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研究生:吳秋燕
研究生(外文):Wu, Chiu-Yen
論文名稱:老年人身體活動、心肺適能與生活品質之相關研究
論文名稱(外文):A Correlational study among Cardiovascular Fitness, Physical Activity, and Quality of life for the elders.
指導教授:方進隆方進隆引用關係
指導教授(外文):Fang, Chin-Lung
學位類別:碩士
校院名稱:國立臺灣師範大學
系所名稱:體育學系在職進修碩士班
學門:教育學門
學類:專業科目教育學類
論文種類:學術論文
論文出版年:2003
畢業學年度:91
語文別:中文
論文頁數:80
中文關鍵詞:老年人身體活動心肺適能生活品質
外文關鍵詞:elderly peoplephysical activitycardiovascular fitnessquality of life
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本研究主要目的在探討不同身體活動量老年人之心肺適能和生活品質之差異,及身體活動量、心肺適能與生活品質之間的關係。本研究對象為年齡在65∼92歲之老年人,以六分鐘走路測驗評估其心肺適能,採用PASE量表評估身體活動量及SF-36量表評估生活品質。
本研究共獲得100份老年人有效資料(平均年齡為72.91±6.17歲),經單因子變異數分析及皮爾森相關分析,結果發現:
一、不同身體活動量組間之心肺適能有顯著差異,且身體活動量與心肺適能間呈現顯著正相關(p<.05)。
二、不同身體活動量組間之生活品質有顯著差異。而身體活動量與生活品質間有正相關存在(r介於.12至.29之間),且在身體功能、活動限制及情緒限制等三個構面達顯著水準(p<.05)。
三、不同心肺適能組間之生活品質有顯著差異。而心肺適能與生活品質間有正相關存在(r介於.02至.41之間),且在身體功能、活動限制、社會功能及心理健康等四個構面達顯著水準(p<.05)。
高身體活動量及高心肺適能之老年人有較佳的生活品質,因此建議老年人增加身體活動量,增進心肺適能,應是促進身心健康和提升生活品質的有效方法。
The purposes of the present study were to investigate the difference of cardiovascular fitness and quality of life among the elderly people who had various physical activity levels, and the relationship of quality of life, physical activity, and cardiovascular fitness. The subjects of this study were elderly people ranging from 65 to 92 in age. Cardiovascular fitness was measured by means of a 6-minute walk test. The physical activity level was evaluated using PASE and while the quality of life was evaluated by in terms of SF-36.
Valid data of 100 elderly people (average age=72.91±6.17) were analysed with one-way ANOVA and Pearson product-moment correlation coefficient. The results of this study were followed:
1.There was significant difference in cardiovascular fitness among groups with different physical activity level. Physical activity level was significant positively correlated with cardiovascular fitness (p<.05).
2. There was significant difference in the quality of life among groups with different physical activity level. Positive correlations existed between physical activity level and quality of life (r=.12-.29). The three significant aspects among the eight correlations were physical functioning, role functioning- physical, and role functioning-emotional (p<.05).
3. There was significant difference in the quality of life among groups with different cardiovascular fitness. Positive correlations existed between elderly people’s cardiovascular fitness and quality of life (r=.02-.41). The four significant aspects among the eight correlations were physical functioning, role functioning- physical, social functioning, and mental health (p<.05).
Elderly people who had higher physical activity level and higher cardiovascular fitness also had better quality of life. Therefore, encouraging elderly people to increase physical activity level and cardiovascular fitness would effectively promote physical-mental health and quality of life.
目次
本文部分
第壹章 緒論……………………………………………………… 1
第一節 問題背景………………………………………………… 1
第二節 研究目的………………………………………………… 4
第三節 研究假設………………………………………………… 5
第四節 操作性定義……………………………………………… 5
第五節 研究範圍………………………………………………… 6
第六節 研究限制………………………………………………… 7
第貳章 文獻探討………………………………………………… 8
第一節 身體活動與心肺適能相關的研究 ………………………… 8
第二節 身體活動與健康相關的研究……………………………… 10
第三節 老年人身體活動量之評估相關的研究 …………………… 12
第四節 走路測驗評估心肺適能相關的研究 ……………………… 14
第五節 生活品質量表(SF-36)相關的研究……………………… 15
第六節 身體活動與生活品質相關的研究……………………………… 17
第七節 本章結語………………………………………………… 20
第參章 研究方法與步驟………………………………………… 22
第一節 研究對象………………………………………………… 22
第二節 研究流程………………………………………………… 23
第三節 研究架構………………………………………………… 24
第四節 心肺適能測量方式的選取………………………………… 25
第五節 研究問卷的選取與編製…………………………………… 25
第六節 資料蒐集過程 …………………………………………… 30
第七節 資料處理與統計分析…………………………………………30
第肆章 結果……………………………………………………… 32
第一節 預備性實驗……………………………………………………32
第二節 受試者基本資料………………………………………………33
第三節 老年人之身體活動情形…………………………………… 34
第四節 老年人心肺適能現況……………………………………… 37
第五節 身體活動量與心肺適能之關係………………………………38
第六節 老年人生活品質現況…………………………………………… 40
第七節 身體活動量與生活品質八個構面之關係……………………… 41
第八節 心肺適能與生活品質八個構面之關係 …………………… 44
第伍章 討論與結論……………………………………………… 47
第一節 預備性實驗結果之探討………………………………………47
第二節 身體活動量與心肺適能之關係…………………………… 48
第三節 身體活動量與生活品質之關係…………………………… 51
第四節 心肺適能與生活品質之關係……………………………… 53
第五節 結論與建議……………………………………………… 54
引用文獻…………………………………………………………… 57
中文部分 ………………………………………………………… 57
英文部分………………………………………………………………58
後篇部分
附錄一 身體活動與生活品質問卷調查表………………………… 66
附錄二 老年人身體活動類別一覽表…………………………………76
附錄三 受試者須知…………………………………………………… 77
附錄四 六分鐘步行測驗(6-minute walk test)……………………78
附錄五 中文版老年人身體活動量表(PASE)同意書………………79
附錄六 台灣版SF-36量表同意書………………………………………80
表次
表3-1 SF-36八個構面成績加總對照表…………………………………28
表3-2 PASE計分及加權指數對照表………………………………………29
表4-1 二次六分鐘走路測驗之結果………………………………………33
表4-2 受試者年齡、身高與體重之基本資料表…………………………34
表4-3 受試者身體活動量得分一覽表………………………………… 34
表4-4 受試者從事身體活動之頻率表……………………………………36
表4-5 受試者從事身體活動項目之時數表…………………………… 36
表4-6 受試者從事家務及其他活動一覽表 ………………………… 37
表4-7 各年齡層六分鐘走路測驗成績一覽表 ……………………… 38
表4-8 不同年齡層心肺適能之變異數分析摘要表…………………… 38
表4-9 老年人身體活動量與心肺適能之相關………………………… 39
表4-10 身體活動量分組基本資料表………………………………… 40
表4-11 不同身體活動量與心肺適能之變異數分析摘要表……………40
表4-12 受試者生活品質各構面概念總分………………………………41
表4-13 身體活動量與生活品質之相關……………………………… 42
表4-14 不同身體活動量組對生活品質之變異數分析摘要表……… 43
表4-15 心肺適能與生活品質之相關………………………………… 45
表4-16 心肺適能分組基本資料表…………………………………… 46
表4-17 不同心肺適能組對生活品質之變異數分析摘要表………… 46
圖次
圖3-1 研究流程圖……………………………………………………… 23
圖3-2 研究架構圖……………………………………………………… 24
【中文部份】
方進隆。(民86a)。提昇體適能的策略與展望。教師體適能指導手冊,8-21。師大體研中心,台北市。
方進隆。(民86b)。有氧運動。教師體適能指導手冊,104-118。師大體研中心,台北市。
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李世代。(民91)。長期照護之概說。當代醫學雜誌,29(1),60-69。
李銘(譯名)。(民89)。運動與身體活動參與─生活品質的重要促進因素。
中華民國體育學會迎接千禧年運動與生活品質學術研討會專題演講暨論文集,46-49。
李佳霙。(民85)。探討中部五縣市民眾的健康狀況與醫療利用間的相關研究:SF-36健康量表的合適性。中國醫藥學院環境醫學研究所碩士論文。
吳佳儀。(民91)。社區老人睡眠品質與身體活動、憂鬱之相關性探討。國立台灣大學醫學院護理學研究所碩士論文。
林麗鳳。(民83)。社區民眾參與健康體能活動後的效益評估。中台醫專學報,8,125-146。
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師範大學體育研究所文碩士論文。
陳清惠。(民88)。老年人與運動。榮總護理,16(1),7-11。
黃永任。(民87)。運動、體適能與疾病預防。國民體育季刊,27(2),5-13。
劉慧俐、蔡宜蓉。(民90)。身體活動與老年人生活品質。國家衛生研究院論壇健康促進與疾病預防委員會第三期文獻回顧研析計畫。
劉雪娥。(民90)。如何增進老年人的生活品質。榮總護理,18(3),217-222。
謝錦城。(民87)。運動、體適能與健康的認知。國民體育季刊,27(2),
20-26。
藍青。(民85)。高齡者運動醫學。國民體育季刊,25(1),84-90。
關宏宜。(民89)。中年男性心肺適能與健康相關的生活品質之研究。國立
台灣師範大學體育研究所文碩士論文。
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1. 藍青。(民85)。高齡者運動醫學。國民體育季刊,25(1),84-90。
2. 謝錦城。(民87)。運動、體適能與健康的認知。國民體育季刊,27(2),
3. 劉雪娥。(民90)。如何增進老年人的生活品質。榮總護理,18(3),217-222。
4. 黃永任。(民87)。運動、體適能與疾病預防。國民體育季刊,27(2),5-13。
5. 陳清惠。(民88)。老年人與運動。榮總護理,16(1),7-11。
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