Chang, Chia-Hsiu - IUPUI
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Chang, Chia-Hsiu - IUPUI

Analysis of the Effects on StudentNurses' Physical Fitness Via Exercisein a CommunityChia-Hsiu Chang, RN, Instructor, PhD StudentInstitute of Allied Health Sciences, College of Medicine, NationalCheng Kung University, Tainan City, TaiwanLi-Ling Wu, RN, , InstructorShou-Sheng Tang, MD, PhD StudentChung-Hey Chen, PhD1

Background-1• Community clients– Lifestyle changes and a reduced motivation to doregular exercise– Aging population rising in community• Age population rate is 10.74% in Taiwan.– Chronic diseases and metabolic syndrome in themiddle-age people and the elders– Exercise preferences2

Taiwan is approaching Aged Society.3

Purposes• This study is to investigate the effect ofcalisthenics on the physical fitness of studentnurses in community practice.– to strengthen students’ fitness– To dance an calisthenics in young peoplepreference– to practice an exercise in elderly people preference5

Methods• A pre-experimental clinical trial• Samples– Nursing students in a nursing institute– Nursing students who had one month communitynursing practice in two public health centers (ruraland urban) in southern Taiwan.– Excluded criteria• Refused to participate• The students who had heart, respiratory, spinaldisease, and other injuries.6

Measurements• The regulations of the Ministry of Educationof Taiwan as a guideline were used in thisstudy.• The body mass index (BMI)• Sitting posture with the body bent forward(flexibility)• Bent-knee sit-ups (muscle strength)• Standing broad jump (starting power)• Three minutes step-test (cardiopulmonary endurance)7

Figure1. Research structure of nurses' physical fitness via exercise in acommunityDemographic dataResearchAge, gender, bodyStructureweight, height, BMI,-data collectionstatstic pulse rates•Body weight•BMI•Sitting posture with the body bent forward•Bent-knee sit-ups•Standing broad jump•Three minutes step-test•Body weight•BMI•Sitting posture with the body bent forward•Bent-knee sit-ups•Standing broad jump•Three minutes step-testIntervention for 4weeks3 times / per week30 mins / time

Calisthenics• Aerobic gymnastics exercise video– 13.5 minutes– in the preference of students’ favor• Wu Xing exercise video– five elements in traditional Chinese medicine– 15.5 minutes– in the preference of the elders’ favor9

SNs’ favorThe elders’ favor10

Nurse studentsPre-interventionassessmentUrbanPublic healthcenterRuralPublic healthcenterPre-interventionassessmentAerobic gymnasticsexercise (13.5 mins)Aerobic gymnasticsexercise (13.5 mins)4 weeksinterventionWu Xing exercisevideo (15.5 mins)Wu Xing exercisevideo (15.5 mins)Post-interventionassessmentPost-interventionassessmentFitness outcomeFitness outcomeFigure2. Flow chart of nurses' physical fitness via exercise in a community

Statistics Analysis• Descriptive analysis• Inferential analysis– Paired- t test

Results-1• There is no significant in demographic datain the two groups.• Demographic data– N=149 female students– Age was 19.46 + 2.0914

Table 1. The difference of related fitness indicators between pre-test andpost-test in two groupsPre-test Post-test t Progress in19 y/o model inTaiwan aBody weight 56.10 + 12.95 56.54 + 13.37 75%Body height (m) 1.61 + 0.06 1.60 + 0.06 55%BMI 21.75 + 4.31 21.89 + 4.40 0.23 Normal:18.3- 22.7Resting pulse rate/ min 78.66 + 1.20 81.20 + 1.29 -2.15*Cardiopulmonaryendurance levelSitting posture with thebody bent forward (cm)55.80 + 2.18 56.00 + 1.75 0.13 Fair: 51.8~56.733.74 + 0.94 35.68 + 0.90 -5.40* 45-> 55%Bent-knee sit-ups 28.44 + 0.47 31.49 + 0.50 -7.81* 45 -> 65%Standing broad jump (cm) 130.52 + 5.23 134.76 + 4.84 -1.43 5 -> 10%Waist to hip ratio 0.79 + 0.05 0.79 + 0.04 Female : 0.7 - 0.8Note: pre-test minus post-test* p < .05; a model: resources from Ministry of Education in Taiwan

Results-2• Increase significantly– Resting pulse rate, flexibility, and muscle strength• Reduced significantly– pulse rate measured one minute after thecompletion of the three minutes step-test(t = 2.39, p = 0.18)• No difference– The fitness outcomes in the two groups– cardiopulmonary endurance level16

Discussion• The same effects on physical fitness viaexercise of SNs in urban and rural publichealth centers.• In the post-test, the participants’ fitness levelswere not well in the national model (55-65%),especially in Standing broad jump (10%).• Resting pulse rate increased significantly inpost-test– Anxiety ?– pulse rate measured one minute after thecompletion of the three minutes step-test17

Conclusions• More interesting and useful– in the community nursing practice and theircommunity health care services• The study indicated that an effective physicalfitness intervention strategy in communitypractice could significantly enhance the fitnesslevels of student nurses.• The type of calisthenics chosen is an essentialfactor to induce the interests of student nursesand community people to do exercise regularly.

Thank you for listening..20

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