研究生: |
楊怡慧 Yang, Yi-Hui |
---|---|
論文名稱: |
多面向運動對中高齡者的身心靈健康與生活品質之影響 Effects of Multi-Component Exercise on Body, Mind and Spiritual Health and Quality of Life in Middle-Aged and Older Adults |
指導教授: |
張育愷
Chang, Yu-Kai |
口試委員: |
周建智
Chou, Chien-Chih 王鶴森 Wang, Ho‑Seng 張育愷 Chang, Yu-Kai |
口試日期: | 2023/08/21 |
學位類別: |
碩士 Master |
系所名稱: |
樂活產業高階經理人企業管理碩士在職專班 Executive Master of Business Administration Program in Lifestyles of Health and Sustainability |
論文出版年: | 2023 |
畢業學年度: | 112 |
語文別: | 中文 |
論文頁數: | 42 |
中文關鍵詞: | 多面向運動 、中高齡 、身心靈健康 、生活品質 |
英文關鍵詞: | Multi-Component Exercise, Middle-Aged and Older adults, Body, Mind and Spiritual Health, Quality of Life |
研究方法: | 準實驗設計法 |
DOI URL: | http://doi.org/10.6345/NTNU202301765 |
論文種類: | 學術論文 |
相關次數: | 點閱:205 下載:32 |
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老化不僅伴隨身體、心智和精神健康的下降,還會導致生活品質的衰退,甚至增加與年齡相關的醫療費用。研究發現,通過改變生活方式因素,減少老化的負面影響,例如進行運動和冥想,可以實現成功的老化。值得注意的是,研究發現多面向運動對老年人有積極的影響,它結合了多種生活方式因素的組成。然而,對於中高齡者,多面向運動的效果仍不清楚。
因此,本研究旨在調查多面向運動對中高齡者的身體、心理、靈性健康和生活品質的影響。總共招募41名中高齡者 (年齡在45-65歲之間),隨機分配到運動組和控制組。運動組安排了24週 (每週90分鐘實體教學及60分鐘線上演練) 多面向運動介入,課程內容包含有氧、阻力、伸展及冥想等運動。控制組則維持平時正常生活型態。於多面向運動介入前後,兩組均會進行身心靈健康和生活品質的前測及後測。並期待經過24週多面向運動介入後,參與者的身心靈健康及生活品質均有顯著影響。
本研究結果顯示,41位中高齡者經過24週的多面向運動介入後,運動組在身體、心理及靈性健康方面均顯著優於控制組 (p ≤ .05),表示多面向運動能有效提升中高齡者的身心靈健康。在參加者背景組間差異發現,運動組的體重及BMI均呈下降趨勢,骨骼及肌肉則未減少。而兩組在生活品質方面並無顯著效益。經由這個研究結果發現,24週多面向運動能夠幫助中高齡者,減重、降低BMI及提升身心靈健康,惟對生活品質的提升,尚須排除一些限制原因,繼續探討及驗證。
Aging not only accompanies the decline of body, mind, and spiritual health, but also leads to a decay in the quality of life, and even increases age related medical costs. Studies have found that successful aging can be achieved through changes in lifestyle factors implemented to as to decline the negative effects of aging, such as engaging in exercise and meditation. It is worth noting that studies have identified positive effects of multi-component exercise, which combines multiple components of lifestyle factors, on older adults. However, the effects of multi-component exercise on middle-aged and older adults remains unclear.
Therefore, the present study aimed to investigate the effects of multi-component exercise on body, mind, and spiritual health and quality of life in middle-aged and older adults. Forty-one participants (aged 45–65 years) were recruited and randomly assigned to the exercise group and the control group. The exercise group will finish the multi-component exercise, which included aerobic, stretching, resistance exercise, and meditation, for 24 weeks (90 mins online and 60 mins offline exercise per week). The control group will maintain their typical lifestyle. Body, mind and spiritual health and quality of life were measured before and after the intervention. Current results revealed that the multi-component exercise program improved the body, mind, and spiritual health and quality of life in middle-aged adults.
The results of study showed that after 24 weeks multi-component exercise intervention, the exercise group exhibited significant improvements in body, mind, and spiritual health compared to the control group (p ≤ .05). The intervention had a significant impact on the overall body, mind and spiritual health of middle-aged and older adults, indicating that multi-component exercise can effectively enhance their holistic well-being. Regarding the differences in participant characteristics between the groups, the exercise group showed a decreasing trend in body weight and BMI, while there was no reduction observed in bone and muscle. However, there were no significant benefits observed in terms of quality of life. Based on these research findings, it was found that 24 weeks multi-component exercise program can help middle-aged and older adults in weight reduction, BMI reduction, and improvement of their body, mind and spiritual health. However, further investigation and verification are needed to understand the factors limiting the improvement in quality of life.
于鎧維 (2020)。靜態伸展與震動滾筒介入對女性銀髮族功能性體適能檢測之立即性影響 [碩士論文,國立勤益科技大學]。https://hdl.handle.net/11296/624376
方韻雅 (2012)。有氧運動對生理指標及生活品質改善成效探討 [碩士論文,義守大學]。 https://hdl.handle.net/11296/6mxkb8
王嘉煥 (2015)。職場靈性、正念與心理調適對組織認同與工作態度之研究 [碩士論文,國立雲林科技大學]。https://hdl.handle.net/11296/ub82dc
台灣版世界衛生組織生活品質問卷發展小組 (2000)。台灣版世界衛生組織生活品質問卷之發展簡介。中華公共衛生雜誌,19(4),315–324. https://doi.org/10.6288/cjph2000-19-04-10
吳秋燕、張素珠、楊聯琦、莊清泉、李建平 (2013)。銀髮族身體活動與體適能及心理健康影響之探討。臺中科大體育學刊,(9),185–196。https://doi.org/10.6980/nutcpe.201305_(9).0017
吳淑瓊 (2005)。人口老化與長期照護政策。國家政策季刊,4(4),5–24。 https://doi.org/10.6407/npq.200512.0005
吳韻茹 (2018)。運動介入對輕型認知障礙者功能性體適能與認知功能影響之研究 [碩士論文,國立臺灣師範大學]。https://hdl.handle.net/11296/vnr4e3
李元鑫 (2012)。環狀運動訓練介入代謝症候群患者之健康體適能與生活品質研究 [碩士論文,國立中正大學]。https://hdl.handle.net/11296/bpjzbn
李裕昌 (2011) 規律運動對老年人生活品質之影響。2011年運動產業經營暨運動產品設計學術研討會論文集,67-92. https://doi.org./10.29537/YDCYSJ.201106.0067
李靜秀 (2021)。多面向健身運動對中年族群肥胖指標與體適能之影響 [碩士論文,國立臺灣師範大學]。https://hdl.handle.net/11296/7qe6sh
沈子翔 (2023)。阻力式運動介入對失智症老人躁動 行為之成效 [碩士論文,國立台南大學]。https://hdl.handle.net/11296/mggann
周嘉琪 (2004)。健身運動,情緒感受與心理健康。大專體育,(72),156-161。
林立中、蘇意晴、姚開屏 (2020)。「臺灣簡明版世界衛生組織生活品質問卷」之信度概化研究。測驗學刊,67(3),215–235。
林春豪、張少熙、張良漢 (2008)。高齡婦女晨間休閒運動涉入與身心健康之研究。運動休閒管理學報,5(1),121–135。https://doi.org/10.6214/jsrm.200806_5(1).0008
林淑芬 (2015)。太極彈力帶阻力運動對社區老人生理及健康相關生活品質成效研究 [碩士論文,慈濟大學]。https://hdl.handle.net/11296/a237h7
林朝銘 (2014)。瑜珈對中風患者平衡能力、睡眠與生活品質之影響 [碩士論文,國立新竹教育大學]。https://hdl.handle.net/11296/pvv344
武凱 (2014)。銀髮族休閒運動對其身心靈影響之研究:以新北市新店區為例 [碩士論文,佛光大學]。https://hdl.handle.net/11296/mx5g82
姚開屏 (2000)。台灣版世界衛生組織生活品質問卷之發展簡介。中華公共衛生雜誌,19(4),315-324。
姚開屏 (2002)。台灣版世界衛生組織生活品質問卷之發展與應用。台灣醫學,6(2),193–200。https://doi.org/10.6320/fjm.2002.6(2).09
姚開屏 (2005)。台灣版世界衛生組織生活品質問卷之發展及使用手冊。台北世界衛生組織生活品質問卷台灣版發展小組,台大心理系。
姚開屏、錢承君、張育誠、林韋伶、王榮德、謝清麟、林茂榮 (2017)。台灣版WHOQOL-OLD問卷之發展與驗證。台灣公共衛生雜誌,36(3),239–258。https://doi.org/10.6288/tjph201736106018
洪櫻純 (2012)。老人靈性健康的阻力與助力分析:成功老化觀點。生命教育研究,4(1),83–108。https://doi.org/10.6424/jle.201206.0083
孫聞賢 (2020)。十二週阻力訓練對高齡者體脂率與發炎狀態的影響 [碩士論文,國立臺灣師範大學]。https://hdl.handle.net/11296/y2w28t
國發會人力發展處 (2020)。中華民國人口推估 (2020至2070年)。台灣經濟論衡,18(3),56-61。
張家銘 (2009)。嘉義市老年人休閒運動參與程度、心流體驗、生活滿意、憂鬱程度之相關研究。體育學報,42(3),113–129。https://doi.org/10.6222/pej.4203.200909.0908
張婷方 (2010)。彈力帶運動對退化性膝關節炎女性患者下肢功能之影響 [碩士論文,國立台北護理學院]。https://hdl.handle.net/11296/ndm2gx
張銘傑 (2017)。探討不同運動頻率的彈力帶式環狀訓練對於老年人步態、平衡與功能性體適能之成效 [碩士論文,國立屏東科技大學]。https://hdl.handle.net/11296/fg3uge
莊雅婷 (2021)。多面向健身運動課程對中年族群主觀睡眠品質之影響 [碩士論文,國立臺灣師範大學]。https://hdl.handle.net/11296/4jsxwf
許玉容 (2013)。老人身心靈健康量表編製及應用之研究-就Erickson的觀點試探 [碩士論文,國立高雄師範大學]。https://hdl.handle.net/11296/q6q8mq
許英信 (2020)。高屏地區慢跑運動俱樂部參與者慢跑運動持續涉入與身心健康之研究 [碩士論文,大仁科技大學]。https://hdl.handle.net/11296/693ds5
許麗娟 (2018)。正念減壓對緊急醫療救護人員身心壓力與睡眠品質之影響 [碩士論文,南華大學]。https://hdl.handle.net/11296/f3s9nd
陳中、馮煥光、李嘉富、黃旭男、高森永、康勝傑、高百源 (2007)。有氧運動對體重過重精神分裂住院病人之健康相關生活品質的影響。臺灣精神醫學,21(4),254–262。https://doi.org/10.29478/tjp.200712.0003
陳秀蓉 (2017)。8週Pilates墊上運動訓練對睡眠品質之影響 [碩士論文,國立屏東科技大學]。https://hdl.handle.net/11296/6dcu8k
陳美齡 (2021)。彈力帶運動對社區高齡者體適能及生活品質之影響 [碩士論文,亞洲大學]。https://hdl.handle.net/11296/4f6924
陳淑君 (2018)。探討伸展運動介入對護理人員肌肉骨骼問題、自主動機及基本心理需求之影響 [碩士論文,長庚科技大學]。https://hdl.handle.net/11296/bzj7cd
陳蘭芝 (2010)。瑜珈運動中年婦女體適能疲勞程度與生活壓力之研究 [碩士論文,國立臺灣師範大學]。https://hdl.handle.net/11296/s44ntx
曾歆喬 (2014)。瑜伽運動對於職業婦女的體適能、身體健康、生活壓力及生活品質影響之研究 [碩士論文,明新科技大學]。https://hdl.handle.net/11296/cjc72r
黃吉安 (2016)。禪定與睡眠品質、自律神經功能及專注力之相關性探討 [碩士論文,臺中科技大學]。https://hdl.handle.net/11296/y92kt6
楊文妮 (2012)。八段錦氣功運動對護理人員工作有關肌肉骨骼不適成效之初探 [碩士論文,國立臺北護理健康大學]。https://hdl.handle.net/11296/ez6zwj
楊惠玲、闕靜儀、蔡如欣、王佩琮、林小玲 (2019)。腿部伸展運動改善肝硬化病人肌肉抽痙之成效探討。醫院雜誌,52(3),26–37。
溫蕙甄, & 陳忠慶 (2012)。12週團體有氧阻力及瑜珈阻力運動介入對停經後婦女功能性體適能、生活品質之影響。運動生理暨體能學報,14,35-48. https://doi.org/10.6127/jepf.2012.14.04
葉清華 (2014)。瑜珈運動對產後婦女生理與心理健康之影響 [碩士論文,國立新竹教育大學]。https://hdl.handle.net/11296/knta7s
褚美珍、黃娟娟 (2016)。中老年人參與太極拳之參與動機、身心健康及生活滿意度之研究。休閒觀光與運動健康學報,6(3),10–25。
劉佑瑜 (2021)。探討台灣中老年人自我療癒力管理與身心靈健康之相關性 [碩士論文,南華大學]。https://hdl.handle.net/11296/6m47j7
賴秀花、李柏甫、陳建和 (2014)。銀髮族休閒活動參與與身心靈健康關係之研究-以北部地區銀髮族為例。旅遊健康學刊,13(1),29–44。
賴蓉星 (2013)。太極養生操課程介入對社區老人健康體能與認知功能之成效 [碩士論文,弘光科技大學]。https://hdl.handle.net/11296/9e4zhj
顏智淵 (2008)。身心靈平衡運動課程介入對大專女學生憂鬱傾向及睡眠品質之影響。國立臺灣體育大學論叢,19(2),37–49。https://doi.org/10.6591/JNTSU.2008.12.03
羅玉岱、盧豐華、楊宜青 (2021)。高齡者身心靈全方位的健康促進。台灣家庭醫學雜誌,31(3),157–168。https://doi.org/10.3966/168232812021093103001
羅翊邦 (2017)。評值以病人為中心有氧運動訓練對多重慢性病中老年人身體活動量、體適能、生活品質及生理行為指標之成效:隨機對照試驗 [碩士論文,國防醫學院]。https://hdl.handle.net/11296/k64q3g
蘇柏誠 (2022)。正念減壓對於住院思覺失調症患者注意力、焦慮與生活品質影響之研究 [碩士論文,國立嘉義大學]。https://hdl.handle.net/11296/eej3sr
Cocchiara, R. A., Peruzzo, M., Mannocci, A., Ottolenghi, L., Villari, P., Polimeni, A., Guerra, F., & La Torre, G. (2019). The use of yoga to manage stress and burnout in healthcare workers: A systematic review. Journal of Clinical Medicine, 8(3), 284. https://doi.org/10.3390/jcm8030284
Goh, S. L., Persson, M. S. M., Stocks, J., Hou, Y., Welton, N. J., Lin, J., Hall, M. C., Doherty, M., & Zhang, W. (2019). Relative efficacy of different exercises for pain, function, performance and quality of life in knee and hip osteoarthritis: Systematic review and network meta-analysis. Sports Medicine, 49(5), 743–761. https://doi.org/10.1007/s40279-019-01082-0
Mahmoudi, A., Amirshaghaghi, F., Aminzadeh, R., & Mohamadi Turkmani, E. (2022). Effect of aerobic, resistance, and combined exercise training on depressive symptoms, quality of life, and muscle strength in healthy older adults: A systematic review and meta-analysis of randomized controlled trials. Biological Research for Nursing, 24(4), 541–559. https://doi.org/10.1177/10998004221104850
Orenstein, G. A., & Lewis, L. (2022). Eriksons stages of psychosocial development. In StatPearls [Internet]. StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556096/
Pang, M. Y., Charlesworth, S. A., Lau, R. W., & Chung, R. C. (2013). Using aerobic exercise to improve health outcomes and quality of life in stroke: evidence-based exercise prescription recommendations. Cerebrovascular diseases, 35(1), 7-22. https://doi.org/10.1159/000346075
Papadimitriou, K. (2021). Effect of resistance exercise training on Crohn’s disease patients. Intestinal Research, 19, 275. https://doi.org/10.5217/ir.2020.00043
Pedersen B. K. (2019). The physiology of optimizing health with a focus on exercise as medicine. Annual Review of Physiology, 81, 607–627. https://doi.org/10.1146/annurev-physiol-020518-114339
Ponzano, M., Rodrigues, I. B., Hosseini, Z., Ashe, M. C., Butt, D. A., Chilibeck, P. D., ... & Giangregorio, L. M. (2021). Progressive resistance training for improving health-related outcomes in people at risk of fracture: A systematic review and meta-analysis of randomized controlled trials. Physical therapy, 101(2). https://doi.org/10.1093/ptj/pzaa221
Schell, L. K., Monsef, I., Wöckel, A., & Skoetz, N. (2019). Mindfulness-based stress reduction for women diagnosed with breast cancer. Cochrane Database of Systematic Reviews, 3(3), CD011518. https://doi.org/10.1002/14651858.CD011518.pub2.
Sieczkowska, S. M., Coimbra, D. R., Vilarino, G. T., & Andrade, A. (2020). Effects of resistance training on the health-related quality of life of patients with rheumatic diseases: Systematic review with meta-analysis and meta-regression. Seminars in Arthritis and Rheumatism, 50(2), 342–353. https://doi.org/10.1016/j.semarthrit.2019.09.006
United Nations Department of Economic and Social Affairs, Population Division (2022). World Population Prospects 2022: Summary of Results. UN DESA/POP/2022/TR/NO. 3.
World Health Organization. (2014). Global status report on noncommunicable diseases 2014. World Health Organization. https://apps.who.int/iris/handle/10665/148114
World Health Organization. (2022). Global status report on physical activity 2022. World Health Organization. https://apps.who.int/iris/handle/10665/363607
Xu, W., Yang, L., Wang, Y., Wu, X., Wu, Y., & Hu, R. (2022). Effects of exercise interventions for physical fitness, fatigue, and quality of life in adult hematologic malignancy patients without receiving hematopoietic stem cell transplantation: A systematic review and meta-analysis. Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer, 30(9), 7099–7118. https://doi.org/10.1007/s00520-022-07029-y
Yao, G., Chung, C. W., Yu, C. F., & Wang, J. D. (2002). Development and verification of validity and reliability of the WHOQOL-BREF Taiwan version. Journal of the Formosan Medical Association, 101(5), 342–351.
Zhan L. (1992). Quality of life: Conceptual and measurement issues. Journal of Advanced Nursing, 17(7), 795–800. https://doi.org/10.1111/j.1365-2648.1992.tb02000.x