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研究生:詹之朮
研究生(外文):Chih-Shu Chan
論文名稱:護理女大學生運動階段、憂鬱症狀與生活品質之研究
論文名稱(外文):A Study of Stage of Exercise, Depressive Symptoms, and Quality of Life Among College Nursing Female Students
指導教授:李碧霞李碧霞引用關係
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:護理學研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2007
畢業學年度:95
語文別:中文
論文頁數:90
中文關鍵詞:護理女大學生運動階段憂鬱症狀生活品質
外文關鍵詞:college nursing female studentsstage of exercisedepressive
相關次數:
  • 被引用被引用:5
  • 點閱點閱:266
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  • 下載下載:0
  • 收藏至我的研究室書目清單書目收藏:5
本研究旨在瞭解護理女大學生的運動階段、憂鬱症狀及生活品質現
況,以及三者間的關係。採橫斷式研究設計,以台北縣、市95 學年度
五所國、私立大學、獨立學院暨醫學大學所有年級之護理女大學生為研究對象,共發出792 份問卷,回收752 份問卷,實際有效問卷721 份(有效回收率91.0%)。研究工具包括運動階段量表、貝克憂鬱量表第二版中文版(BDI-II)、台灣簡明版世界衛生組織生活品質問卷表
(WHOQOL-BREF)。以SPSS 11.0 套裝軟體進行統計分析,包括描述
性〔次數、百分比、平均值、標準差、最大值、最小值〕及推論性統計〔單因子變異數分析、最小顯著差異事後檢定與史比爾曼等級相關〕等分析。研究結果發現:一、研究對象的運動階段以準備期(44.4%)佔最多,其次依序為意圖期(25.7%)、行動期(10.8%)、無意圖期(10.7%),而以維持期 (8.5%)佔最少;二、研究對象憂鬱症狀平均得分為9.11 ± 7.50 分(滿分為63 分),以正常範圍(76.7%)居多,23.2%具有憂鬱傾向;三、研究對象不同運動階段在憂鬱症狀上有顯著差異(F = 2.65, p = .032),且維持期、行動期及準備期的憂鬱症狀平均得分低於無意圖期;四、研究對象生活品質四個範疇中,以生理健康範疇的平均得分(M = 14.02)為最高,其次依序為社會關係(M = 13.55)、環境範疇(M = 13.17),而心理範疇的得分(M = 12.60)為最低;五、研究對象不同運動階段在生活品質的生理健康(F = 6.54, p = .000)、心理(F = 4.55, p = .001)、社會關係(F = 4.06, p = .003) 及環境範疇(F= 7.16, p = .000) 上有顯著差異,且維持期、行動期和準備期的生理健康、心理、社會關係及環境範疇平均得分顯著高於無意圖期;維持期的生理健康、心理、社會關係及環境範疇平均得分顯著高於意圖期;六、研究對象運動階段與生活品質的生理健康(r = .17, p = .000)、心理(r= .14, p = .000)、社會關係(r = .13, p = .001)及環境範疇(r = .18, p= .000)呈顯著正相關;運動階段與憂鬱症狀得分(r = -.08, p = .025)呈顯著負相關;而憂鬱症狀與生活品質的生理健康(r = -.44, p = .000)、心理(r = -.56, p = .000)、社會關係(r = -.35, p = .000) 及環境範疇(r= -.35, p = .000) 則呈顯著負相關。建議護理學校應重視護理女大學生的運動問題,營造運動生活化的校園環境,以提升護理女大學生的生活品質、降低憂鬱症。
The study intends to learn more about stage of exercise, depressive symptoms and quality of life among college nursing female students and the relationships among the above three. The design of this study is a crosssectional study, in which 792 survey questionnaires consisting of college nursing female students in 5 national and private universities, independent colleges and medical universities in Taipei City and County in 2007. Out of the 792 questionnaires, 752 were returned and 721 of them are valid returned for further analysis (response rate: 91.0%). The tools used for the study are Stage of Exercise questionnaires, BDI-II and WHOQOL-BREF. The software SPSS 11.0 was used to perform the statistic analysis, which includes descriptive (frequency, percentage, mean, standard deviation, maximum and minimum) and inferential statistic analysis (one-way ANOVA, post-hoc comparisons by Least Significant Difference and Spearman Rank Order Correlation). The study shows: 1. The preparation accounts for most of the stages of exercise among targt population of the study (44.4%), followed by contemplation (25.7%), action (10.8%) and pre-contemplation (10.7%), and
the last is the maintenance (8.5%); 2. The average score for the depressive symptoms is 9.11 ± 7.50 (63 in total). Most of them are in the normal range (76.7%) and 23.2% show signs of depression; 3. The depressive symptoms demonstrate significant differences (F = 2.65, p = .032) in different stages of exercise, and the average scores for depressive symptoms in maintenance,action and preparation are lower than that for pre-contemplation; 4. In the 4 major domains of the quality of life, the highest average score goes to physical health domain (M = 14.02), followed by social relationships domain (M = 13.55) and environmental domain (M = 13.17), and the lowest goes to psychological domain (M = 12.60); 5. In different stages of exercise, display significant difference in physical health (F = 6.54, p = .000), psychological (F
= 4.55, p = .001), social relationships (F = 4.06, p = .003) and environmental domain (F = 7.16, p = .000) of the quality of life, and the average scores of physical health, psychological, social relationships and environmental domain
in maintenance, action and preparation stages are far higher than those in precontemplation stage. Also, the average scores of physical health, psychological, social relationships and environmental domain in maintenance are higher than those in contemplation; 6. The stages of exercise find positive correlation with the physical health (r = .17, p = .000), psychological (r = .14, p = .000), social relationships (r = .13, p = .001) and environmental domain (r
= .18, p = .000) of the quality of life; the stages of exercise are in a negative correlation with the scores of depressive symptoms (r = -.08, p = .025); and the depressive symptoms are in a negative correlation with the physical health (r = -.44, p = .000), psychological (r = -.56, p = .000), social relationships (r = -.35, p = .000) and environmental domain (r = -.35, p = .000) of the quality of
life. It is recommended that the nursing schools should pay more attention to the exercise problem among college nursing female students and create a campus that exercise becomes part of life in order to promote the quality of life for these female students and to reduce the depressive symptoms.
致謝············································································································ I
中文摘要···································································································· II
英文摘要···································································································· IV
目錄············································································································ VI
圖表目次···································································································· IX
第一章 緒論···························································································· 1
第一節 研究動機及重要性···························································· 1
第二節 研究目的············································································ 3
第三節 研究問題············································································ 3
第四節 研究假設············································································ 4
第五節 名詞界定············································································ 4
第二章 文獻查證···················································································· 6
第一節 運動改變階段···································································· 6
第二節 憂鬱症狀概論···································································· 15
第三節 生活品質概論···································································· 19
第四節 運動與憂鬱症狀之相關研究············································ 22
第五節 運動與生活品質之相關研究············································ 24
第六節 憂鬱症狀與生活品質之相關研究···································· 26
第三章 研究方法···················································································· 29
第一節 研究設計············································································ 29
第二節 研究架構············································································ 29
第三節 研究對象············································································ 31
第四節 研究工具············································································ 33
第五節 研究倫理考量···································································· 41
第六節 資料收集············································································ 41
第七節 資料處理············································································ 42
第四章 研究結果···················································································· 45
第一節 護理女大學生的基本屬性················································ 45
第二節 護理女大學生運動階段、憂鬱症狀與生活品質現況····· 47
第三節 護理女大學生不同運動階段在憂鬱症狀的差異性········· 55
第四節 護理女大學生不同運動階段在生活品質的差異性········· 57
第五節 護理女大學生運動階段、憂鬱症狀與生活品質的關
係························································································ 59
第五章 討論···························································································· 61
第一節 護理女大學生運動階段、憂鬱症狀與生活品質的現況··· 61
第二節 護理女大學生不同運動階段在憂鬱症狀上的差異性····· 63
第三節 護理女大學生不同運動階段在生活品質上的差異性····· 63
第四節 護理女大學生運動階段、憂鬱症狀與生活品質的關
係························································································ 63
第六章 結論與建議················································································ 65
第一節 結論···················································································· 65
第二節 建議···················································································· 66
第三節 研究限制············································································ 68
參考資料···································································································· 69
中文部分···························································································· 69
英文部分···························································································· 73
附錄一 「護理女大學生運動階段、憂鬱症狀與生活品質之
研究」問卷表···································································· 82
附錄二 購買貝克憂鬱量表中文版第二版收據···························· 87
附錄三 生活品質授權同意書························································ 89
附錄四 人體(臨床)試驗計畫審核同意函································ 90
圖一 研究架構圖················································································ 30
表一 改變運動階段模式應用於大學生運動行為之相關研究········· 13
表二 台北縣、市大學、獨立學院暨醫學大學九十五學年度日
間部護理女大學生人數···························································· 32
表三 本研究工具BDI-II 量表內在一致性信度分析························ 36
表四 本研究工具WHOQOL-BREF 量表內在一致性信度分析······ 39
表五 研究目的、研究問題及資料分析············································ 44
表六 護理女大學生之基本屬性資料分佈········································ 46
表七 護理女大學生之運動階段現況資料分佈································ 48
表八 護理女大學生之憂鬱症狀現況資料分佈································ 50
表九 護理女大學生憂鬱症狀量表各題得分情形資料分佈············· 52
表十 護理女大學生之生活品質量表各題得分情形資料分佈········· 54
表十一 護理女大學生不同運動階段在憂鬱症狀的差異分析············· 56
表十二 護理女大學生不同運動階段在生活品質的差異分析············· 58
表十三 護理女大學生運動階段、憂鬱症狀及生活品質的相關分
析································································································ 60
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