背景:國內心血管病患者日趨增加，冠狀血管成型術的患者住院日數短、接觸專業健康照護完整性缺乏、且出院後追蹤後續照顧受限。
目的:本研究目的為探討疾病不確定感、身體活動與健康行為自我效能間差異性與相互關係。
方法:橫斷式相關性研究，方便取樣南部某醫院心臟內科門診108位施行冠狀血管成型術後患者。
結果:顯示（一）、教育程度為不識字者具有高疾病不確定感與低健康行為自我效能；過去無運動習慣者具有高疾病不確定感、低身體活動與低健康行為自我效能（二）、疾病不確定感之主要來源為「我不知道下ㄧ步會發生什麼事」；大部分患者主要身體活動仍以走路為主；健康行為自我效能之主要來源：我會按時服用藥物（三）、疾病不確定感越低，身體活動情形越多，健康行為自我效能越高；故此三者有相互關係。
實務應用:可供醫護人員衛教患者心臟復健運動，增進健康促進行為之應用。

Background: The cases of cardiovascular disease have been increased dramatically, thus, an issue arose for those who received percutaneous coronary intervention, because of the shorter of length of stay in hospital resulted in a limited continuum care of cardiac rehabilitation.
Purpose: This study aimed to explore the relationship between the variables “uncertainty in illness”, “physical activities” and “health self-efficacy”.
Methods: A convenience sampling was used which recruited 108 subjects from an out patient department of a regional hospital.
Results: The results showed that firstly, “educational level” influenced both variables such as “uncertainty in illness” and “health self-efficacy”. There was a positive influence by physical activities between the variables “uncertainty in illness”, and “health self-efficacy”. Secondly, the sources of uncertainty was “I don’t know what will happen next?” The majority patients’ physical activity was “daily walking”. With regard to the health behavior represented “health self-efficacy” which was “I take medication follow the regime”. Thirdly, a significant relationship showed the lower score of “uncertainty in illness”, the higher of “health self-efficacy” and the better of “physical activities”. That meant a negative relationship among the variables of “uncertainty in illness”, “health self-efficacy” and physical activities.
Implications for practice: The results served as a reference for health professional to carry out cardiac rehabilitation program in order to facilitate patient to adopt health promotion behavior.

中文摘要 i
英文摘要 ii
致謝 iv
目錄 v
圖表目錄 vii
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 名詞界定 4
第二章 文獻查證 7
第一節 冠狀動脈疾病與冠狀血管成型術 7
第二節 疾病不確定感及其影響因素 10
第三節 身體活動及其影響因素 16
第四節 健康行為自我效能及其影響因素 22
第五節 疾病不確定感、身體活動與健康行為自我效能相關研究 26
第三章 研究方法 28
第一節 研究設計 28
第二節 研究架構 28
第三節 研究假設 30
第四節 研究對象 30
第五節 倫理考量 31
第六節 研究工具與其信、效度 31
第六節 研究樣本數之估計 35
第七節 研究步驟 36
第八節 資料處理與統計分析 37
第四章 研究結果 43
第一節 冠狀血管成型術後患者之基本屬性、疾病治療特性現況 43
第二節 冠狀血管成型術後患者之疾病不確定感 46
第三節 冠狀血管成型術後患者之身體活動 59
第四節 冠狀血管成型術後患者之健康行為自我效能 64
第五節 疾病不確定感、身體活動與健康行為自我效能之相關性 79
第五章 討論 82
第一節 冠狀血管成型術後患者其基本屬性、疾病治療特性、疾病不確定感、身體活動與健康行為自我效能之概況 82
第二節 冠狀血管成型術後患者其基本屬性、疾病治療特性與疾病不確定感、身體活動與健康行為自我效能之關係 88
第三節 冠狀血管成型術後患者其疾病不確定感、身體活動與健康行為自我效能之相關性 91
第六章 結論與建議 95
第一節 結論 95
第二節 研究限制 96
第三節建議 97
參考文獻 100

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