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作者(中文):張雅琪
作者(外文):Chang, Ya-Chi
論文名稱(中文):氣功訓練課程對注意力缺陷過動症兒童注意力與衝動控制成效之研究
論文名稱(外文):The effects of Qi-gong training course on attention and impulse control problem in children with ADHD
指導教授(中文):謝協君
楊仕哲
指導教授(外文):Hsieh, Hsieh-Chun
Yang, Su-Tso
口試委員(中文):黎俊彥
陳瑞照
口試委員(外文):Li, Chun-Yen
Chen, Rui-Zhao
學位類別:碩士
校院名稱:國立清華大學
系所名稱:特殊教育學系
學號:210224702
出版年(民國):106
畢業學年度:105
語文別:中文
論文頁數:142
中文關鍵詞:氣功注意力缺陷過動症注意力衝動控制
外文關鍵詞:Qi-QongADHDAttentionImpulse control
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本研究旨在探討「氣功訓練課程」對注意力缺陷過動症兒童在注意力與衝動控制的成效,採不等組前-後測之準實驗設計,以新竹市35位國小兒童經篩選為注意力缺陷過動症者為受試者,分成實驗組A(12位)、實驗組B(11位)及對照組(12位)三組,實驗組A接受感覺統合和氣功拳法課程,實驗組B接受氣功拳法和氣功按摩課程,而對照組接受感覺統合和樂高積木課程,分別進每週1小時,為期12週的訓練課程。本研究以「國小注意力測驗量表」、「克氏持續度表現測驗(CPT II)」、「注意力缺陷/過動障礙測驗(ADHDT)」和「平衡訓練評估儀(PSA)」所得到量化資料依相依樣本t檢定和ANOVA進行各組內及組間之比較,最後以學生和家長填寫的回饋單作為了解學習動機與學習效果的輔助資料。本研究主要發現如下:
1.實驗組A、 B在「國小兒童注意力測驗量表」的全量表及五項注意力向度之前、後測差達顯著差異,對照組僅在全量表、選擇性及交替性注意力向度達顯著差異;三組間比較下,對照組與驗組A、B在全量表、持續性和選擇性注意力向度皆達顯著差異。
2.實驗組A在CPT II之Ommisions、Hit RT及Hit RT SE,而實驗組B在Ommisions、Comissions及Hit RT SE之前、後測組內比較達顯著差異。
3.實驗組A、B在ADHDT的前-後測表現中,過動性、衝動性與不專注項目達顯著差異,對照組僅在過動與不專注項目達顯著差異。
4.在PSA項目組內比較中,僅實驗組A之「A-P SD」及「Sway Rate」達顯著差異;在組間比較中,實驗組A之Sway Rate的閉眼狀態與對照組相比有達顯著差異。
5.所有受試者( 35人)在PSA測力板上之前測重心表現大部分落在第三象限(62.86%),而實驗組B在PSA上象限的改變情形較為穩定,僅有2位有象限改變之情形。
6.從學生及家長回饋單中得知,在各訓練課程結束後,各組受試者及其家長對於自我表現評價、自覺孩子的改變情形、以及課堂滿意度均有正向回饋。

最後,研究者依據上述之研究結果進行討論,並針對教育現場之應用以及對未來研究提出相關建議。
The purpose of this study was to investigate the effect of Qi-gong training course on attention and impulse control in children with ADHD. The study adopted inequivalent pre-post quasi-experimental design. The subjects were divided into experiment group A (n=12), experimental group B (n=11) and control group (n=12). The experiment group A received sensory integration and the Qi-gong exercise course, experiment group B received Qi-gong exercise and Qi-gong massage course, and the control group received sensory integration and Lego course. The training courses last 12 weeks and took one hour per week. All groups took the Attention Scales for Elementary School Children, Conner’s Continuous Performance Test II (CPT II), Attention Deficit / Hyperactivity Disorder Test (ADHDT), and Posture Scale Analyzer (PSA) for pre-test and post-test. The quantitative data was analyzed by the paired samples t-test, and also use ANOVA to compare the results of the three groups. The results are as follows:
1.There was significant difference between the pre-test and post-test in the whole scale and the five attention items of the Attention Scales for Elementary School Children test in the experiment group A and B, but the control group only in the whole scale, the selective of attention and the alternation of attention items had significant difference. There was significant difference between the three groups in the whole scale and continuous and selective attention items in the control group and the experiment group A and B.
2.In experiment group A there was significant difference between the pre-test and post-test in Ommisions, Hit RT and Hit RT SE of the CPT II test, but in experiment group B there was significant difference in Ommisions, Commissions and Hit RT SE.
3.There was significant difference between the pre-test and post-test in hyperactivity, impulse and non-focused item of the ADHDT test in the experiment group A and B. The control group only showed significant difference in the non-focused and hyperactivity items.
4.In experiment group A there were significant differences between the pre-test and post-test in A-P SD with eyes opened and Sway Rate with the eyes opened and closed of the PSA test. There was significant difference between the three groups in the Sway Rate with eyes closed in the experiment group A and control group.
5.In the pre-test, most of all subjects their center of pressure (COP) were in the third quadrant (62.86%), while the change in the quadrant of the experiment group B on the PSA was more stable, with only 2 subjects had quadrants changed.
6.According to the analysis of subjects and their parents’ feedback, they were reported positive feedback on self-performance evaluation, perceived after the course the change of their child, and classroom satisfaction.
Finally, the researchers based on the above conclusions, and provides some suggestions in educational field of application and future study.
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的與待答問題 4
第三節 名詞釋義 6
第二章 文獻探討 9
第一節 注意力的內涵 9
第二節 注意力缺陷過動症的特質與衍生問題 13
第三節 注意力缺陷過動症的成因 17
第四節 注意力缺陷過動症的治療模式 20
第五節 氣功之內涵與相關文獻探討 23
第三章 研究方法 31
第一節 研究架構 31
第二節 研究流程 33
第三節 研究方法 35
第四節 研究設計 37
第五節 研究對象 38
第六節 研究工具 40
第八節 資料處理與分析 53
第四章 研究結果與討論 55
第一節 氣功訓練課程對注意力缺陷過動症兒童注意力與衝動控制能力提升之成效 55
第二節 氣功訓練課程對注意力缺陷過動症兒童之身體晃動所產生足壓中心之改變情形 62
第三節 從回饋單中探討訓練課程成效及對課程的滿意度調查 71
第四節 研究結果的綜合分析與討論 74
第五章 結論、限制與建議 83
第一節 結論 83
第二節 限制 85
第三節 建議 86
參考文獻 89
壹、 中文部分 89
貳、 英文部分 94
附 錄 103
附錄一 氣功報名表 103
附錄二 樂高積木報名表 105
附錄三 家長同意書 107
附錄四 氣功拳法動作分析 108
附錄五 氣功按摩動作介紹 115
附錄六 氣功拳法教案 117
附錄七 感覺統合訓練設計 129
附錄八 樂高積木課程設計 131
附錄九 學生回饋單-樂高組 133
附錄十 學生回饋單-氣功組 134
附錄十一 家長回饋單 135
附錄十二 學習單(以前三週學習單內容為範例) 136
附錄十三 氣功拳法練習記錄單範例 142
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貳、 英文部分
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