude, social support, perceived behavioral control with different personal factors……………………………………..67 Table 21 Difference of mean scores of PA with different personal factors………….68 Table 22 Difference of mean scores of LTPA with different personal factors………68 Table 23 Age, living arrangement, scores of affective feeling, social support, environmental control related to being physically active………………….70 Table 24 Bivariate correlations of personal factors and PA………………………….71 Table 25 Bivariate correlations of attitude, social support, perceived behavior control and PA……………………………………………………………...............71 Table 26 Multiple regression analysis of personal factors, attitude, social support, perceived behavior control on PA………………………………………….74 Table 27 Multiple regression analysis of personal factors, attitude, social support, perceived behavior control on PA after deleting outliners…………………75 Table 28 Multiple regression analysis of personal factors, attitude, social support, perceived behavior control on PA in male elderly………………………….77 Table 29 Multiple regression analysis of personal factors, attitude, social support, perceived behavior control on PA in female elderly………………………..79 Table 30 Odd ratios of factors associated with being physically active……………...80 Table 31 Summary of goodness of fit on “Attitude to PA Questionnaire for elderly” from confirmatory factor analysis………………………………………….82 LIST OF FIGURES Figure 1 Theory of reasoned action and theory of planned behavior………………….7 Figure 2 Framework of the study…………………………………………………….27 Figure 3 Modified framework of the study…………………………………………..51 | |
dc.language.iso | zh-TW | |
dc.title | 以社區為基礎的慢性病老人從事身體活動之研究 | zh_TW |
dc.title | A Community-Based Study on Physical Activity for Elderly with Chronic Diseases | en |
dc.type | Thesis | |
dc.date.schoolyear | 95-2 | |
dc.description.degree | 博士 | |
dc.contributor.oralexamcommittee | 方進隆,李 蘭,張 媚,戴 政 | |
dc.subject.keyword | 身體活動,社區老人,計畫行為理論, | zh_TW |
dc.subject.keyword | physical activity,community elderly,theory of planned behavior, | en |
dc.relation.page | 153 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2007-07-31 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 護理學研究所 | zh_TW |
顯示於系所單位: | 護理學系所 |
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