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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 吳英黛 | |
dc.contributor.author | Tzu-An Chen | en |
dc.contributor.author | 陳慈安 | zh_TW |
dc.date.accessioned | 2021-06-13T02:03:50Z | - |
dc.date.available | 2007-07-20 | |
dc.date.copyright | 2007-07-20 | |
dc.date.issued | 2006 | |
dc.date.submitted | 2007-07-05 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/30439 | - |
dc.description.abstract | 研究背景及目的:老年人憂鬱情況普遍,很多文獻探討運動訓練對老年人運動能力和生活功能的影響,欠缺對其他健康面向的研究。本研究目的在探討運動訓練的介入對老年人憂鬱症狀、生活功能、生活品質及自我效能的效果,以作為日後對於老年人運動介入方式之參考。方法:以方便取樣徵集50名65歲以上之老年人,隨機分配運動組與控制組。其中運動組接受為期8週每週3次之漸進及結構式的小團體運動訓練,每次約30-40分鐘,並以自覺用力係數12-14作為強度的監測。所有受試者皆在第一次評估之8週後進行第二次評估。觀測因子包括憂鬱症狀(台灣老年憂鬱量表)、認知功能(短式智能評估)、生活功能(包括活動限制量表及30秒重覆座椅起立測試、計時起走測試、六分鐘行走測試三項實際測量項目)、生活品質(SF-36台灣版)與運動自我效能。統計分析採用共變數分析檢驗組別對於各觀測因子在介入前後改變量的影響,其中初測結果有顯著差異的變項以前測值做調整。以皮爾森相關分析探討依變項改變量之間的相關性。結果:8週後兩組於憂鬱症狀、認知功能、生活品質及運動自我效能的改變量並無差異。運動組唯在生活功能限制(p=0.013)及30秒重覆座椅起立測試(p<0.001)的表現相較於控制組有顯著的進步。憂鬱程度的改變情形則與功能限制的進步之間有顯著相關(r=0.303)。結論:老年人確實能藉由8週的運動訓練介入在生理功能的一些表現上有顯著的進步,憂鬱情形的改變與生活功能的限制的改變有顯著相關。然而情緒、認知、生活品質及運動自我效能在組間的改變則無顯著差別。 | zh_TW |
dc.description.abstract | Background and purpose: Depression is commonly seen in the elderly. Many studies have investigated the effects of exercise on exercise capacity and physical functions. Other dimensions of health, especially the depressive symptoms, are less discussed. The purpose of this study was to investigate the effects of exercise training on depression symptoms, functional status, quality of life, and self-efficacy in the elderly. Methods: A convenient sample of 50 sedentary elderly subjects aged 65 years or older was recruited and randomized into intervention group and control group. Participants in the intervention group received a progressive and structured, small-group exercise training 3 times a week, 30-40 min a day at intensity of rate of perceived exertion (RPE) 12-14 for 8 weeks. All subjects were assessed by Taiwanese Geriatric Depression Scale (TGDS), Mini-Mental State Examination (MMSE), Groningen Activity Restriction Scale (GARS), Short-form 36 (SF-36), and self-efficacy at baseline and 8 weeks after. In addition, tests of 30-second Chair Sit-To-Stand (STS), Timed Up and Go (TUG), and Six-Minute Walk (6MW) were used to evaluate their functional status. Analysis of covariance (ANCOVA) was performed to identify the effect of time and intervention on differences of dependent variables, adjusted by the pretest values that were significantly different at baseline. Relationship between the changes of each variable was analyzed by Pearson correlation coefficient. Results: There were significant improvements in GARS (p=0.013) and the performance of STS (p<0.001) in the exercise group compared to the control group. No significant differences in TGDS, MMSE, TUG, 6MW, SF-36, and self-efficacy were found between groups. Changes in TGDS were significantly related to the changes in restriction of daily life (r=0.303). Conclusion: The elderly can benefit from 8-week exercise training with improvements mainly in physical function that was correlated with the changes in depression. | en |
dc.description.provenance | Made available in DSpace on 2021-06-13T02:03:50Z (GMT). No. of bitstreams: 1 ntu-95-R93428011-1.pdf: 873489 bytes, checksum: d27b2b2c68d0b4fce07a81c0f4c1afea (MD5) Previous issue date: 2006 | en |
dc.description.tableofcontents | 目錄
中文摘要 1 英文摘要 3 第一章、前言 5 第一節、研究背景 5 第二節、研究目的 7 第三節、研究假說 8 第四節、名詞及變項定義 8 第五節、研究的重要性 10 第二章、文獻回顧 11 第一節、憂鬱症的臨床診斷及症狀的評估方法 11 第二節、憂鬱症狀的相關因子 14 第三節、體能活動與健康促進 16 第四節、運動自我效能 22 第三章、研究方法 25 第一節、受試者 25 第二節、測量工具與測試方法 25 第三節、研究進行步驟 34 第四節、介入方法 35 第五節、資料處理與統計分析 37 第四章、結果 39 第一節、受試者資料 39 第二節、八週後測參數的改變 41 第三節、參數改變量之間的相關性 44 第五章、討論 45 第一節、憂鬱情形與認知功能 45 第二節、生活功能改善情形 48 第三節、生活品質與運動自我效能 52 第四節、改變量相關性的探討 54 第五節、研究限制 56 第六章、結論 58 參考文獻 59 圖表目錄 表1. 受試者人口學資料 72 表2. 各測量變項於8週前後之數值 73 表3. 以居住情況分組在各測量變項的表現情形 74 表4. 各測量變項改變量間之相關分析 75 表5. 刪除流失資料後各測量變項於8週前後之數值 76 圖1. 收案流程圖 77 圖2. 受試者之憂鬱程度分佈情形 78 圖3. 憂鬱程度於兩組在前後測的表現 78 圖4. 智能評估於兩組在前後測的表現 79 圖5. 生活功能限制於兩組在前後測的表現 79 圖6. 30秒重覆座椅起立測試於兩組在前後測的表現 80 圖7. 計時起走測試於兩組在前後測的表現 80 圖8. 六分鐘行走測試於兩組在前後測的表現 81 圖9. 生活品質在各變項於兩組在前後測的改變量 81 圖10. 生活品質之生理總分於兩組在前後測的表現 82 圖11. 生活品質之心理總分於兩組在前後測的表現 82 圖12. 運動自我效能於兩組在前後測的表現 83 圖13. 憂鬱程度分組分析 83 圖14. 憂鬱程度改變與生活功能限制改變之散佈圖 84 附件目錄 附件一、受試者同意書 85 附件二、台灣老年憂鬱量表(TGDS) 89 附件三、簡短式智能評估(MMSE)施測項目 90 附件四、活動限制量表(GARS) 91 附件五、Borg呼吸困難指數 92 附件六、生活品質量表(SF-36) 93 附件七、生活品質量表生理及心理總結分數換算公式 96 附件八、運動自我效能 97 附件九、自覺用力係數(RPE) 98 | |
dc.language.iso | zh-TW | |
dc.title | 運動訓練對老年人憂鬱症狀、生活功能、生活品質及自我效能的效果 | zh_TW |
dc.title | Effects of exercise training on depression symptoms, functional abilities, quality of life, and self-efficacy in the elderly | en |
dc.type | Thesis | |
dc.date.schoolyear | 95-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 李明濱,梁庚辰,林克能,蔡美文 | |
dc.subject.keyword | 憂鬱,老年人,運動訓練, | zh_TW |
dc.subject.keyword | depression,elderly,exercise training, | en |
dc.relation.page | 98 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2007-07-05 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 物理治療學研究所 | zh_TW |
顯示於系所單位: | 物理治療學系所 |
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