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

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