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引文資料
題名:
應用健康信念模式探討慢性阻塞性肺部疾病患者運動實施之相關因素
書刊名:
長庚護理
作者:
郭素娥
/
官蔚菁
作者(外文):
Guo, Su-er
/
Kuan, Wei-ching
出版日期:
2001
卷期:
12:2=34
頁次:
頁112-122
主題關鍵詞:
健康信念模式
;
慢性阻塞性肺部疾病
;
運動
;
Health belief model
;
COPD
;
Exercise
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
9
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
9
共同引用:0
點閱:26
本研究目的在應用健康信念模式探討影響慢性阻塞性肺部疾病患者運動實施之相關因素。採用問卷調查法,使用「人口學資料之問卷」、「個人運動特徵問卷」及「運動之健康信念量表」等研究工具進行訪談,在南部某醫學中心及區域醫院,以立意取樣方式共收集60位慢性阻塞性肺疾病門診患者。資料分析包括描述性統計、卡方檢定分析、獨立t檢定、皮爾森積差相關、對數複迴歸分析(multiple logistic regression)。結果發現影響慢性阻塞性肺疾病患者是否實施運動之重要因素為「醫師是否告知病患要運動」與「運動障礙」,其實施運動之勝算比分別為未規律運動者的1.66倍(OR=1.66 : 95% C.I.=1.05~2.21)與2.22倍(OR=2.22; 95% C.I.=0.24~0.84)。本研究結果顯示健康信念模式中的「障礙」因素、與醫師是否告知病患要運動的「行動線索」對慢性阻塞性肺疾病患者之實施影響很大,因此,醫護人員應仔細評估慢性阻塞性肺部疾病運動實施之障礙,作為設計活動之參考,並應用各種場合向病患強調運動的重要性。
以文找文
The purpose of this study was to use the Health Belief Model (HBM) to analyze the factors related to the exercise practice of Chronic Obstructive Pulmonary Disease (COPD) patients. Purposive sampling was used to recruit sixty COPD subjects from the outpatient department of two hospitals in southern Taiwan. Data were collected using a structured questionnaire developed by authors. Demographic data, characteristics of personal exercise, and the belief model of exercise were measured. Data were analyzed using descriptive statistics. Chi-square test, t-test, Pearson correlation, and multiple logistic regression. The results were as follows. "Told to exercise by doctor" (the "cue") and "perceived barriers" were the main factors affecting the exercise practice. Respectively, they were 1.66 times (OR = 1.66, 95% C.I. = 1.05~2.21) and 2.22 times (OR=2.22; 95% C.I. = 0.24~0.84) higher than for patients who did not exercise regularly. Two HBM factors - the "cue" (told by physician) and "perceived barriers" --may influence COPD patients' exercise practices. Therefore, physicians and nurses need to carefully evaluate the "cue" and "obstacles" of exercise practice when designing activities and emphasizing the importance of exercise for COPD patients.
以文找文
期刊論文
1.
Hurrell, R. M.(1997)。Factors associated with regular exercise。Perceptual and Motor Skills,84,871-874。
2.
Ferrini, R.、Eselstein, S.、Barrett, C. E.(1994)。The association between beliefs and health behavior change in old adults。Prevention Medicine,23(1),1-5。
3.
Abraham, C.、Sheeran, P.、Spears, R.、Abrams, D.(1992)。Health beliefs and promotion of HIV-preventive intentions among teenagers: a Scottish perspective。Health Psychology,11(6),363-370。
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Foxall, M. J.、Barron, C. R.、Houfek, J.(1998)。Ethnic differences in breast self-examination practice and health beliefs。Journal of Advanced Nursing,27(2),419-428。
5.
Dekhuijzen, P. N.、Herwaarden, C. L.、Cox, N. J.、Folgering, H. T.(1990)。Exercise training during pulmonary rehabilitation in Chronic Obstructive Pulmonary Disease。Lung,168,481-488。
6.
Casaburi, R.、Porszasz, J.、Burns, M. R.、Carithers, E. R.、Chang, R. S.、Cooper, C. B.(1997)。Physiologic benefits of exercise training in rehabilitation of patients with severe chronic obstructive pulmonary disease。American Journal of Respiratory & Critical Care Medicine,155(5),1541-1551。
7.
Bendstrup, K. E.、Ingemann, J. J.、Holm, S.、Bengtsson, B.(1997)。Outpatient rehabilitation improves activities of daily living, quality of life and exercise tolerance in chronic obstructive pulmonary disease。European Respiratory Journal,10(12),2801-2806。
8.
Guell, R.、Casan, P.、Belda, J.、Sangenis, M.、Morante, F.、Guyatt, G. H.、Sanchis, J.(2000)。Long-term effects of outpatient rehabilitation of COPD: A randomized trial。Chest,117(4),976-983。
9.
Gosselink, R.、Troosters, T.、Decramer, M.(1997)。Exercise training in COPD patients: the basic questions。Europe Respiratory Journal,10,2884-2891。
10.
Garvey, C.(1998)。COPD and exercise。Lippincott's Primary Care Practice,2(6),589-598。
11.
Katatsky, M. E.(1997)。The health belief model as a conceptual framework for explaining contraceptive compliance。Health Education Monographs,5(3),232-243。
12.
Maiman, L. A.、Becker, M. H.、Kirscht, J. P.、Haefner, D. P.、Drachman, R. H.(1977)。Scales for measuring health belief model dimensions: a test of predictive value, internal consistency, and relationships among beliefs。Health Education Monographs,5(3),215-231。
13.
Ketelaars, C. A.、Abu-Saad, H. H.、Schlosser, M. A.、Mostert, R.、Wouters, E. F.(1997)。Long-term outcome of pulmonary rehabilitation in patients with COPD。Chest,112(2),363-369。
14.
Narsavage, G. L.、Weaver, T. E.(1994)。Physiologic status, coping, and hardiness as predictors of outcomes in chronic obstructive pulmonary disease。Nursing Research,43(2),90-94。
15.
Miller, S. P.、Wikoff, R.、Hiatt, A.(1992)。Fishbein's model of reasoned action and compliance behavior of hypertension patients。Nursing Research,41(2),104-109。
16.
Melillo, K. D.、Williamson, E.、Chamberlain, C.(1997)。A self-assessment tool to measure elders' perceptions regarding physical fitness and exercise activity。Journal of Advanced Nursing,25(6),1220-1226。
17.
Melillo, K. D.、Futrell, M.、Williamson, E.、Chamberlain, C.(1996)。Perception of physical fitness and exercise activity among older adults。Journal of Advanced Nursing,23(3),532-547。
18.
Martin, J. E.、Dubbert, P. M.(1982)。Exercise applications and promotion in behavioral medicine: Current status and future directions。Journal of Consulting and Clinical Psychology,50(6),1004-1017。
19.
Sommers, J. M.、Andres, F. F.、Price, J. H.(1995)。Perception of exercise of mall walkers utilizing the health belief model。Journal of Health Education,26(3),158-166。
20.
Roy, J. S.、Bouchard, C.(1995)。Relationship between perceptions of physical activity and health-related fitness。The Journal of Sport Medicine and Physical Fitness,35(3),149-158。
21.
Rose, R. R.、Bach, J. R.、Penek, J.(1997)。The cost/benefit of out patient-based pulmonary rehabilitation。Archives of Physical Medicine and Rehabilitation,78,240-244。
22.
Becker, M. H.、Radius, S. M.、Rosenstock, I. M.、Drachman, R. H.、Schuberth, K. C.、Teets, K. C.(1978)。Compliance with a medical regimen for asthma: a test of the health belief model。Public Health Reports,93(3),268-277。
23.
Gormley, J. M.、Carrieri, K. V.、Douglas, M. K.、Stulbarg, M. S.(1993)。Treadmill self-efficacy and walking performance in patients with COPD。Journal of Cardiopulmonary Rehabilitation,13,424-431。
24.
Lacasse, Y.、Guyatt, G. H.、Goldstein, R. S.(1997)。The components of a respiratory rehabilitation program: a systematic overview。Chest,111(4),1077-1088。
25.
李守義、周碧瑟、晏涵文(19890900)。健康信念模式的回顧與前瞻。中華民國公共衛生學會雜誌,9(3),123-137。
延伸查詢
26.
Rosenstock, Irwin M.(1974)。Historical origins of the Health Belief Model。Health Education & Behavior,2(4),328-335。
學位論文
1.
許泰彰(2000)。國小教師運動行為及其相關因素之研究(碩士論文)。國立體育學院,桃園市。
延伸查詢
2.
蘇振鑫(1999)。運動健康信念與運動行為之關係研究--以運動健康信念模式探討中老年人的運動行為(碩士論文)。國立體育學院。
延伸查詢
圖書
1.
Glanz, K.、Lewis, F. M.、Rimer, B. K.(1990)。Health behavior and health education: Theory, research and practice。Jossey-Bass Publishers。
2.
Stanhope, M.、Lancaster, J.(1996)。Community Health Nursing: Promoting Health of Aggregates, Families and Individuals。St. Louis:Mosby Company。
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