探討慢性阻塞性肺疾病患者之運動行為

Application of the Transtheoretical Model to Exercise Behavior of Patients with Chronic Obstructive Pulmonary Disease(COPD)

本研究採橫斷性調查設計，目的在了解慢性阻塞性肺疾病患者運動行為與探討其相關因素。採一對一問卷訪談的方式進行收案；研究工具為人口學資料、運動改變階段、運動自我效能及運動決策平衡量表。以南部某醫學中心胸腔內科門診位慢性阻塞性肺疾病患者為對象，研究對象平均年齡為歲。研究結果如下：一在運動階段的分類上有的人為動機前期、為動機期、為準備期、為行動期及為維持期，老年人從事規律運動的比率高於中年人，散步為主要運動方式；二在運動改變階段與運動決策平衡相關性方面，決策平衡點位於動機期，顯示位居動機期病人自覺運動利益多於障礙，想要開始運動的動機最強。本研究結果將可作為未來臨床實務工作者發展不同運動階段介入運動計畫之參考。

The purpose of this cross-sectional correlation study was to investigate theexercise behavior of patients with chronic obstructive pulmonary disease (COPD)as well as its relationship with other variables. A total of 98 patients were recruitedfrom a medical center in Southern Taiwan. The average age of the participants was68.1. The following results showed: (1) Exercise activities in the sample werecategorized in the following stages: pre-contemplation (25.5 ％), contemplation (2％), preparation (21.4 ％), action (4.1 ％), and maintenance (46.9 ％). Older patientsexercised regularly more than middle-aged patients. The most common type ofexercise in which patients with COPD engaged was walking. (2) Regarding therelationships among exercise stages of change and decisive balance, the crossoverhappened between the pre-contemplation stage and the contemplation stage. Obviously,the contemplators perceived more pros than cons in exercise, so their motivation tostart the exercise was strongest. The findings of this study may provide guidance forclinical practitioners in developing stage-matched interventions of program planning,and suggestions for research agencies in the future.