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系統識別號 U0026-2107201405170900
論文名稱(中文) 運動充能方案改善關廟社區婦女運動行為之研究
論文名稱(英文) The study of the empowerment-led approach to improve the exercise behaviors of community women in Guanmiao
校院名稱 成功大學
系所名稱(中) 健康照護科學研究所
系所名稱(英) Institute of Allied Health Sciences
學年度 102
學期 2
出版年 103
研究生(中文) 黃靜君
研究生(英文) Jing-Juin Huang
電子信箱 jjh.huang@mail.hwai.edu.tw
學號 ta8941063
學位類別 博士
語文別 中文
論文頁數 197頁
口試委員 指導教授-陳清惠
召集委員-陳靜敏
口試委員-林麗娟
口試委員-林惠賢
口試委員-李碧娥
中文關鍵字 充能  運動行為  社區婦女 
英文關鍵字 empowerment  exercise behaviors  community women 
學科別分類
中文摘要 身體不活動已被證實是慢性病與死因之關鍵因子之一,國內調查顯示台灣規律運動的女性較男性低。傳統運動促進計畫多由研究者設計,常隨著計畫的結束而終結,無法永續。學者提出以充能理論導引之運動方案,較能深根社區。研究目的為1.瞭解社區婦女無法規律運動的原因及能夠持續運動的原因;2.發展社區婦女規律運動之充能方案;3.運動充能方案之推展與成效探討。

本研究採參與式與充能式行動研究法,此行動研究歷經觀察期、思考期、行動期與省思期四個階段,第一階段 觀察期:研究者與關廟社區健康營造中心計畫推動者成為夥伴,共同決定運動是介入婦女健康的最佳途徑。為能瞭解社區婦女運動現況、無法規律運動的原因及能夠持續運動的原因,研究者透過結構性問卷包括個案基本資料與疾病史、運動行為與運動改變階段、知覺運動障礙和知覺運動利益量表等初步進行問卷調查。

第二階段 思考期:透過227份問卷調查分析得知有59.0%婦女未從事規律運動,30-50歲婦女不規律運動的比率最高。知覺運動障礙是影響規律運動之重要關鍵因素,年輕婦女有較高照顧小孩、家庭責任與工作責任等管理層面障礙,反之年長婦女有較高的身體與健康障礙,以此調查結果初步構思運動充能方案。

第三階段 行動期:研究者與在地組織形成社區資源網絡,以關廟社區健康營造之願景與理念「樂活生活、重拾健康」為主旨,召募社區保健志工與社區婦女,予以充能培訓課程及十二週元極舞運動、慢性病議題課程,提供相關的知識與技能。並針對運動團體擴展之議題舉辦焦點團體,發揮集體意識與共同參與理念,集體提問、對話、參與並提供意見、決議等為行動基礎,以CLEAR model 與理念發展適用於解決社區婦女知覺運動障礙的運動充能方案,透過建構社區運動組織與團體,集體實踐運動充能方案,使社區婦女維持規律運動行為。

第四階段 省思期:參與運動充能方案之51位社區婦女有47.1%介於61-70歲,不規律運動轉為規律運動的比例顯著增加39.2%,介入後社區婦女規律運動的比率共為72.5%,以元極舞(100.0%)、健身操(52.9%)較多,從事規律運動時所面對的管理障礙、身體及健康障礙、運動環境障礙等皆於介入後呈顯著降低。其生理指標與體適能方面在血壓、腰圍、短距離行走測試呈現顯著改善。本研究有助於瞭解運動充能方案如何協助及支持社區婦女持續規律運動之歷程。
英文摘要 Regular exercise has been shown to have a wide range of health benefits for women in all ages. The purposes of the study were: (1) to explore why women do not engage in enough regular exercise, (2) to develop the empowerment-led approach of regular exercise for women, (3) to conduct and evaluate the effectiveness of the empowerment-led approach of regular exercise for women. The study was conducted using a participatory and empowering action research.
The process of this action research method included look, think, act, and reflection phase. We used a structured questionnaire to explore the differences of Perceived Exercise Barriers and Perceived Exercise Benefit among three age groups for rural women. We found that women face different exercise barriers in different stages of their lives. The initial ideas for the empowerment-led approach based on those findings of the previous survey. The researcher and community organization formatted a network of community resources. We built a vision of community health as "LOHAS Life and Regain Health", recruited community health volunteers and community women to receive a 12- week training courses, Yunji dance exercise and empowerment-led approach. The empowerment-led approach based on CLEAR model was used for women in the community to solve their perceived exercise barriers. After the program, the overall regular exercise rate increased from 39.2% to 72.5%. This study explored the process and experience of using the empowerment-led approach to assist and support community women to maintain and continue regular exercise.
論文目次 中文摘要-------------------------------------------------Ι-Ⅱ
英文摘要------------------------------------------------Ⅲ-Ⅵ
誌謝---------------------------------------------------Ⅶ-Ⅸ
目錄-------------------------------------------------------Ⅹ
第一章 緒論----------------------------------------------1
第一節 研究問題意識與動機-----------------------------------1
第二節 研究目的-------------------------------------------3
第三節 名詞界定-------------------------------------------4
第二章 文獻查證-------------------------------------------5
第一節 社區婦女之運動現況-----------------------------------5
第二節 影響社區婦女規律運動之因素----------------------------5
第三節 充能理論於社區健康促進之應用--------------------------11
第四節 充能理論與行動研究----------------------------------33
第三章 方法論 -------------------------------------------42
第一節 行動研究------------------------------------------42
第四章 研究方法------------------------------------------54
第一節 研究設計------------------------------------------54
第二節 研究場域------------------------------------------55
第三節 研究工具------------------------------------------58
第四節 行動研究的信效度-----------------------------------62
第五節 資料來源與分析 ------------------------------------64
第六節 行動研究倫理---------------------------------------67
第七節 行動研究步驟---------------------------------------69
第五章 研究結果------------------------------------------71
第一節 行動研究步驟之第一階段觀察期-------------------------71
第二節 行動研究步驟之第二階段思考期-發展運動充能方案----------85
第三節 行動研究步驟之第三階段行動期-實踐運動充能方案之行動策略-108
第四節 行動研究步驟之第四階段省思期------------------------125
第六章 討論--------------------------------------------147
第一節 研究者於充能運動方案行動歷程之反思-------------------147
第七章 研究結論、建議與限制-------------------------------157
第一節 研究結論-----------------------------------------157
第二節 研究限制-----------------------------------------158
第三節 研究建議-----------------------------------------160
第八章 參考文獻-----------------------------------------162
一、中文文獻--------------------------------------------162
二、英文文獻--------------------------------------------168
表目錄
表1.充能過程與結果層面------------------------------------19
表2.健康促進方法與理論------------------------------------22
表3.CLEAR Model----------------------------------------29
表4.行動研究的五種研究取向方法-----------------------------43
表5.行動研究之類型學--------------------------------------45
表6.三角校正矩陣-----------------------------------------66
表7.研究階段與行動歷程------------------------------------69
表8.93- 96年度 關廟村與關廟鄉65歲以上民眾代謝症候群概況-------83
表9.三組年齡層社區婦女人口學特性----------------------------87
表10.三組年齡層社區婦女知覺運動障礙之影響程度-----------------88
表11.三組年齡層不規律運動社區婦女知覺運動障礙之差異------------93
表12.三組年齡層之未規律運動婦女與規律運動婦女之知覺運動障礙的差異-94
表13.社區婦女面對知覺運動障礙時不從事規律運動的勝算比-----------95
表14.三組年齡層社區婦女之知覺運動利益差異---------------------99
表15.三組年齡層規律運動鄉村婦女之知覺運動利益差異-------------100
表16.各年齡層之未規律運動與規律運動社區婦女在各項知覺運動利益差異101
表17.婦女面對知覺運動利益時從事規律運動的勝算比---------------102
表18.整合社區婦女知覺運動障礙發展運動充能方案之對應策略--------121
表19.運動充能方案----------------------------------------123
表20.社區婦女人口學特性-----------------------------------126
表21.社區志工之基本資料-----------------------------------126
表22.社區婦女參與運動充方案前後之運動概況--------------------138
表23.社區婦女參與運動充方案前後之知覺運動障礙比較-------------139
表24.社區婦女參與運動充方案前後之運動自我效能比較-------------140
表25.社區婦女參與運動充方案前後之生理指標與體適能比較----------140
圖目錄
圖一、參與式行動研究法之流程--------------------------------49
圖二、行動研究的歷程流程圖----------------------------------70
圖三、關廟社區資源網絡------------------------------------108
圖四、運動充能方案課程內容---------------------------------114
圖五、元極內景圖-----------------------------------------192
圖六、全身穴位圖-----------------------------------------197
附錄一、同意人體研究證明書---------------------------------178
附錄二、問卷---------------------------------------------179
附錄三、社區婦女之訪談大綱---------------------------------183
附錄四、社區志工社區參與之歷程之訪談大綱---------------------184
附錄五、知情同意書---------------------------------------185
附錄六、運動日誌-----------------------------------------186
附錄七、體適能檢測方法------------------------------------187
附錄八、體適能測量表--------------------------------------189
附錄九、元極舞之功理與功法內涵------------------------------190
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