| Summary: | 碩士 === 台北醫學院 === 護理學研究所 === 86 === The purpose of this study was to examine the body image change of
heart transplant patients during exercise training. Both qualitative
and quantitative methods were used in this study. Subjects who met the
selection criteria were selected by purposive sampling . The exercise
training program was three times per week for 10 weeks. Data was collected
by means of interview and the Body Cathexis Scale. Data was analyzed by
content analysis、Friedman test、McNemar test、Mann-Whitney U test、
Kruskal-Wallis test and Spearman correlation.
A total of ten valid cases were selected. The results of this study
showed that the mean score of body image satisfaction was 2.47 before
exercise training, 3.17 after 5 weeks, and 3.25 after 10 weeks of training.
The scores at the fifth and the tenth weeks of exercise training were
higher than those before training. By content analysis quantifying the
qualitative data, these patients showed three types of behaviors：
orienting behavior、comparative behavior、appraisal behavior. The most
frequent behavior was the appraisal behavior before training, and the
comparative behavior was the most frequent behavior after 5 weeks and
10 weeks of training. The body image focused on three dimensions：body
structure、body sensation and body function. The most frequent dimension
of body image was the body function during exercise training.
A significant correlation between body image satisfaction and three
dimensions of body image was not observed before and at the 5th week of
exercise training. However, the comparative behavior was correlated
with body image satisfaction after 10 weeks of training(rs=0.648, p<0.05).
The influence of demographic variables on body image satisfaction was not
found. Educational level was significantly related to the orienting
behavior(rs =0.681, p<0.05), and comparative behavior(rs =-0.681, p<0.05).
Base on the results of the study, it was concluded that satisfaction
of body image was increased and a positive view of body image was enhanced
during exercise training. The findings of this study will help nurses
understand body image change of heart transplant patients, provide
suitable nursing intervention , and promote the quality of care.
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