Publication:

更年期婦女身體活動與健康相關生活品質之研究

本研究旨在探討更年期婦女身體活動與健康相關生活品質之關係。以配額立意抽樣方式選取40至59歲居住在台北市、高雄市和台中市的婦女為研究對象。研究工具包含國際身體活動量表(劉影梅，2004)、SF-36量表(盧瑞芬、曾旭民、蔡益堅，2003)。自2007年2月至2007年3月進行問卷調查，共得331份有效問卷。研究結果發現更年期婦女身體活動程度偏低，多數是坐式生活型態。以t考驗及單因子變異數分析不同年齡、婚姻、子女數、教育程度、職業等與身體活動、健康相關生活品質呈顯著相關，但家庭年收入與身體活動則無相關。以皮爾森積差相關法分析結果得知中等費力的身體活動與整體健康狀況呈現顯著正相關( r=.14, p<.01)，與因身體健康問題所引起的角色限制則呈現顯著負相關( r=-.17, p<.01)。坐著的時間與身體健康問題所引起的角色限制及身體疼痛程度( r=.12, p<.05)呈顯著正相關，與情緒問題所引起的角色限制( r=.17, p<.01)呈顯著正相關。更年期婦女整體健康狀況因不同活力狀況和心理健康之不同而有所差異。建議未來在推動更年期婦女健康促進策略時，應鼓勵婦女從事中等費力的身體活動及維持動態生活型態，不僅只是著重在生理層面更應要重視自我的活力和心理健康狀況，以提升更年期婦女健康相關生活品質。

The purpose of this study was to discuss the relationship between the women’s physical activity and health-related quality of life during their climacteric period. The subjects were Quota Sampling selected from 40-59 years old women in Taipei, Kaohsiung and Taichung city in Taiwan. There were two instruments used in this study: International Physical Activity Questionnaire and MOS 36-Item Short-Form Health Status Survey. 331 valid questionnaires were returned during February to April, 2007. Result shows that most of climacteric women’s physical activities were in low level, the majority of life style was sitting. Using t-test and One-way ANOVA shows that significance different between the personal demographics and physical activity, health-related quality of life, no significance between the household income and physical activity. Using Pearson product-moment correlation shows that positive correlated between the moderate level of physical activity and the General Health(r=.14, p<.01), significance negative correlated differences in Role Limitation due to Physical Health Problems（RP）( r=-.17, p<.01).The significance positive correlated were between the sitting time and RP, Bodily Pain (r=.12, p<.05) and Role Limitation due to Emotional Problems (r=.17, p<.01). The climacteric period women’s General Health were different according to Vitality and Mental Health. Suggesting in feature to advance health promotion of stage, it should be encourage climacteric period women to moderate level of physical activity and keeping movement life style. Not only emphasis in physical aspects, more importantly focus at self-vitality and metal health to upgrade the health-related quality of life for the women during their climacteric period.