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題名:冠狀動脈疾病病人運動行為與運動成效相關性之探討
書刊名:長庚護理
作者:鄭綺 引用關係
作者(外文):Jeng, C.
出版日期:1996
卷期:7:4=16
頁次:頁1-12
主題關鍵詞:有氧運動訓練運動行為最大攝氧量生活品質Aerobic exercise trainingExercise behaviorMaximal oxygen uptakeQuality of life
原始連結:連回原系統網址new window
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     本研究目的在探討冠狀動脈疾病病人,經十二週有氧運動訓練後,其運動行為(運動強度、出席率)對運動成效(焦慮、憂鬱、疲憊之感受、心肺功能、以及生活品質)之影響。十二週有氧運動訓練計劃為每週三次,每次一小時。每次訓練包括5-10分軟身運動、運動跑步機上行走30分、5-10分的冷卻運動。研究工具包括狀態-特質焦慮量表、憂鬱量表、疲憊量表、36項短型生活品質量表。心肺功能是透過運動跑步機來測定。所有運動成效變項,分別於運動訓練開始前和結束後各測量一次。運動強度和出席率分別於運動訓練後第四、八、十二週各測量一次。研究結果顯示,出席率是決定生活品質改善最重要的因素。相反的,運動強度是決定最大攝氧量改變的主要因素。因此,護理人員應鼓勵病人維持一週三次的運動量和適當的運動強度,以協助病人從運動訓練中獲得最大的助益。
     The purpose of this study was to examine the impact of exercise behavior (compliance rate and exercise intensity) on exercise outcomes (maximal oxygen uptake, anxiety, depression, fatigue, and quality of life) after a 12 - week exercise training program. The exercise training program consisted of a warm - up period, aerobic exercise period, and a cool -down period, three days a week for 12 weeks. Maximal oxygen uptake (VO2max), anxiety, depression, fatigue, and quality of life (QOL) were measured by means of graded exercise test with Bruce protocol, the State- Trait Anxiety Inventory, the Center for Epidemiologic Studies Depression Scale, the Fatigue/Stamina Scale, and the 36 - Item Short - Form, respectively. All exercise outcome variables were assessed prior to exercise training and after 12 weeks of training. Compliance rate and exercise intensity were computed at the 4th, 8th and 12th weeks of training. Results of the study demonstrated that compliance rate is a more dominant predictor of the improvement in QOL than is exercise intensity. In contrast, exercise intensity is a more dominant predictor of improvement in VO2max than is compliance rate. Nursing interventions should be directed toward increasing patients' compliance rate and exercise intensity to improve the exercise outcomes.
期刊論文
1.McHorney, C. A.、Ware, J. E.、Raczek, A. E.(1993)。The MOS 36-Item Short-Form Health Survey (SF-36); II, Psychometric and clinical tests of validity in measuring physical and mental health constructs。Medical Care,31(3),247-263。  new window
2.Ware, J. E. Jr.、Sherbourne, C. D.(1992)。The MOS 36-items short-form health survey (SF-36)。Medical Care,30(6),473-483。  new window
3.Davies, C. T. M.、Knibbs, A. V.(1971)。The training stimulus. The effects of intensity, duration and frequency of effort on maximum aerobic power output。International Z Angew Physiology,29(4),299-305。  new window
4.Wenger, H. A.、Bell, G. J.(1986)。The interactions of intensity, frequency, and duration of exercise training in altering cardiorespiratory fitness。Sports Medicine,3(5),346-356。  new window
5.Cannistra, L. B.、Balady, G. J.、O'Malley, C. J.、Weiner, D. A.、Ryan, T. J.(1992)。Comparison of the clinical profile and outcome of women and men in cardiac rehabilitation。American Journal of Cardiology,69,1274-1279。  new window
6.Daumer, R.、Miller, S. P.(1992)。Effects of cardiac rehabilitation on psychosocial functioning and life satisfaction of coronary artery disease clients。Rehabilitation Nursing,17(2),69-74。  new window
7.Eakin, E. G.、Sassi-Dambron, D.、Kaplant, R. M.、Ries, A. L.(1992)。Clinical trail of rehabilitationin chronic obstructive pulmonary disease: Compliance as a mediator of change in exercise endurance。Journal of Cardiopulmonary Rehabilitation,12(2),105-110。  new window
8.Jasnowski, M. L.、Holmes, D. S.、Banks, D. L.(1988)。Changes in Personality associated with changes in aerobic and anaerobic fitness in women and men。Journal of Psychosomatic Research,32,273-276。  new window
9.Kavanagh, T.、Shepard, R.、Tuck, J.(1977)。Detression following myocardial infarction; The effects of distance running。Annals of the New York Academy of Sciences,201,495-508。  new window
10.Kilbom, A.(1971)。Physical training in women。Scandinavian Journal of Clinical Laboratory Investigation,28(Suppl. 119),1-34。  new window
11.Michel, T. H.(1992)。Outcome assessment in cardiac rehabilitation。International Journal of Technology Assessment in Health Care,8(1),76-84。  new window
12.Milani, R. V.、Lavie, C. J.、Boykin, J. C.、Speirer, D.、Robichaux, R.(1992)。Factors predicting improvement in quality of life following outpatient cardiac rehabilitation and exercise training。Journal of Cardiopulmonary Rehabilitation,12(5),339。  new window
13.Myers, J.、Weissman, M.(1980)。Use of a self--report symptom scale to detect depression in a community sample。American Journal of Psychiatry,137,1081-1084。  new window
14.Norris, R.、Carroll, D.、Cochrane, R.(1992)。The effects of physical activity and exercise training on psychological stress and well-being in an adolescent population。Journal of Psychosomatic Research,36(1),55-65。  new window
15.Oldridge, N. B.(1988)。Cardiac rehabilitation exercise program: Compliance and compliance-enhancing strategies。Sports Medicine,6,42-55。  new window
16.Packa, D. R.、Branyon, M. E.、Kinney, M. R.、Khan, S. H.、Kelley, R.、Miers, L. J.(1989)。Quality of life of elderly patients enrolled in cardiac rehabilitation。Journal of Cardiovascular Nursing,3(2),33-42。  new window
17.Reeves, N.、Potempa, K.、Gallo, A.(1991)。Fatigue in early pregnancy: An exploratory study。Journal of Nurse - Midwifery,36(5),303-309。  new window
18.Shephard, R. J.(1969)。Intensity, duration, and frequency of exercise as determinants of the response to a training regimen。International Zeitschrift fur Angewandte Phvsiologie,26,272-278。  new window
19.Wohl, A. J.、Lewis, H. R.、Cambell, W.、Karlsson, E.、Willerson, J, T.、Mulins, C. B.(1977)。Cardiovascular function during early recovery from acute myocardial infarction。Circulation,56,931-937。  new window
20.Radloff, Lenore Sawyer(1977)。The CES-D Scale: A self-report depression scale for research in the general population。Applied Psychological Measurement,1(3),385-401。  new window
圖書
1.American College of Sports Medicine(1986)。Guidelines for Exercise Testing and Prescription。Philadelphia:Lea and Febiger。  new window
2.Spielberger, C. D.(1983)。Manual for the State-Trait Anxiety Inventory。Palo Alto, CA:Psychologists Press, Inc.。  new window
圖書論文
1.Pashkow, F. J.、Dafoe, W. A.(1992)。Cardiac rehabilitation as a model for integrated cardiovascular care。Clinical cardiac rehabilitation: A cardiologist’s guide。Baltimore:Williams & Wilkins。  new window
2.Pollock, M. L.、Wilmore, J. H.(1990)。Cardiorespiratory functioon。Exercise in health and disease: Evaluation and prescription for prevention and rehabilitation。Philadelphia:W. B. Saunders。  new window
3.Potempa, K.(1989)。Fatigue: Directions for research and practice。Key concepts of comfort: Pain, fatigue, and nausea。New York:Springer。  new window
4.Clausen, J. P.(1977)。Circulatory adjustments to dynamic exercise and physical training in normal subjects and in patients with coronary artery disease。Exercise and the Heart。New York:Grune and Stratton。  new window
 
 
 
 
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