研究生: |
胡雅婷 Ya Ting Hu |
---|---|
論文名稱: |
氣喘學生與非氣喘學生身體活動及運動社會心理狀況之比較研究 A Comparative Study of Physical Activity and Exercising Social Psychology Condition of Asthmatic and Non-asthmatic Students |
指導教授: |
賴香如
Lai, Hsiang-Ru |
學位類別: |
碩士 Master |
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: | 2002 |
畢業學年度: | 90 |
語文別: | 中文 |
論文頁數: | 92 |
中文關鍵詞: | 氣喘 、身體活動 、運動社會心理 |
英文關鍵詞: | asthma, physical activity, exercising social psychology condition |
論文種類: | 學術論文 |
相關次數: | 點閱:218 下載:41 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
氣喘目前是學童最常見的慢性病,且有日趨嚴重之勢,它不僅困擾學生的生活與學習,亦可能影響其身體活動與運動社會心理狀況。因此本研究主要是探討國中一、二年級氣喘與非氣喘學生的身體活動與運動社會心理狀況的現況、差異。
本研究採橫斷式調查法,母群體為九十學年度台北縣某所國中一、二年級學生,以配對抽樣法取得氣喘和非氣喘學生,再利用自編之結構問卷與三日身體活動紀錄表為工具進行資料收集,得有效問卷分別為533份與390份。資料以百分比、平均值、t考驗、卡方檢定、單因子變異數分析、簡單羅吉斯回歸以及積差相關等方法進行分析。
本研究的重要發現如下:
一、最近一年曾發作之氣喘學生、最近一年未發作之氣喘學生以及非氣喘
學生運動性氣喘相關知識得分情形有顯著差異。
二、非氣喘學生之運動頻率與每週運動數均高於氣喘學生。
三、氣喘和非氣喘學生的身體活動量並無顯著差異。
四、無氣喘者知覺運動利益高於有氣喘且最近一年曾發作做過者。而氣喘
與非氣喘學生的運動自我效能、知覺運動障礙、運動社會支持與運動
角色模仿數族無顯著差異。
五、運動自我效能、知覺運動利益、運動社會支持、運動角色模仿數都與
體能活動量有顯著正相關,而知覺運動障礙得分則與體能活動量則呈
顯著負相關。
研究最後並對未來有關氣喘研究以及教育介入提出建議。
Asthma is the most common chronic disease during childhood and adolescence, which influences students’ daily life and study, probably including their physical activity. The object of this study was to compare the physical activity as well as exercising social psychology condition of asthmatic and non-asthmatic students.
The method adopted was cross-sectional survey and the population was the first-grade and second-grade students of a junior high school in Taipei County during the school year 2001-02. By using a matched sampling method, 533 subjects were surveyed with structured questionnaires;382 provided their three-day physical activity record. Percentage, mean, t-test, Chi-square test, one-way ANOVA, logistic regression, and Pearson product-moment correlation were used to analyze the data.
The main findings of this study were as follows:
1.The scores of exercise-induced asthma knowledge were
significantly different among current asthmatic, ever
asthmatic and non-asthmatic students.
2.The exercise frequency and exercise hours a week of non-
asthmatic students were both significantly higher than
asthmatic ones.
3.There was no significant difference in the quantity of
physical activity between asthmatic and non-asthmatic
students.
4.It demonstrated that non-asthmatic students had higher
perceived benefit for exercise than current asthmatic, while
their difference in exercising self-efficacy, perceived
barrier for exercise, social support for exercise and
exercising role modeling were not apparent.
5.It presented that quality of physical activity had positive
relationship with exercising self-efficacy, perceived benefit
for exercise, social support for exercise, and exercising
role modeling. Conversely, it had negative relationship to
perceived barrier for exercise.
Based on the results, it has provided some suggestions to future study and intervention.
行政院環保署(民85a)氣喘照護手冊。行政院環保署宣導手冊,統一編號34029850032。
行政院環保署(民85b)。學童呼吸系統健康檢查計畫---北一區。行政院環保署研究計畫,EPA-85-1601-08-01。
吳家興、林瑞雄、謝貴雄、邱文達、陳麗美、邱淑、黃國晉、劉文良、邱宏毅、蕭慧娟、方淑惠、陳雄文、林嘉明、宋鴻樟(民87)。台灣北部國中學生氣喘盛行率之調查。中華衛誌,17,214-223。
呂克桓、謝貴雄(民77)。台北市學童過敏病;11年間之變化。中華民國小兒科醫學會雜誌,29(2),104-109.
呂昌明、林旭龍、黃奕清、李明憲、王淑芳(民89)。身體活動自我報告量表之效度及信度的研究-以Polar Vantage NV心搏率監測器為效標。衛生教育學報,14,33-48。
李明憲(民87)。國小、國中學生身體活動、健康體能相關影響因素之調查研究~以花蓮縣宜昌國民小學、宜昌國民中學二所學校為例。台灣師範大學衛生教育學系博士論文。
林貴福(民84)。運動性氣喘的管理。台灣師大體育研究,1,139-155。
洪璿、謝文斌(民87)。氣喘問題為何日益嚴重。當代醫學,25(8),35-37。
張綺紋(民85)。氣喘學童不適感受之因應策略探討。國防醫學院護理研究所碩士論文。
梁俊煌(民83)。運動所引發氣喘病的角色。大專體育,13,59-64。
陳彥宇(民88)。台北市國中教師與校護照護氣喘學生相關知識、態度與自我效能之研究。台灣師範大學衛生教育學系碩士論文。
陳昭姿(民89)。Montehikast(Singulair)—抗leukotrienes之長效型氣喘用藥。當代醫學,27(9),57-60。
陳淑如、張文英、潘美蓉、鄭綺(民91)。氣喘兒童身體活動狀態、自我效能極其生活品質。醫護科技學刊,4(1),1-13。
陳淑如、張文英、鄭綺(民90)。氣喘兒童的運動指導。長庚護理,12(3),234-237。
陳黛娜、李從業(民86)。台北市國小氣喘學童的疾病知識與適應行為之探討。護理研究,5(2),160-170。
湯仁彬(民83)。你對氣喘瞭解多少。健康世界,108,52-53。
黃焜璋(民80)。漫談小而氣喘。健康世界,64,35-49。
劉韋利(民89)。氣喘新療法—白三烯素的相關研究。藥學雜誌,16(1),30-36。
蔡淑菁(民85)。台北市國小學童身體活動極其影響因素之研究。台灣師範大學衛生教育學系碩士論文。
鄭志富(民87)。其他功能性障礙類。適應體育導論,355-364。
蕭新榮(民82)。氣喘患者的基本運動能力分析。體育與運動,88,46-49。
賴香如、黃璟隆、余坤煌、吳德敏、吳玉萍(民90)。國小學生氣喘篩檢研究—ISAAC錄影帶問卷和書面問卷之比較。衛生教育學報,15,23-41。
謝貴雄(民81)。台北市學童氣喘罹病率及其遺傳方式之研究。行政院衛生署研究計畫。DOH81-HP-04。
謝貴雄(民84)。小兒氣喘病之預防和處理。中華民國小兒科醫學會雜誌,36(B),9-20。
簡慧貞(民78)。1.空氣污染與台北市學童氣喘之關係2.台灣空氣污染與健康相關研究之探討。台灣大學公共衛生研究所碩士論文。
藍辰聿(民87)。台北市某國小學童中重度身體活動極其影響因素之研究。台灣師範大學衛生教育學系碩士論文。
Anderssen N. & Wold B.(1992). Parental and peer influence on leisure-time physical activity in young adolescents. Research Quarterly for Exercise and Sport , 63 ,341-348.
Bandura A.(1977). Social learning theory. N.J. , Prentice-Hall.
Biddle S. & Goundas M.(1996). Analysis of children’s physical activity and it's association with adult encouragement and social cognitive variables. Journal of School Health ,66(2),75-78.
Bouchard C. Tremblay A., LeBlanc C., Loritie G., Savard R.& Therialt G.(1983). A method to assess energy expediture in children and adults. American Journal of Clinical Nutrition ,37 ,461-447.
Caspersen C.J. , Powell K.E., & Christenson G.M.(1985). Physical activity, exercise ,and physical fitness : definition and distinctions for health related research. Public Health Report , 100(2), 126-131.
Clark C ,Cassaburi R & Petty T(l 992). The Principles and practice of pulmonary rehabilitation . Philadelphia: Students.
Cochrane L.M.&C.J. Clark(1990). Benefits and problems of a physical training programe for asthmatic patients. Thorax, 45, 345-351.
Coughlin SP.(1988). Sport and the asthmatic child : a study of exercise- induced asthma and the resultant handicap. J R Coil Gen Pract , 38,253-255.
Creer Tl, Gustafson KE. Psychological problems associated with drug therapy in childhood asthma. J Pediair 1989; 115; 850-855.
Disabella, V. & Sherman, C.(1998).Exercise for asthma patients. The Physician and Sportsmedicine ,26(6) ,75-84.
Eaton W.O. & Enns L.R. (1986). Sex differences in human motor activity level. Psychol Bull , 100 , 19-28.
Ferguson K.V., Yesalis C.E., Pomrehn P.R.& Kirkpatrick M.B.(1989). Attitude , Knowledge and beliefs as predictors of exercise intent and behavior in school children. Journal of School Health , 59 ,112-115.
Gershwin M.E. (1986). Brochial Asthma: Principles of Diagnosis and Treatment, 2nd ed. Grune and Stratton. Inc. New York.
Gottlieb N.H. & Chen M.S. (1985). Sociocultural correlates of childhood sporting activities : their implication for heart health. Social Science and Medicine , 21 ,33-539.
Greendorfer S.L. & Ewing M.E. (1981). Race and gender difference in Children's socialization into sport. Research Quarterly for Exercise and Sport ,52,301-310.
Greenockle K.M.Lee A.A.& Lomax R.(1990). The relationship between selected student characteristics and activity patterns in a required high school physical education class. Research Quarterly for Exercise and Sport , 61,59-69.
Hahn A., Anderson S.D., Morton A.R., Black J.L. & Fitch K.D.(1984). A reinterpre-tation of the effect of temperature and water content of the inspired air in exercise-induced asthma. American Review of Respiratory Disease , 130, 575- 579.
Huang Y.C.(1994).Relationship of sociodemographic and physical activity variables to physical fitness of Taiwanese junior high school students. Unpublished doctoral dissertation. The University of Texas at Austin , Austin.
Israel B.A. & Round K.A.(1987). Social networks and social support : a synthesis for health education. Health Education and Promotion ,2, 311-351.
Jain S.C. ,Rai L. .Valecha A., Jha U.K., Bhatangar S.O.D. & Ram K. (1991).Effect of yoga training on exercise tolerance in adolescent with childhood asthma. Journal of Asthma , 28(6).437-442.
Kashani JH. Konig P. Shepperd A. Wilfley D. Morris DA. Psychopathology and self-concept in asthmatic children. J Pediatr Psychol. 1988; 13; 509-5520.
Kowabori I., Pierson W.E. ,Loveday L.C. (1976). Incidence of exercise- induced asthma in children. J Allergy Cin Immunol, 58 ,447.
Kraft R.E.(1989).Children at play : Behaviors of children at recess. Journal of Physical Education ,Recreation and Dance,60,21-64.
Laport R.E.,Montoye H.J.(1985).Assessment of physical activity in epidemiological research problem and prospects. Public Health Report , 100,131-146.
Lenney W ,Wells NEJ & O'Neill BA(1994). The burden of pediatric asthma. Eur Respir Rev ,4, 49-62.
Marcus B.H., Rossi J.S., Selby V.C., Niaura R.S.&Abrams D.B.(1992). The stages and processes of exercises adoption and maintenance in a worksite sample. Health Psychology ,ll(6),386-395.
Matthie J.R. (1989). A multivariates study of adolescent exercise behavior. United States International University.U.M.I. Dissertation services (order no.9010771).
Mckenzie T.L., Sallis J.F., NaderP.R., Broyles S.L. & Nelson J.A.(1992). Anglo-and Mexican-American Preschoolers at home and at recess Activity patterns and environmental influences. Journal of Developmental and Behavior Pediatrics , 13, 173- 180.
Melnyk K.A.M.(1988). Barries: A Critical review of recent literature. Nurs Res. 37,196-201.
Mortan A.R. , Lawrence S.R. , Fitch K.D. & Hahn A.G. (1983).Duration of exercise in the provocation of exercise-induced asthma. Annals of Allergy , 51,530-534.
Norbek J.S.(1981).Social support:a model for clinical research and application. Advances in Nursing Science , 3(4) ,43-59.
Nystad W. (1997).The physical activity level in children with asthma based on a survey among 7-16-year-old school children. Scandinavian. Journal of Medicine & Science In Sport , 7,331-335.
Patricia de SA(2001). Exercising with asthma. Prevention ,53(3) ,62. Ram F.S. , Robinson S.M. & Black P.N.(2000). Effects of physical training in asthma: a systematic review. Br J Sports Med ,34,162-167.
Rosenstock I.M.(1974). Historical origins of the health belief model. Health Education Monograph, 2,328-335.
Sallis J.F, Patterson T.L., Bunono M.J.& Nader P.R.(1988). Relation of cardiovascular disease risk factors in children and adult. American Journal of Epidemiology ,127,933-941.
Sallis J.F. & Hovell M.F.(1990).Determinants of exercise behavior .Exercise and sport sciences Review, 18,306-330.
Sallis J.F. , Hovell M.F. , Hofstetter C.R. , Faucher P. , Elder J.P, Blauchard J.,Caspersen C.J., Powell K.E. & Christenson G.M.(1989).A multivariate study of determinants of vigorous exercise in a community 28sample. Prevention Medicine , 18,20-34.
Sallis J.F. ,Grossman R.M., Pinski R.B., Patterson T.L. & Nader,P.R. (1987).The development of scales to measure social support for diet and exercise behaviors. Preventive Medicine, 16 ,826-836.
Sallis J.F. ,Simons-Morton B.G. & Stone E.J.(1992).Determinants of physical activity and interventions in youth. Medicine and Science in sports and exercises ,21(6).248-257.
Sallis J.F.(1993).Epidemiology of physical activity and fitness in children and adolescents.Critical Reviews in Food Science and Nutrition, 33,403-408.
Saris W.H.M. (1985).The assessment and evaluation of daily physical activity in children : A Review. Acta Peditr. Scand Suppl,318,37-48.
Schunk D.H.& Carbonari J.P.(1984). Self-efficacy model. Behavior Health: A handbook of health enhacement and disease prevention. New York , Wiley.
Silverman M. & Anderson S.D. (1972). Standardisation of exercise tests in asthmatic children.Archives of Disease in Childhood, 47,882-889.
Stephens T. , Jacobs D.R. & White C.C. (1985).A descriptive epidemiology of leisure time physical activity.Public Health Report, 100,147-158.
Stucky-Ropp R.C.& Dilorenzo(1993).Determinants of exercise in children. Prevention Medicine , 22,880-899.
Szentagothai K.,Gyene l.,Szocska M. & Osvath P.(1987).Physical exercise program for children with bronchial asthma. Pediatric Pulmonology, 3,166-172.
Tappe M.K., Duda J.L.& Ehrnwald P.M.(1989).Perceived barriers to exercise among adolescents. Journal of School Health, 59(4),153-155.
Taylor W & Newacheck P(1992). Impact of childhood asthma on health. Pediatrics ,90,657-662.
Thirlaway K. & Benton D.(1993). Physical activity in primary and secondary- school children in west Glamorgan. Health Education Journal ,52(l),37-41.
Vershuur R. & Kemper H.C.G.(1985). he pattern of daily physical activity. Medicine and Science in Sports and Exercise,20, 169-186.
Voy R. (1986). The US Oimpic Committee experience with exercise-induced bronchospasm 1984. Medicine and Science in Sports and Exercise , 18,328-330.
William W. Storms(1999). Exercise-induced asthma : diagnosis and treatment for the recreational or elite athlete. Journal of the American College of Sports Medicine, S33-S38.