臺灣博碩士論文加值系統

背景：先天性心臟病兒童的存活率，因醫療技術的進步，存活率提升至九成，青少年晚期轉為成年早期的青年，此時期需要了解自己本身健康狀態，提升身體自我概念與自我效能，培養良好之身體活動習慣，預防併發症。
目的：本研究的目的旨在探討基本屬性、身體自我概念與運動自我效能對先天性心臟病青年身體活動之影響。
方法：本研究採橫斷式研究設計，以北部某一醫學中心之小兒心臟科門診以及成人期先天性心臟病門診15-24歲青年為研究對象，以方便抽樣的方式收集143位受試者，使用國際身體活動量、身體自我描述、運動自我效能問卷，並進行描述性及推論性統計分析。
結果：本研究身體活動量高者占19.6%，身體活動足夠者占57.3%，身體活動量不足者占23.1%，身體自我概念九個層面以「認同」層面最高分，運動自我效能分數落在「沒有把握能做到」與「有些把握能做到」之間，身體自我概念、運動自我效能與身體活動間呈現正相關，以多元邏輯斯迴歸分析不同等級身體活動量，發現每增加一分運動自我效能(p <.05)，身體活動量提高1.43倍(95% CI = 1.01-2.03)，無服藥者與有服藥者相比，無服藥者(p <.05)比有服藥者從事身體活動量的勝算比是6.68(95% CI = 1.20-37.24)，且進一步以二元邏輯斯回歸分析身體活動適量組與身體活動不足組，發現每增加一分運動自我效能，身體活動量提高1.32倍(95% CI = 1.00-1.73)。
結論與建議：研究結果顯示，先天性心臟病青年身體自我概念、運動自我效能與身體活動量有相關，且運動自我效能是影響先天性心臟病青年決定從事身體活動的重要角色，建議主要照護者、醫護團隊未來可從促進運動自我效能之策略來增進其身體活動量，本研究結果可作為未來提升先天性心臟病青年身體活動介入措施之指引。
關鍵詞：先天性心臟病、青年、身體活動、身體自我概念、運動自我效能

Background: The survival rate of children with congenital heart disease (CHD) was increased to 90% due to advanced technology of medicine. It is necessary to understand their own health status, enhance physical self-concept (PSC) and exercise self-efficacy (ESE), cultivate good physical activity (PA) habits to prevent complications during the period from late adolescent youth into early adulthood.
Objectives: This study is to explore the role of the influence of the general characteristics of CHD youth, physical self-concept and exercise self-efficacy on their physical activity
Methods: This was a cross-sectional study which designs with convenience sampling to collect 143 participants from 15 to 24 years old adolescent with CHD at the pediatric cardiology clinic of medical center in the northern Taiwan. The International Physical Activity Questionnaire (IPAQ), Physical Self-Description Questionnaire (PSDQ), and Exercise Self-Efficacy Questionnaire scale were employed to assess, physical self-concept and exercise self-efficacy of participants respectively.
Results: In this study, health enhancing physical activity group 19.6%, minimally active group 57.3%, inactive group 23.1%. The PSC has the highest score of “Esteem” on the nine levels. The ESE score between “not sure if it can be done” and “somewhat can be done”. Multiple logistic regression analysis of health enhancing, minimally active, and inactive PA group revealed that the more ESE (OR = 1.43, 95% CI = 1.01-2.03) and those without the need of medications (OR = 6.68, 95% CI = 1.20-37.24) more PA. Further analysis using binary logistic regression of appropriate and inactive PA group found that more ESE (OR = 1.32, 95% CI = 1.00-1.73) more PA.
Conclusions: The findings indicated that, the PSC and ESE of congenital heart disease in youth are related to PA. The ESE is an important role for youth with congenital heart disease in deciding to engage in PA. It is suggested that the main caregivers and medical teams can increase PA for youths with CHD in the future from the strategy of promoting ESE. The findings of this study will serve as a guide for intervention to improve the physical activity of CHD youth.
Keywords: congenital heart disease; youth; physical activity; physical self-concept; exercise self-efficacy;

致謝 1
摘要 2
Abstract 3
目錄 5
圖目錄 7
表目錄 8
第壹章 前言 9
第一節 研究背景與重要性 9
第二節 研究目的 11
第三節 研究問題 12
第四節 研究假設 13
第貳章 文獻查證 14
第一節 先天性心臟病之簡介 14
第二節 先天性心臟病青年身體活動 16
第三節 先天性心臟病青年之身體自我概念 32
第四節 先天性心臟病青年之運動自我效能 34
第參章 研究方法 37
第一節 研究概念架構 37
第二節 名詞界定 38
第三節 研究對象與場所 42
第四節 研究步驟與倫理考量 43
第五節 研究工具與信效度 44
第六節 資料處理與分析 47
第肆章 研究結果 49
第一節 先天性心臟病青年之基本屬性、身體自我概念、運動自我效能、身體活動量的現況 49
第二節 先天性心臟病青年之基本屬性、身體活動量、身體自我概念、運動 自我效能之相關性 60
第三節 先天性心臟病青年基本屬性、身體自我概念、運動自我效能對身體活動量之影響 63
第伍章 討論 66
第一節 先天性心臟病青年現況 66
第二節 先天性心臟病青年身體自我概念、運動自我效能對身體活動量之影響 70
第陸章 結論、建議與限制 75
第一節 研究結論 75
第二節 應用與建議 76
第三節 研究限制 78
參考文獻 79
附錄 94
附件一、 94
附件二、 96
附件三、 99
附件四、 101

圖目錄
圖3-1 研究概念架構圖 37

表目錄
表2-1 近十年身體活動與CHD相關研究 18
表2-2 近十年身體活動與健康參與者相關研究 25
表3-1 青年男性身體質量指數表 39
表3-2 青年女性身體質量指數表 39
表3-3 身體活動量分兩類之標準 40
表3-4 身體活動量分三類之標準 41
表3-5 描述性統計及推論性統計 48
表4-1 研究對象基本屬性分析 50
表4-2 研究對象不同年齡層之分佈狀態 51
表4-3 研究對象不同等級身體活動量之分佈狀態 52
表4-4 研究對象不同等級活動當量之分類 53
表4-5 研究對象不同等級身體活動量之分類 54
表4-6 研究對象身體自我概念之得分情形 59
表4-7 研究對象身體自我概念各層面之得分情形 58
表4-8 研究對象運動自我效能之得分情形 59
表4-9 研究對象基本屬性與身體活動量之相關性 61
表4-10 各研究變項與身體活動量之相關性 62
表4-11 研究對象身體活動量之共線性分析 63
表4-12 研究對象以多元邏輯斯迴歸分析不同等級之身體活動量 64
表4-13 研究對象以二元邏輯斯迴歸分析身體活動適量組與身體活動不足組 65

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