背景及目的：文獻對於運動訓練對於思覺失調症個案的健康效益，大都著重 在體適能和精神症狀，對其它健康面向瞭解有限。再者，目前對其參與運動方案的 主觀經驗瞭解欠佳，不利發展適合方案。本研究目的：（一）了解思覺失調症個案對 運動的健康效益面向；（二)探討參與規律結構化運動的阻礙與促進因子。 方法：參與者被隨機分派到伸展操組及有氧運動組(跑步機運動）。完成3個月 的結構化運動方案訓練後，兩組進行各別的焦點團體，運用内容分析法進行資料 分析。 結果：共進行7次焦點團體，合計33位參與者。參與者在健康效益有較明顯 之感受，包含活力增加、體重減輕、睡眠品質改善、動作靈活度提升、情緒穩定度 增加、自信心增加、專注力提升、生活較有規律性、社交主動性增加、參與事物動 機增加及健康促進概念的建立。探討相關阻礙與促進因子有：專業人員陪同、實質 獎勵、意志力、團體規範遵從度為參與者運動的助力；體力負荷較大、初期身體出 現痠痛不適、運動内容單調、主動性低為維持規律運動的阻力。 結論：有氧運動或伸展操讓思覺失調症個案自覺能改善身心健康，所發現的 促進及阻礙因子可助於發展思覺失調症個案的運動方案。未來可以採用量性研究 來檢視這些主觀的運動健康效益，強化實證依據。

Background and objectives: Exercise training may improve health of people with schizophrenia. Most literature focused on the improvement in physical fitness and psychiatric symptoms, but less on other aspects of health outcomes. There is limited understanding about their subjective perspectives and experiences on exercise program. The objectives of the qualitative study were to (1) explore the health benefits of exercise intervention in people with schizophrenia; (2) investigate the facilitators of and barriers to regular participation in exercise program. Method: Volunteers were randomly assigned into a flexibility exercise group or an aerobic exercise group. After the 3-month structured exercise program, participants were invited to a focus group. Qualitative data were analyzed using the content analysis method. Results: Seven focus groups were conducted, including 33 respondents in total. Participants obviously experienced some benefits on health , including decreased body weight, and improved vitality, quality of sleep, agility, mood stability, self-confidence, attention, regular lifestyle, and motivation to social interaction and participate in daily activities, as well as development of health promotion concepts. Facilitators of exercise participation were company of the professional, rewards, willpower, and obligation to complete the exercise program. Barriers to participation contained physical fatigue, body discomfort at the beginning, monotonous exercise design, and low motivation. Conclusion: Both exercise groups perceived improvement in physical and mental health. The identified facilitators and barriers could be used to develop exercise program for schizophrenia. Future research should examine subjective health benefits by quantitative measurements.