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研究生:詹芸君
研究生(外文):CHAN, YUN-CHUN
論文名稱:抗氧化食物補充與營養運動實作教育對社區長者知識、態度、行為之影響
論文名稱(外文):Effect of Antioxidant Food Supplementation with Nutrition and Exercise Implementational Programs on Knowledge, Attitude and Behavior of Community-dwelling Elderly
指導教授:駱菲莉駱菲莉引用關係
指導教授(外文):YANG LO,FEI-LI
口試委員:鄭裕耀董家堯
口試委員(外文):CHENG, YU-YAODOONG, JIA-YAU
口試日期:2020-07-24
學位類別:碩士
校院名稱:輔仁大學
系所名稱:營養科學系碩士班
學門:醫藥衛生學門
學類:營養學類
論文種類:學術論文
論文出版年:2020
畢業學年度:108
語文別:中文
論文頁數:167
中文關鍵詞:健康識能行為改變營養與運動實作課程抗氧化飲食社區長者
外文關鍵詞:health literacybehavioral changenutrition and exercise implementational workshopantioxidative dietcommunity-dwelling elderly
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目錄
中文摘要 I
英文摘要 II
誌謝 III
目錄 Ⅳ
表目錄 VI
圖目錄 VII
第一章 前言 1
第二章 文獻回顧 2
第一節 台灣人口現況與高齡社會 2
第二節 老化的機轉 2
第三節 老化相關慢性疾病 3
第四節 長者飲食營養狀況 6
第五節 影響長者飲食營養狀況的因素 7
第六節 長者健康識能對健康行為的影響 9
第七節 營養教育理論 18
第八節 長者營養教育介入研究應用 24
第九節 長者營養與運動介入研究應用 25
第十節 研究問題 30
第十一節 研究假設 31
第十二節 研究目的 31
第三章 材料與方法 32
第一節 研究架構 32
第二節 研究方法 33
第三節 研究工具 36
第四節 抗氧化食物補充品介入與遵從度計算 41
第五節 據點共餐餐食收集 42
第六節 介入之教材編輯 42
第七節 資料收集與統計分析 49
第四章 結果 50
第一節 受試者基本資料 50
第二節 介入前抗氧化飲食營養知識、態度、自我效能與行為與多元功能評估結果 54
第三節 介入後及後續追蹤抗氧化飲食營養知識、態度、自我效能與行為改變影響 54
第四節 介入後及後續追蹤多元功能層面評估結果影響 63
第五節 抗氧化食物補充品介入遵從度 66
第六節 衛教課程介入到課率 66
第七節 半定量飲食頻率問卷之飲食行為變化 67
第八節 社區關懷據點一餐共餐餐食狀況 67
第五章 討論 108
第一節 研究對象基本背景探討 108
第二節 社區長者介入方案之衛教理論運用之適切性 109
第三節 課程介入後及後續追蹤抗氧化知識、態度、行為變化 110
第四節 課程介入後多元功能層面量表變化 115
第五節 課程介入後飲食頻率變化 117
第六節 四組不同介入方式間之差異 117
第七節 其他影響因素 118
第八節 研究限制 120
第六章 結論 121
第一節 研究結論 121
第二節 對未來研究建議 122
第七章 參考文獻 123
第八章、附錄 134
附錄一、人體研究受試者同意書 134
附錄二、基本資料問卷 140
附錄三、抗氧化知識、態度、自我效能、行為問卷 142
附錄四、台灣簡明版世界衛生組織生活品質問卷 147
附錄五、迷你營養評估問卷 150
附錄六、簡易智能量表 151
附錄七、簡式憂鬱量表 152
附錄八、日常生活活動評估量表 153
附錄九、工具性日常生活活動評估量表 154
附錄十、吞嚥困難評估量表 155
附錄十一、半定量飲食頻率問卷 156

表目錄
表一、健康信念模式及社會認知理論搭配布魯姆教育目標之課程設計 45
表二、介入課程之單元內容 46
表三、介入前四組受試者基本資料比較 69
表四、比較四組介入前抗氧化飲食營養知識、態度、自我效能、行為得分結果 72
表五、比較四組介入前多元功能層面問卷分數結果 73
表六、比較組間抗氧化飲食營養知識、態度、自我效能、行為得分前後測和後續追蹤的差值 74
表七、比較組內前後測以及後續追蹤和前測之抗氧化飲食營養知識、態度、自我效能、行為得分結果 75
表八、比較組間抗氧化飲食營養知識層面各題項前後測和後續追蹤差值 76
表九、比較組內抗氧化飲食營養知識層面各題項分數前後測和後續追蹤 78
表十、比較組間抗氧化飲食營養態度層面各題項前後測和後續追蹤差值 80
表十一、比較組內抗氧化飲食營養態度層面各題項分數前後測和後續追蹤結果 82
表十二、比較組間抗氧化飲食營養自我效能層面各題項前後測和後續追蹤差值 84
表十三、比較組內抗氧化飲食營養自我效能層面各題項分數前後測和後續追蹤結果 86
表十四、比較組間抗氧化飲食營養行為層面各題項前後測和後續追蹤差值 88
表十五、比較組內抗氧化飲食營養行為層面各題項分數前後測和後續追蹤結果 91
表十六、比較組間多元功能層面問卷分數前後測和後續追蹤的差值結果 95
表十七、比較組內多元功能層面問卷得分之前後測和後續追蹤結果 97
表十八、抗氧化食物補充品介入之遵從度 99
表十九、受試者衛教課程介入到課率 100
表二十、以半定量飲食頻率問卷評估四組一日飲食中三大營養素攝取狀況比較 101
表二十一、以半定量飲食頻率問卷評估四組一日飲食中六大類食物攝取份數狀況比較 102
表二十二、四組據點一餐共餐餐食營養素狀況-三大營養素 104

圖目錄
圖一、隨年齡增長導致心血管疾病的機制概述 4
圖二、健康識能綜合概念模式 11
圖三、健康識能與健康結果的關聯 13
圖四、健康信念模式 19
圖五、社會認知理論核心-三元交互決定論 22
圖六、研究架構 32
圖七、研究流程 33


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