臺灣博碩士論文加值系統

　　本研究目的為探討冠狀動脈心臟病（coronary heart disease, CHD）患者於接受經皮冠狀動脈血管成型術（percutaneous coronary intervention, PCI）治療後規律運動行為之現況及其相關影響因素。本研究是採回溯性相關性研究設計，以結構式問卷，進行一對一訪談的資料收集。問卷內容包含人口學特性、疾病狀況、主觀生理症狀、自覺心臟病罹患性、自覺心臟病嚴重性、自覺運動利益、自覺運動障礙、行動線索及運動自我效能。採方便取様於台南巿某所醫學中心，邀請50位於初次接受PCI治療後3至17個月的患者參與本研究。利用SPSS11.5 FOR Windows套裝電腦統計軟體進行描述性、t-檢定、卡方檢定及邏輯斯迴歸（logistic regression）的統計分析。
　　
　　結果顯示，有57%的患者從事規律運動。走路是最主要的運動型式，佔75.86%，其次為騎腳踏車（13.8%）。年齡大、有過去運動經驗、主觀生理症狀少、自覺心臟病罹患性低、自覺運動障礙低及運動自我效能高者較會從事規律運動。根據邏輯斯迴歸分析顯示，年齡（勝算比為1.15；95%信賴區間為1.033 至1.282）、主觀生理症狀（勝算比為0.48；95%信賴區間為0.240至0.974）與運動自我效能（勝算比為4.95；95%信賴區間為1.913至12.80）為規律運動行為之預測因子。行動線索之分析顯示，醫護人員的建議是主要行動線索，其次為親友的勸告。
　　
　　此研究結果將可做為醫護人員規劃接受PCI治療患者運動衛生教育時之參考，以幫助病患建立規律運動的習慣，維護PCI治療的成效。

　　The purpose of this study was to investigate the regular exercise behavior and its related factors among patients with coronary heart disease who had undergone PCI. A retrospective design was used in the study. A convenience sample of 50 subjects who had undergone an initial PCI treatment 3 to 17 months ago were recruited from one medical center in Tainan. Data were collected through self-reported questionnaires which included demographic data sheet, perceived physical symptoms scale, medical variables, perceived susceptibility to CHD scale, perceived severity of CHD scale, perceived benefit of exercise scale, perceived barriers to exercise scale, cue to action, self efficacy for exercise scale, and regular exercise behavior questionnaires. Data were analyzed using SPSS for Windows 11.5 statistical software. The statistical methods include descriptive statistics, t-test, chi-square test, and logistic regression.
　
　　Results showed that 57% of subjects engaged in regular exercise. Walking was the most reported mode of exercise (75.86%), the followed by biking (13.8%). Those who engaged in regular exercise were older, had fewer perceived physical symptoms, lower perceived susceptibility to CHD, lower perceived barriers to exercise and higher self-efficacy for exercise than those who did not. Those who had past exercise habit were more likely to engage in regular exercise than those who did not. The logistic regression analysis showed that age (OR 1.15；95% confidence interval 1.033 to1.282), perceived physical symptoms (OR 0.48；95% confidence interval 0.240 to 0.974) and self-efficacy for exercise (OR 4.95；95% confidence interval 1.913 to12.80) were the significant predictors of regular exercise behaviors. The major cue to action was health care professional’s recommendations, the followed by the advice from family members and friends.
　
　　The results of the study may have implication for developing strategies to enhance and maintain patient’s long-term regular exercise behaviors after PCI treatment.

第一章　緒論　1
　第一節　研究動機與重要性　1
　第二節　研究目的　4

第二章　文獻查證　5
　第一節　運動對CHD患者之益處　5
　第二節　CHD患者運動行為之相關影響因素　9
　第三節　健康信念與CHD患者運動行為4　
　第四節　文獻總結　22

第三章　研究架構與研究假設　23
　第一節　研究架構　23
　第二節　研究問題　25
　第三節　研究假設　26

第四章　研究方法與過程　27
　第一節　名詞界定　27
　第二節　研究對象　29
　第三節　研究工具的測量及信效度　30
　第四節　資料收集過程及研究對象之倫理考量　43

第五章　研究結果　49
　第一節　人口學變項、疾病特性、主觀生理症狀、自覺心臟病罹患性、自覺心臟病嚴重
　　　　　性、自覺運動利益、自覺運動障礙及運動自我效能之現況　49
　第二節　規律運動行為之現況　64
　第三節　規律運動行為與人口學變項、疾病特性、主觀生理症狀、自覺心臟病罹患性
　　　　　、自覺心臟病嚴重性、自覺運動利益、自覺運動障礙、運動自我效能之相關
　　　　 　分析　66
　第四節　規律運動行為之預測分析　70

第六章　討論　72
　第一節　規律運動行為之現況　72
　第二節　人口學變項、疾病特性、主觀生理症狀、自覺心臟病罹患性、自覺心臟病嚴重
　　　　 　性、自覺運動利益、自覺運動障礙、運動自我效能與規律運動行為之關係　74
　第三節　行動線索與規律運動行為之關係　80

第七章　結論與建議　81
　第一節　結論　81
　第二節　研究結果之應用與建議　82
　第三節　研究限制及未來研究建　84

參考文獻　86
　中文部份　86
　英文部份　89

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