本研究目的旨在評估8週漸進整合式運動課程介入對精神分裂症患者健康體適能和健康相關生活品質的影響。研究方法以質化爲主，量化爲輔方式，透過問卷調查及半結構式深度訪談7位受試者以進行資料搜集，了解受試者在參與8週漸進整合式運動課程對其健康體適能及健康相關生活品質的影響，並藉由不同進度的運動課程設計，觀察受試者的學習情形，以做為課程修正和評量的參考。研究結果顯示，在健康體適能方面，受試者的心肺適能及柔軟度皆有顯著（p<.05）的進步；在健康相關生活品質上受試者睡眠及宿便問題獲得改善、活動力增加、情緒、人際關係、成就感與自信心明顯提昇；在漸進式有氧運動課程方面，主要活動的音樂速度以128bmp為起始、簡單的拍子和空間變化、動作重複性高較為適宜。結論：漸進整合式運動確實能提昇精神分裂症病患生、心理的功能表現，建議醫療院所可將此研究結果做為開設有氧運動團體活動課程的參考。

Introduction: The health-related quality of life (HRQL) status for schizophrenia patients is low comparing to their healthy counterparts. Little is known about whether a progressive integrated physical activity intervention would have health-related physical fitness and healthrelated quality of life benefits in schizophrenia. Purposes: 1) to explore the impact of 8-week progressive functional fitness program on health-related physical fitness, and health-related quality of life in schizophrenias. Methods: 8-week progressive integrated exercise program, including aerobic dance movements, 9 major muscle group training, and well-rounded stretching exercise program was developed and was implemented for 7 patients with schizophrenia who were recruited from a chronic psychiatric center. Both Health-related physical fitness test and qualitative analyses were utilized. Health-related physical fitness measures included Body Mass Index (BMI), sit and reach, 1-min sit-up, and 1,600 meters walk). Repeated measured t-test was utilized for the data analysis. Semi-structured questionnaire was adapted to interview 7 patients; observation of administrator and the health care practitioners were taken in consideration. Responses to questions were coded and analyzed using grounded theory techniques to generate themes and categories in order to explore the effects on health-related quality of life after participating in 8-week progressive integrated exercise program. Results: 1) Both of the post-test scores of cardiovascular function and flexibility were significantly (p < .05) higher than those of the pre-test in patients with schizophrenias; 2) On the aspect of health-related quality-of-life, patients reported enhancement of the following major themes that emerged: problems of sleeplessness, constipation, physical activity, emotional health, interpersonal relationship, self-fulfillment and confidence. Conclusions: Progressive integrated exercise program enhances both of physical and mental functions in schizophrenia patients.