The Research about The Application of Cognitive-Behavior Therapy to the Exercise Program Targeted on the Workers with Lifestyle-related Disease

[研究提纲]本研究的目的是通过对工人进行认知行为治疗，建立更多提高运动坚持性的指导体系。认知行为疗法的优点是受试者在思考自己的问题后，可以设定适合自己生活方式的目标。本研究设计了用于团体指导的学习卡片。通过使用学习卡片，受试者能够在工作中直观地掌握自己的个人问题，即使是初学者也可以指导认知行为疗法。对61名与生活方式相关的疾病的工作者进行了为期10个月的锻炼计划。并进行了第一次、中间、最后一轮使用学习卡的生活方式面颊测试。我让受试者在10个月内用计步器记录一天的步数，有效受试者37人。[结果]乳品生活活动水平的得分在…中得到了改善锻炼习惯得分从1.9分提高到8.1分。13项指标均有改善，体质健康得分由23.1分提高到27.4分，日均步数由7031步增加到9393步(P&lt；[思考]研究证实，使用学习卡的认知行为疗法使被试有机会重新思考自己的生活方式，并能改善自己的生活方式，从认知和行为两个方面证实了改善，并对该系统的有效性提出了建议，特别是改善幅度较大的项目是步行，如果步行10分钟的话。“下班后锻炼”和“早餐前锻炼”。还证实了生活方式的改善导致了对锻炼的肯定感觉的改善，并建议采用认知行为疗法的锻炼计划增加锻炼的动机。较少

[The outline of research]The purpose of this research is establishing the instruction system which raises the adherence of exercise more by using cognitive-behavior therapy for workers. The merit of cognitive-behavior therapy is the point that the subjects can set their goal which suited their life style after cogitating about their problem.In this research, the study cards used for group instruction was devised.By using study cards, the subjects are able to grasp their individual problem visually through work, and even t he beginner can instruct cognitive-behavior therapy.The exercise program for 61 workers with lifestyle-related disease for ten months was carried out. and the life style cheek which used the study cards for the first time, middle, and the last round were carried out.Moreover. I had the subjects record the number of steps of one day by pedometer during ten months.The number of effective subjects was 37.[Result]The score of activity level of dairy life had been improved … More from 4.6 to 8.9, and the score of the custom of exercise had been improved from 1.9 to 8.1. All of 13 items had been improved.Consequently, the score of physical fitness and health was improved from 23.1 to 27.4, and the, number of steps per day also increased from 7031 steps to 9393 steps (P< 0.01).[Consideration]It is confirmed that the cognitive-behavior therapy using the study cards had the subjects have the opportunity that why reconsidered their life style, and they could improve their the life style.The improvement by both sides of cognition and behavior was confirmed, and the validity of this system was suggested.Especially the items with large improvement were "walking, if it takes for 10 minutes by foot". "do exercise after work", and "do exercise before breakfast."It was also confirmed that the improvement of a life style had led to the improvement of affirmative feeling to exercise, and it was suggested that the exercise program using cognitive behavior therapy increases the motivation for exercise. Less