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研究生:陳企萍
研究生(外文):Chi-ping Chen
論文名稱:探討參與職場第二型糖尿病健康營造計畫員工規律運動行為之相關影響因素
論文名稱(外文):To explore the related factors of the exercise behavior in worksite type 2 diabetes mellitus who joined the health promotion program
指導教授:陳清惠陳清惠引用關係
指導教授(外文):Ching-Huey Chen
學位類別:碩士
校院名稱:國立成功大學
系所名稱:護理學系碩博士班
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:2009
畢業學年度:97
語文別:中文
論文頁數:50
中文關鍵詞:影響因素規律運動行為職場糖尿病員工
外文關鍵詞:regular exerciseinfluencing factorsdiabetes mellitus workers
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糖尿病治療以飲食、藥物與運動行為調整為主。國人第二型糖尿病在規律運動行為遵行度最低,而目前對第二型糖尿病規律運動行為的研究,尚缺乏對職場第二型糖尿病員工之研究。故本研究將以職場第二型糖尿病員工為對象,運用跨理論模式,探討規律運動行為之現況及其相關影響因素。本研究採次級資料分析(secondary data analysis),運用南部某工廠參與第二型糖尿病健康營造計畫員工之資料。於256位參與員工擷取人口學資料、運動行為階段、運動自我效能及決策平衡量表皆完整的員工資料進行分析,共取72位。研究發現經過第二型糖尿病健康營造教育課程後,職場第二型糖尿病男性員工執行規律運動行為者有52人(72.22%);無規律運動行為者20人(27.78%);人口學變項中僅輪班工作型態可顯著預測職場第二型糖尿病男性員工執行規律運動行為,且每增加一個輪班工作型態機會即會減少執行規律運動30%,此結果將供未來宜對克服輪班對規律運動養成的影響作進ㄧ步探討。
Maintaining a healthy diet, exercise and taking medication have been considered to be the three major management behaviors in diabetic patients. In Taiwan, the lowest compliance behavior of type 2 diabetes mellitus was exercise. Moreover, present research lack findings regarding the exercise behavior of employees with type 2 diabetes mellitus in the worksite. Thus, the purpose of this study was to explore the related factors of the exercise behavior among worksite employees with type 2 diabetes mellitus. A secondary data analysis was used in the study. Data were obtained from a worksite diabetic health promotion program conducted in Taiwan. Seventy-two participants completed the questionnaire battery including the demographic questionnaire, the stage of exercise behaviors, the scale of exercise self-efficacy and the scale of perceived exercise decisional balance were included in data analysis. The results showed that 72.22% of the type 2 diabetes mellitus male workers exercise regularly. Having a night shift was the only significant factor that predicted the regular exercise behavior, which increased one night shift chance might decrease 30% chance in conducting regular exercise. More researches are needed to explore the barriers of the night shift on exercise behaviors in order to provide more effective strategies to improve the exercise behaviors among diabetes mellitus male workers.
目錄
中文摘要………………Ⅰ
英文摘要……………Ⅱ
致 謝……………Ⅲ
目 錄……………Ⅳ
圖表目錄………………Ⅵ

第一章 緒論 1
第一節 研究重要性與動機 1
第二節 研究目的 2
第二章 文獻查證 3
第一節 運動與第二型糖尿病的關係 3
第二節 規律運動 4
第三節 影響第二型糖尿病患規律運動行為之相關因素 6
第四節 跨理論模式 8
第五節 跨理論模式於第二型糖尿病規律運動行為之相關研究..........11
第三章 研究架構與研究假設 13
第一節 研究架構 13
第二節 研究問題 14
第三節 研究假設 14
第四章 研究方法與研究過程 15
第一節 研究設計 15
第二節 資料來源 15
第三節 名詞界定 17
第四節 研究工具 18
第五節 資料分析 19
第六節 倫理考量 21
第五章 研究結果 21
第六章 討論 .. ....................................................30
第七章 結論與建議..................................................33
參考資料 35
中文部分 35
英文部分 38
附錄 45


圖表目錄
圖3-1 研究架構………………………………………………………13
圖4-1 第二型糖尿病保健課程進行流程……………………………16
圖5-1 資料前處理過程………………………………………………21
圖6-1 自我效能在規律運動行為階段分佈情形……………………32
圖6-2 決策平衡在規律運動行為階段分佈情形……32

表2-1 影響第二型糖尿病患者規律運動行為之因素… 7
表2-2 國內運用TTM模式於運動行為的相關研究……………………10
表2-3 運用跨理論模式於第二型糖尿病之研究………12
表4-1 描述性統計………………………………19
表4-2 推論性統計…………………………20
表5-1資料完整組與資料不完整組人口學變項分析比較…22
表5-2 研究對象人口學…………27
表5-3 預測規律運動行為之邏輯式迴歸分析………29
表5-4 預測分類正確率交叉表………………29
中文部分
王璟璇、王瑞霞、林秋菊(1998)•門診診斷初期非胰島素依賴型糖尿病患者的自我照顧行為及其相關因素之探討•護理雜誌,45(2),60-73。
王蕙雯、張媚(2006)•應用跨理論模式於工作場所實施運動介入之成效•台灣醫學,10(3),292-301。
全民健康保險局(2007,1月)•2007全民健保簡介--經營成效—致力提升醫療服務品質•全民健康保險局•2007年5月2日取自http://www.nhi.gov.tw/webdata/webdata.asp?menu=1&menu_id=3&webdata_id=1328
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呂昌明、郭曉文、王淑芬、林旭龍、李碧霞(2003)•應用跨理論模式於學童母親運動行為之研究•衛生教育學報,19,57-70。
林旭龍、呂昌明(2001)•應用改變階段模式於運動行為之研究—以大學女生為例•衛生教育學報,16,19-33。
林旭龍、呂昌明(2002)•應用跨理論模式於大學女生身體活動之研究—改變階段模式之效度•衛生教育學報,18,127-140。
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高毓秀、黃奕清(2000)•成年人運動行為影響因素之徑路分析•護理研究,8(4),435-446。
陳芬苓(2005)•企業規模與實施職場健康促進之調查計畫•台灣管理學刊,5(1),149-168。
陳滋茨、張媚、林艷君(1998)•自我效能、社會支持與糖尿病病人居家自我照顧行為相關之探討•護理研究,6(1),31-43。
黃奕清、高毓秀、陳秋蓉、徐敬暉(2003)•運動計畫介入職場員工運動階段與身體活動之成效•勞工安全衛生研究季刊,11(1),1-10。
葉慶輝、葉淑娟(2004)•勞工肥胖與共病相關性之探討•台灣家醫誌,14,35-52。
蔡世澤(2004,6月)•糖尿病照護趨勢•糖尿病衛教學會會訊,3-8。
鄭綺(1999)•第二型糖尿病患者執行有氧運動之血糖立即反應和長期成效—前驅研究•護理研究,7(1),29-40。
簡盟月、吳英黛(2006)•胰島素阻抗與運動訓練的效果-細胞與分子層面之探討•Formosan journal of physical therapy,31(2),130-141。
羅慶徽、羅元婷、嚴嘉楓、林金定、呂學琳、徐尚為、朱明若、林雅雯等(2006)•醫院員工身體質量指數與運動習慣之現況分析•台灣家醫誌,16(3),167-180。
鐘敏華(2005)•跨理論模式對高中女生身體活動參與及行為改變之介入成效研究•國立籉北教育大學學報,18(2),359-378。
顧家怡、鄭綺(2001)•不同活動型態、時間對第二型糖尿病患者血糖立即反應影響之探討•護理研究,9(3),203-212。
英文部分
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Aldana, S. G., Barlow, M., Smith, R., Yanowitz, F. G., Adams, T., Loveday, L., et al. . (2005). The diabetes prevention program: a worksite experience. The American Association of Occupation Health Nurses, 53(11), 499-505.
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Barrett, J. E., Plotnikoff, R. C., Courneya, K. S., & Raine, K. D. (2007). Physical activity and type 2 diabetes: exploring the role of gender and income. The Diabetes Educator, 33(1), 128-143.
Berentzen, T., Petersen, L., Pedersen, Black, E., Astrup, A., & Sørensen, T. I. (2007). Long-term effects of leisure time physical activity on risk of insulin resistance and impaired glucose tolerance, allowing for body weight history, in Danish men. Diabetic Medicine, 24, 63-72.
Boulé, N. G., Haddad, E., Kenny, G. P., Wells, G. A., & Sigal, R. J. (2001). Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta-analysis of controlled clinical trail. The Journal of the American Medical Association, 286(10), 1218-1227.
Bowles, H. R., Morrow, J. R., Leonard, B. L., Hawkins, M., & Couzelis, P. M. (2002). The association between physical activity behavior and commonly reported barriers in a worksite population. Research Quarterly for Exercise and Sport, 73(4), 464-470.
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Hays, L. M., & Clark, D. O. (1999). Correlates of physical activity in a sample of older adults with type 2 diabetes. Diabetes Care, 22(5), 706712.
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1. 王璟璇、王瑞霞、林秋菊(1998)•門診診斷初期非胰島素依賴型糖尿病患者的自我照顧行為及其相關因素之探討•護理雜誌,45(2),60-73。
2. 王蕙雯、張媚(2006)•應用跨理論模式於工作場所實施運動介入之成效•台灣醫學,10(3),292-301。
3. 林旭龍、呂昌明(2001)•應用改變階段模式於運動行為之研究—以大學女生為例•衛生教育學報,16,19-33。
4. 林旭龍、呂昌明(2002)•應用跨理論模式於大學女生身體活動之研究—改變階段模式之效度•衛生教育學報,18,127-140。
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