趙叔蘋Chao, Shu-Ping2017-02-222025-07-302017-02-222017-02-22https://ir.ntus.edu.tw/handle/987654321/70516學位類別：碩士校院名稱：國立臺灣體育學院系所名稱：休閒運動管理研究所畢業學年度：91年論文頁數：82頁中文摘要 　　本研究主要是在探討對銀髮族平衡與步態之檢測工具―Tinetti Assessment Tool本土化後於施測時，不同背景之評分者間所評出之差異性，並以台中市北區老年人為研究對象。資料回收後是以SPSS 10.0版分別進行描述統計、單因子變異數分析、Kendall和諧係數、t-test、雙因子變異數分析、Pearson相關及多元迴歸分析等統計方法進行資料處理。 本研究共分為兩個階段：第一階段結果發現：無論在平衡部分或步態部分，3組評分者的評分均無顯著差異，而且3組評分者對7位受試者評分的可信度相當一致。第二階段發現：不同居住情形、不同目前行走狀況及有無患有疾病與檢測得分有顯著差異，即獨居老年人在步態得分優於與家人同住者、不需輔助器者在平衡與步態得分上均優於使用柺杖者、沒有罹患疾病者在步態得分上優於患有疾病者。另外，與家人住且需要柺杖者、現在沒有運動且患有疾病四者其平衡（11）、步態（11）和總分（22）得分最低。各自變項中以目前行走狀況對平衡、步態及總分得分有較大的預測力。Abstract 　　The purpose of this study was to probe into the grading differences among graders from different backgrounds when the elderly’ balance and gait assessment tool, the Tinetti Assessment Tool, is employed domestically. The elderly living in northern Tai-Chung, Taiwan were sampled as study population. All the collected data were processed and analyzed by employing computational and statistical programs, which include descriptive statistics, one-way ANOVA, Kendall’s coefficient of concordance, t-test, two-way ANOVA, Pearson correlations, and stepwise regression analysis under the SPSS 10.0 version. This study was divided into two stages. The first stage was to show that there were no distinct differences in the grading results of balance and gait from the three groups of graders. Meanwhile, the credibility of the evaluations on the seven testees was identical among all three groups of graders. In the second stage, obvious differences of assessment result can be detected among elders from different backgrounds. These backgrounds can be categorized into three categories: different living environments, difference in walking ability, and different degrees of healthiness. Independent elders who were living alone scored better on the gait assessment than those who were living with their families. Elders who did not need walking assistance of any kind scored better on both balance and gait assessment than those who used cane or other assistant devices. Healthy elders scored better on gait than those who were ill. In addition, among the tested population, those who used walking assistant devices while living with families and those who lacked exercise while being ill at the same time scored the lowest on balance (11), gait (11), and total score (22). When it came to independent testing, the current walking ability of the elders possessed higher predictability in the scores of balance, gait, and total score.目　次 第一章　緒論…………………………………………………………1 　第一節　研究背景與動機…………………………………………1 　第二節　研究目的…………………………………………………4 　第三節　研究問題…………………………………………………5 　第四節　研究假設…………………………………………………6 　第五節　名詞解釋…………………………………………………6 第二章　文獻探討……………………………………………………8 　第一節　造成銀髮族跌倒的主要因素……………………………8 　第二節　銀髮族的平衡與步態之重要性…………………………10 　第三節　平衡與步態之相關研究…………………………………12 　第四節　Tinetti Assessment Tool之相關探討………………………14 第三章　研究方法與步驟……………………………………………19 　第一節　研究設計…………………………………………………19 　第二節　研究對象…………………………………………………22 　第三節　研究工具…………………………………………………23 　第四節　研究流程…………………………………………………24 　第五節　資料處理與分析…………………………………………27 第四章研究結果與討論………………………………………………28 　第一節　第一階段研究對象基本資料……………………………28 　第二節　土化後檢測工具信度之探討……………………………30 　第三節　第二階段研究對象基本資料……………………………32 　第四節　個人背景因素與檢測得分之分析………………………38 　第五節　個人背景因素間與檢測得分之相關分析………………48 　第六節　個人背景因素與檢測得分之多元迴歸分析……………55 　第七節　綜合討論…………………………………………………58 第五章　結論與建議…………………………………………………64 　第一節　結論………………………………………………………64 　第二節　建議………………………………………………………67 　第三節　後續研究…………………………………………………68 參考文獻………………………………………………………………70223334 bytesapplication/pdf步態;檢測工具;平衡Tinetti Assessment Tool;balance;gait;assessment toolthesis