Publication:

探討臺中市社區老年人之自覺健康狀況、健康行為自我效能、健康生活品質及功能性體適能關係研究

本研究旨在探討臺中市社區老年人之自覺健康狀況、健康行為自我效能、健康生活品質及功能性體適能關係研究。研究對象以臺中市陳平社區與軍功社區自願參與本研究為主，共計研究對象為31名。本研究工具以參考信度、效度佳的「自覺健康狀況量表」、「健康行為自我效能量表」與「世界衛生組織生活品質問卷台灣簡明版」編製而成本研究主要之問卷及功能性體適能檢測，資料分析以統計SPSS12.0版進行描述性統計、皮爾森積差相關、階層複迴歸分析等統計方法處理（p<.05）。綜合本研究之結論如下：

1.老年人在自覺健康狀況方面，皆為正向的健康狀況認知。在健康行為自我效能則以對運動的行為最有把握做到；在健康生活品質方面，在社會範疇的平均得分最高。在功能性體適能方面兩分鐘抬膝與30秒椅子站立的部份以男性較好；而椅子坐起繞物2.44公尺與椅子坐姿體前彎則以女性較好。

2.自覺健康狀況對健康生活品質具有正相關，且與健康生活品質的四個範疇也都具有正相關。而健康行為自我效能對健康生活品質部份相關。

3.自覺健康狀況是預測健康生活品質之因子，而健康行為自我效能雖不具預測力，但它仍具有影響力存在。

4.有氧耐力與健康生活品質是具有相關性的。

The purpose of this research was to investigate the relationships between self-perceived health status, health behavior self-efficacy, health quality of life, and functional fitness of the elders in communities of Taichung City. Taking 31 volunteers from Chen-Pin and Chung-Kon communities of Taichung City as research objects, we edited the questionnaires according to the “Perceived Health Status Scale, Self-Rated Abilities for Health Practices Scale, and The brief Taiwan-version of the World Health Organization Quality of Life Questionnaire” which have good reliability and validity and Senior Fitness Test . Data analyzes were taken applying descriptive statistics, Pearson product-moment correlation, and class multiple regression analysis processed by SPSS version 12.0 (p<.05). The conclusions were as follow:

1. Objects all showed positive self-perceived health status. In health behavior self-efficacy, objects showed most confidence on exercise activities. In health quality of life, the average score in social dimension is the highest. In functional fitness, males performed better on 2-minute Step Test and 30-second Chair Stand Test. Females performed better on Chair Sit-and-Reach Test and 2.44-Foot up-and –Go Test.

2. Self-perceived health status had correlation to health quality of life, and also to all its 4 dimensions. Health behavior self-efficacy had partial correlation to health quality of life.

3. Self-perceived health status was the factor to predict health quality of life, although Health behavior self-efficacy was not a factor, but it still had influences.

4. Health quality of life was related to aerobic endurance.