Microsoft Word 年PSBH中国区卓越项目奖申请书 (朱明霞).docx

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1 2015 年 PSBH 中国区卓越项目奖申请书 Award for Outstanding PSBH Project 2015 Application Form 项目详细内容 Project Details: 项目名称 Project Title 项目负责人 Project Lead 经费 Funding 项目起止日期 Project Period 问题描述 Problem Description 请描述问题起因及存在多久问题形塑过程中的关键人员及人数針對 13 名經前綜合徵女大學生進行八段錦鍛鍊計劃 A "Ba Duan Jin" Program for 13 Year One Female Students with Premenstrual Syndrome of One University in Macau 朱明霞 Zhu Mingxia RMB/MOP: 起始 :2011 年 8 月 1 日 Start Year Month Day 项目成员 Project Team 1 主题 Theme 完成 :2012 年 3 月 30 日 End Year Month Day 八段錦鍛鍊計劃 "Ba Duan Jin" Exercise Program 張慧琳李冰清陳利娟黃倩怡經前綜合徵 (premenstrual syndrome, PMS) 指婦女反復在黃體期週期性出現軀體或心理症狀, 月經來潮後, 症狀自然消失常見症狀包括不安煩躁焦慮下腹部不適乳房脹痛等 ( 王艷紅等,2010;Cleckner, Doughy, & Grossman,1998) 調查顯示,85% 以上的女性存在一種或多種症狀, 其中 30% ~40% 診斷為 PMS( 李改娟,2007; ACOG,2011), 女大學生 60% 左右有 PMS, 其中 20% 以上中至重度, 而 33% 以上對其缺乏重視, 且月經對青少年生殖健康有重要意義, 逐步引起人們關注 ( 餘莎莎等,2009;Andrea, & Judith, 2008) 由於 PMS 症狀隨月經週期而反復出現, 與年齡基因壓力情緒波動環境變化生活習慣改變及經期體育活動等因素有關, 對於剛進大學一年級的女生來說, 週期性軀體症狀常讓她們感到煩躁不安, 甚至焦慮等而使適應新的學習方式及環境困擾, 影響學習本次的 PSBH 目的在於通過放鬆療法情志疏導等方法能有效改善 PMS 症狀, 計劃希望能對大一某班篩查有 PMS 的女生 (10 人以上 ) 進行規律運動干預鍛煉 Premenstrual syndrome (PMS) refers to the physical and mental symptoms that recurrently appear during the luteal phase of female menstrual cycle and disappear naturally after menstruation. The symptoms include anxiety, agitation, depression, lower abdominal discomfort and swelling of breast. (Wang Yanhong et al., 2010; Cleckner, Doughy & Grossman, 1998). Research shows that over 85% of females suffer from one or more symptoms, and about 30% to 40% of them are diagnosed

Premenstrual Syndrome of One University in Macau 朱明霞 Zhu Mingxia RMB/MOP: 1391.

2 with PMS (Li Gaijuan, 2007; ACOG, 2011). In addition, about 60% of university students suffer from PMS, and over 20% of them are in moderate and severe situation; however, over 33% of them neglect the symptoms. Owing to menstruation s significance for adolescents reproductive health, PMS has gradually raised people s concern (Yu Shasha et al., 2009; Andrea & Judith, 2008). Since PMS symptoms appear recurrently during the menstrual cycle, they are associated with a number of factors including age, genes, stress, emotional fluctuation, environmental change, change of living habit and sports activities taken place during menstruation. For year one female students who have just entered university, the physical symptoms make them feel agitated, anxious and even depressed, hindering them from adapting to a new learning mode and environment and affecting their studies. This PSBH program aimed at alleviating female students PMS symptoms through means of relaxation therapy and emotion counselling. The program planned to arrange over 10 year one university students who were screened and diagnosed with PMS to carry out intervening physical exercises in a regular manner. 選用簡單易學動作柔和徐緩輕鬆自如, 練習受環境因素影響小, 健身效果良好的中國多特的傳統運動八段錦八段錦有疏通經絡, 調整心態減輕壓力, 增強體質等功效 ( 劉洪福等,2008; 廖燕等,2011; 周新新, 2010) 本計劃針對 13 名有經前期綜合徵的澳門某大學一年級女生, 通過連續四個月經週期填寫問題嚴重程度每日記錄表以評估經前期綜合徵症狀, 其後的三個月經週期進行規律八段錦鍛煉計劃, 在此期間開展相關的知識講座, 並進行個案跟進完成鍛煉計劃後能否使其 PMS 症狀有所減輕 (40%) 方法 : 根據 PRECEDE 模式, 以講座現場示教等形式教導八段錦改善 PMS 的認識, 通過每日鍛煉及課間操等形式將八段錦融入日常生活, 以促進參與者自我健康行為的改變, 達到健康促進的目的解决方法 Solution 请描述可行的解决方法和形塑过程評價指標 :1. 經前期綜合徵症狀調查表 ( 篩查工具 ); 2. 問題嚴重程度每日記錄表 /The Daily Record of Severity of Problems;DRSP( 記錄手冊 ) ; 3. 青少年生活事件量表 /ASLEC( 壓力評估 ) The program selected the easy-to-learn, gentle and effective traditional Chinese exercise Ba Duan Jin as its intervention measure. Ba Duan Jin has the function to dredge meridians, adjust mindset, alleviate stress and enhance constitution (Liu Hongfu et al., 2008; Liao Yan et al., 2011; Zhou Xinxin, 2010). The program selected 13 year one female students with premenstrual syndrome of one University in Macau as its participants. The participants PMS symptoms appear in 4 consecutive menstrual cycles were evaluated through The Daily Record of Severity of Problems (DRSP) filled by the participants. In the subsequent 3 menstrual cycles, the participants were taught to perform regular Ba Duan Jin training during their menstrual cycle. During this period, relevant health lectures and follow-ups of situation were arranged to the participants. By completing the whole program, it was aimed that the participants PMS symptoms would be alleviated (by 40%). Methods: With the use of "PRECEDE" Model, the program team members enhanced the participants' understanding of PMS by offering them lectures and onsite demonstration of "Ba Duan Jin". Through arranging the training on a daily basis 2

Owing to menstruation s significance for adolescents reproductive health, PMS has gradually raised people s concern (Yu Shasha et al., 2009; Andrea & Judith, 2008).

3 and in the form of exercises done between classes, it was hoped that "Ba Duan Jin" would be integrated into the participants' daily life to help adjust their health behaviours and thereby achieve the aims of health promotion. Evaluation indicators: 1. PMS symptoms questionnaire (screening tool); 2. Daily Record of Severity of Problems, DRSP (record handbook); 3. Adolescent Self-Rating Life Events Checklist, ASLEC (stress evaluation). 在參與的 13 人中, 有 1 人因個人意願放棄, 實際完成 12 人, 年齡為 19 ~23 歲 ; 參與者近三個月的壓力來源主要是人際關係和學習壓力 PMS 症狀嚴重程度記錄顯示 (1) 整體情況 : 從第一個月經週期的均數逐步下降到第四個月經週期的成效 / 影响力 Outcome Impa ct 请提供方案实施前的基线数据和实施后的成果指标 (2) 個體情況 : 個案 3,5,6,9 症狀減輕與整體一致, 週期四較週期一症狀減輕分別為 46%,67% 55% 40%, 能達到預期目標 ; 個案 1,4,7,8,10,11PMS 症狀減輕約程度在 5%~33%; 另外, 兩個案出現症狀加重, 與她們練習較少有關個案週期一至四 PMS 症狀嚴重程度評分 PMS 症狀嚴重程度評分週期一週期二週期三週期四 PMS 症狀減輕程度 (%) 個案一個案二

Adolescent Self-Rating Life Events Checklist, ASLEC (stress evaluation).

4 個案三個案四個案五個案六 ` 個案七個案八個案九個案十個案十一個案十三 Among the 13 participants, 1 dropped out from the program voluntarily while the remaining participants aged 19 to 23 were able to complete the whole program. Participants' main source of stress in the recent 3 months was interpersonal relationship and stress of studying. The severity record of PMS symptoms showed (1) the overall situation: from the 1 st to the 4 th menstrual cycle, the average rating dropped progressively from to st Cycle 2 nd Cycle 3 rd Cycle 4 th Cycle (2) Individual situation: the situation of symptom alleviation of Participant 3, 5, 6, 9 was consistent with the overall situation where the symptoms of the 4 th menstrual cycle were alleviated by 46%, 67%, 55%, 40% respectively as compared to those of the 1 st menstrual cycle, therefore, these 4 participants were able to meet the target. 4

while the remaining participants aged 19 to 23 were able to complete the whole program.

5 The symptoms of Participant 1,4,7,8,10,11 were alleviated by 5% to 33%. On the other hand, the symptoms of the remaining 2 participants aggravated because of their lack of practice. Severity Rating for PMS Symptoms from 1 st to 4 th Menstrual Cycle Severity Rating for PMS Symptoms 1 st Cycle 2 nd Cycle 3 rd Cycle 4 th Cycle Alleviation of PMS Symptoms (%) Participant Participant Participant Participant Participant Participant Participant Participant Participant Participant Participant Participant 實施過程中由專責健康管理員 ( 組員 ) 對個案個體化持續跟進, 提高执行力 Excel l ence i n Execut i on 请提供评价标准 ( 如时间预算人力干预族群的满意度 ), 及计划初始估计与成果的比较例 : 规划运行 4 个月,800 人民币实际为 4 个月, 花费 680 人民币親密度達到更有效的溝通, 以便更好的根據個案情況及時作出相應的調整及干預, 期間以禮物鼓勵及時回饋總結等方法, 計劃在半年中順利完成項目計劃及實際支出費用計劃的 (MOP) 人力 3 位健康管理員 0 0 印刷經前徵篩查問卷 =35 27 約 70 份知情同意書約 =15 0 份記錄手冊約 15 份 15 15= 多媒體八段錦學習 5 13=65 0 資料光碟雜費講座茶點 1 場 150 1= 實際支出的 (MOP) 5

91 16 Participant 2 116 126 108 118-1.7 Participant 3 147 109 109 80 46 Participant 4 111 89 98 74 33 Participant 5 264 99 88 88 67 Participant 6 168 168 86 75 55 Participant 7 183 183 197 169 7.

6 小禮品 ( 參與計劃約 13 人 ) 40 13=520 共 657 課間操負責個案 30 5=150 之禮品通訊費個案電話跟進之 = 通話費用場地學院操場 0 0 總計 During the execution process, health management personnel (program team members) followed up with each participant's situation individually, so as to enhance the personal and effective communication, as well as to make timely adjustment and intervention according to the participants' situation. In addition, the health management personnel encouraged the participants by presenting little gifts and offering instant feedback. The whole program was completed smoothly within half a year. Program Items and Actual Expenditure Manpower Printing Multimedia material 3 health management personnel 70 screening questionnaires 15 informed consents 15 record handbooks "Ba Duan Jin" learning discs Sundries Snacks for 1 lecture Gifts for 13 participants Estimated Expenditure (MOP) = = = = = Actual Expenditure (MOP) 40 13= in total Gifts for leaders 30 5=150 of exercises between classes Communication Follow-up phone = calls Venue University 0 0 playground Total

intervention according to the participants' situation. In addition, the health management personnel encouraged the participants by presenting little gifts and offering instant feedback.

7 发展性 Sus t ai nabi l i t y 请描述如何持续项目成果, 及在其他区域的可复制性例 : 若需在五个社区复制此方案, 需要的策略合作伙伴为乙方及丙方, 估计需要五千人民币, 可能从以下三个单位获取, 及资金取得的时间表创新力 Innovation 请描述方案执行中遇到的挑战应对过程及方式请提供任何项目执行的相关照片影片如前后的比较干预对象宣教范本等 1. 繼續將此計劃推廣對 9 名經前期綜合徵女大學生進行八段錦鍛煉計劃 ; 2. 參與到八段錦對澳門地區經前期綜合徵婦女之作用的相關研究中 ; 3. 成功將八段錦推廣到家庭規律運動及增進家庭關係的健康促進計劃中 1. Has continued promoting this program and the "Ba Duan Jin" training to 9 university female students with PMS; 2. Has participated in the related study of "How "Ba Duan Jin" Can Improve the Health of Macau Women with Premenstrual Syndrome"; 3. Has successfully promoted "Ba Duan Jin" to other health promotion projects relating to regular exercises for family and enhancement of family relationship. 挑戰 : 本次計劃進行時間是以個案月經週期作為單位, 因存在個體差異, 個案的月經週期不一致及月經週期不稳定, 使項目難以有效掌控時間 ; 鼓勵參與的女大學生堅持非常困難, 特別是每日記錄症狀 ( 手冊 ) 應對 :1. 與學校溝通, 取得支持, 邀請全班同學一起參與鍛煉 2. 陪伴參與者一起運動, 3. 提供八段錦 CD 光碟, 4. 每個月經週期提供不同顏色記錄手冊, 每週電話短信提醒完成症狀記錄表, 5. 定期女性健康講座及贈送小禮物八段錦精簡版.m p g Challenges: Since the intervention was carried out during the participants' menstrual cycles, differences between participants in terms of menstrual cycle, as well as the inconsistent and unstable menstrual cycle posed difficulties on time control. Moreover, the participants found it very difficult to persist with the program, especially during the period of making daily record (handbook) of the severity of symptoms. Tackling measures: 1. Communicated with the university to gain support, and invited the whole class of students to participate in the training; 2. Performed the exercises together with the participants; 3. Provided "Ba Duan Jin" learning disc; 4. Provided record handbook of various colours for each menstrual cycle. Reminded participants to complete the record every week by sending mobile phone messages; 5. Organized regular female health lectures and presented little gifts. 八段錦精簡版.m p g 7

參與到八段錦對澳門地區經前期綜合徵婦女之作用的相關研究中 ; 3. 成功將八段錦推廣到家庭規律運動及增進家庭關係的健康促進計劃中 1.

所 3 學分課程, 及兩門跨領域課程共 6 學分以上課程學生在修課前, 必須填寫課程修課認定表, 經班主任或指導教授簽名後始認定此課程學分 ) 10. 本規章未盡事宜, 悉依學位

所 3 學分課程, 及兩門跨領域課程共 6 學分以上課程學生在修課前, 必須填寫課程修課認定表, 經班主任或指導教授簽名後始認定此課程學分 ) 10. 本規章未盡事宜, 悉依學位 95 年訂定 96 年 11 月修正 97 年 10 月修正 100 年 2 月修正 101 年 4 月修正 102 年 1 月修正 103 年 4 月修正 103 學年度入學新生適用, 舊生可比照適用 1. 研究生須於入學後第二學期開學前選定指導教授, 經課程委員會認定後方得繼續