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研究生: 李碧霞
論文名稱: 中年人運動階段、身體活動及其影響因素之研究~以臺北市中山區居民為例
The Stages of Exercise, Physiacl Activity and Their Determinants: A Study of the Middle-Aged from the Chungshan District in Taipei
指導教授: 呂昌明
學位類別: 博士
Doctor
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2001
畢業學年度: 89
語文別: 中文
論文頁數: 246
中文關鍵詞: 中年人運動階段身體活動
英文關鍵詞: the middle-aged, stages of exercise, physical activity
論文種類: 學術論文
相關次數: 點閱:313下載:93
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  • 本研究旨在了解社區中年人的運動階段、身體活動量及其影響因素。以臺北市中山區的中年人為研究母群體,由隨機抽樣的40~64歲名冊中,採分層集束抽樣法(cluster sampling),於民國90年4月至5月間,派遣訪員進行訪談式問卷調查,共完成504名。所得資料以卡方檢定、t-test、單因子變異數分析、皮爾森積差相關、斯皮爾曼等級相關、多元迴歸分析等統計方法進行分析。重要結果如下;
    1.研究對象的運動自我效能略低於中間值;具有中等程度的知覺運動障
    礙;有高度的知覺運動益處;來自家人、朋友、醫護人員的運動社會支
    持屬中等。
    2.研究對象的運動階段有6.0%是無意圖期、4.4%是意圖期、55%是準備
    期、4.6%是行動期、30.6%是維持期。
    3.影響社區中年人運動階段的因素包括年齡、職業、運動自我效能、知覺
    運動障礙及運動社會支持。
    4.身體活動量會因運動階段的不同而有顯著差異,維持期者的身體活動量
    顯著高於準備期、意圖期和無意圖期者。
    5.研究對象平時最常從事的身體活動項目是走路、拖地、散步及爬樓梯;
    假日最常從事的身體活動項目是爬山、走路、散步及拖地。
    6.社區中年人的相對身體活動量及相對中重度身體活動量在性別、身體活
    動方式、有無子女及自覺健康狀況上有差異;相對身體活動量及相對中
    重度身體活動量均與運動自我效能、運動社會支持、社區運動場所呈顯
    著正相關。
    7.運動自我效能、運動社會支持、性別、教育程度、過去運動代表隊經
    驗、運動傷害經驗、社區運動場所等,分別是社區中年人相對身體活動
    量及相對中重度身體活動量的重要預測變項,這些變項可解釋前二者各
    13%的變異量。
    本研究建議針對不同運動階段者及特殊對象設計健康體適能教育方案、協助中年人克服運動障礙、工作場所提供健身運動設施及活動等,以提昇中年人的身體活動。

    The purpose of this study is to explore the stages of exercise, amount of physical activity and their determinants among the middle-aged in a community. The subjects chosen were from the middle-aged of the Chungshan District in Taipei. Cluster sampling was used to choose from the age group of 40~64 during April and May 2001. Questionnaires were used in the interviews with a total of five hundred and four (504) subjects. The data thus collected were analyzed with Chi-square test, t-test, One-way ANOVA, Pearson’s product-moment correlation, Spearman rank-order correlation and Multiple regression. The results are:
    1. This study finds out in the selected subjects the self-
    efficacy for exercise slightly below the mean; medium
    perceived barriers for exercise; high perceived benefits for
    exercise, and medium social supports from family, friends
    and the medical personnel;
    2. In terms of the stages of exercise of the subjects, 6.0% are
    precontemplation ; 4.4% are contemplation; 55% are
    preparation; 4.6% are action and 30.6% are maintenance;
    3. The factors that help determine the stages of exercise of
    the middle aged in the community include age, occupation,
    self-efficacy for exercise, perceived barriers for
    exercise, and social supports for exercise;
    4. Significant variance is observed in the amount of physical
    activity depending on the stages of exercise, and the
    highest amount of physical activity is found in the phase of
    maintenance compared to the other phases of preparation,
    contemplation, and precontemplation ;
    5. Walking, strolling, mopping floor and stair-climbing are the
    most frequently engaged exercises of the subjects during
    weekdays; hiking, walking, strolling and mopping floor are
    those during weekends and holidays;
    6. Relative amount of physical activity and relative amount of
    moderate to vigorous physical activity of the middle aged in
    the community differ in gender, type of physical activity,
    raising any child or not, and perceived health status; they
    also indicate positive correlation with the self-efficacy
    for exercise, social supports, and places available for
    sports in the community; and
    7. Self-efficacy for exercise, social supports, gender,
    educational background, athletic team experiences, exercise
    injury experiences, and places available for sports in the
    community are major predictors for both relative amount of
    physical activity and relative amount of moderate to
    vigorous physical activity of the middle aged in the
    community; explaining 13% variation respectively achieved in
    both relative amounts of physical activity.
    Finally, in order to promote physical activity among the
    middle aged, this study proposes to develop health fitting
    educational programs both according to various stages of
    exercise and for those with particular needs, to help the
    middle aged overcome perceived barriers for exercise, and to
    provide at work places proper exercise facilities and
    activities.

    目 次 第一章 緒 論 第一節 研究動機與重要性……………………………………..….1 第二節 研究目的…………………………………………………...7 第三節 研究問題…………………………………………………...7 第四節 研究假設…………………………………………………...8 第五節 名詞界定…………………………………………………...9 第六節 研究限制…………………………………………………..11 第二章 文 獻 探 討 第一節 身體活動的內涵…………………………………………..13 第二節 改變階段模式……………………………………………..46 第三節 運用焦點團體法進行運動行為的相關研究……………..56 第三章 研 究 設 計 第一節 研究架構…………………………………………………..59 第二節 研究對象…………………………………………………..60 第三節 研究工具…………………………………………………..60 第四節 研究步驟…………………….…………………………..101 第五節 資料分析………………………………………………...102 第四章 研 究 結 果 第一節 研究對象基本資料……………………………….……..113 第二節 個人背景因素與運動心理、社會因素的關係………...136 第三節 研究對象的運動階段及其影響因素…………………...143 第四節 研究對象的身體活動情形及其影響因素……………...145 第五節 運動階段與身體活動的關係….………………………..170 第五章 討 論 第一節 個人背景因素與運動心理、社會因素的關係………...173 第二節 研究對象的運動階段及其影響因素…………………...175 第三節 研究對象的身體活動情形及其影響因素……………...178 第四節 運動階段與身體活動的關係…………………………...182 第六章 結論與建議 第一節 結論……………………………………………………...185 第二節 建議……………………………………………………...186 參考文獻……………........………………………………….…..191 附錄: 一、社區民眾「規律運動行為」開放式引導問卷………………….209 二、焦點團體民眾邀請函…………………………………………….210 三、焦點團體電話邀請稿…………………………………………….211 四、「社區民眾運動行為」焦點團體之引導語…………………….212 五、內容效度專家名單……………………………………………….213 六、訪員訓練手冊…………………………………………………….214 七、「社區中年人運動階段、身體活動及其影響因素之研究」 預試問卷…………….……………………………………………221 八、「社區中年人運動階段、身體活動及其影響因素之研究」 正式施測問卷………………………..………………………….236 圖表目次 一、插圖目次 圖3-1 研究架構………………………………………….…………….59 二、表格目次 表1-1 國內成人身體活動或規律運動相關研究……………………..6 表2-1 身體活動與運動的要素……………………………………...14 表2-2 規律身體活動運動的益處………………………………...15 表2-3 身體活動或體適能與慢性病發生率之關係的研究結果…...16 表2-4 三日記錄法、七日回憶法的異同…………………………….18 表2-5 七日回憶法的信度研究……………………………………...19 表2-6 七日回憶法的效度研究……………………………………...20 表2-7 身體活動評估的特性………………………………………...23 表2-8 國內運用自我效能於身體活動、規律運動行為的研究…….31 表2-9 國內運用知覺運動障礙於身體活動、規律運動行為的研究.36 表2-10 國內運用知覺運動益處於身體活動、規律運動行為的研究.39 表2-11 國內運用社會支持於身體活動、規律運動行為的研究…….42 表2-12 國內外有關成人身體活動量的研究………………………...47 表2-13 運動階段的各種測量法……………………………………...53 表2-14 運用改變階段模式於成人身體活動的相關研究…………...54 表3-1 臺北市中山區八十九年度40-64歲人口數…………………..60 表3-2 開放式引導問卷受測樣本分布情形….……………………..61 表3-3 焦點團體成員基本資料……………………………………...63 表3-4 焦點團體知覺運動益處的歸類表…………………………...77 表3-5 焦點團體知覺運動障礙的歸類表…………………………...96 表3-6 預試問卷各量表的信度檢定………………………………..100 表3-7 正式調查各量表的信度檢定………………………………..101 表3-8 運動階段、七日身體活動回憶再測信度分析……………..101 表3-9 職業等級分類表………………………………………......104 表3-10 社經地位等級表……………………………………………..104 表3-11 身體活動計算方式…………………………………………..105 表3-12 身體質量指數(BMI)的分類……………………………...105 表3-13 18歲以上成人血壓的分類…………………………………..106 表3-14 基本資料各變項的計算方式與意義………………………..106 表3-15 研究目的、問題與統計方法………………………………..111 表4-1 研究對象性別、年齡的適合度檢定摘要表………………..113 表4-2 研究對象社會人口學變項次數分布表……………………..119 表4-3 不同性別個人背景資料分布表……………………………..122 表4-4 研究對象的子女數及年齡分布……………………………..123 表4-5 不同性別看電視時間分布表………………………………..124 表4-6 不同年齡層看電視時間分布表……………………………..124 表4-7 研究對象身體質量指數情形………………………………..125 表4-8 研究對象血壓情形…………………………………………..125 表4-9 運動自我效能各題之分布情形……………………………..126 表4-10 知覺運動障礙各題之分布情形……………………………..127 表4-11 知覺運動益處各題之分布情形……………………………..128 表4-12 運動社會支持各題之分布情形……………………………..129 表4-13 研究對象運動訊息之分布…………………………………..130 表4-14 不同年齡層運動訊息、社區運動場所平均值、 標準差分析表……………………………………………...131 表4-15 研究對象運動訊息與個人特質交叉表……………………..131 表4-16 研究對象居家環境運動設備分布情形……………………..133 表4-17 不同年齡層家庭運動器材數量平均值、 標準差分析表…………………………………….………..133 表4-18 不同年齡層家庭運動器材頻率分析表………..……………134 表4-19 研究對象社區運動場所與個人特質交叉表………..………135 表4-20 背景因素與運動自我效能之變異數分析……………..……138 表4-21 背景因素與運動心理、社會因素的相關矩陣…………..…139 表4-22 背景因素與知覺運動障礙之變異數分析…………………..140 表4-23 背景因素與知覺運動益處之變異數分析…………………..141 表4-24 背景因素與運動社會支持之變異數分析…………………..142 表4-25 研究對象的運動階段……………………………………..…144 表4-26 個人背景因素與運動階段的關係………………………..…146 表4-27 不同運動階段的身體質量指數比較………………………..147 表4-28 不同運動階段的運動心理、社會因素比較………………..147 表4-29 不同運動階段的運動環境因素比較………………………..147 表4-30 研究對象平時從事身體活動的種類………………………..149 表4-31 不同性別身體活動的種類…………………………………..150 表4-32 不同年齡層身體活動的種類……………………………..…150 表4-33 研究對象假日從事身體活動的種類………………………..151 表4-34 研究對象身體活動情形……………………………………..152 表4-35 個人背景因素與相對身體活動量之變異數分析…………..155 表4-36 研究對象運動心理、社會因素和身體活動之相關矩陣…..157 表4-37 個人背景因素、運動社會、環境因素與身體活動量 之相關矩陣……………………………………………...…158 表4-38 個人背景因素與絕對身體活動量之變異數分析……..……159 表4-39 個人背景因素與相對中重度身體活動量之變異數 分析…………………………………………………...……161 表4-40 進行多元迴歸分析前類別變項轉換虛擬變項表..…………164 表4-41 研究對象相對身體活動量主要影響因素之共線 性分析表…………………………………………….…..…165 表4-42 研究對象相對身體活動量的重要解釋因素…………..……166 表4-43 研究對象相對中重度身體活動量主要影響因素之共 線性分析表……………………………………………...…168 表4-44 研究對象相對中重度身體活動量的重要影響因子…….….169 表4-45 高低身體活動與生理指標之分析表………………………..170 表4-46 不同運動階段的相對身體活動量比較……………………..171 表4-47 不同運動階段的絕對身體活動量比較……………………..171 表4-48 不同運動階段的相對中重度身體活動量比較……………..171

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    張彩秀(民81)‧中老年人運動型態、體適能及健康狀況之研究‧國立陽明
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    許哲彰(民88)‧國小教師從事規律運動意圖行為之預測及影響因素之探
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    許泰彰(民89)‧國小教師運動行為及其相關因素之研究‧國立體育學院體
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    陳秀珠(民88)‧老人運動行為及其相關因素之研究研究----以臺北市基督
    長老教會松年大學五十五歲以上學員為例‧國立臺灣師範大學衛生教育
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    陳俊忠(民82)‧中年就業人口運動量及健康體能常模之測定‧行政院衛生
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    曾佳珍(民88)‧以理性行動理論與自我效能探討某大學學生從事規律運動
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