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題名：養護機構住民日常生活活動受限與下肢運動之關連性
書刊名：臺灣老人保健學刊
作者：黃惠璣／吳森琪 引用關係／蘇秀娟
作者(外文)：Huang, Hui-chi／Wo, Sung-chi／Su, Hsiu-chuan
出版日期：2010
卷期：6:1
頁次：頁37-47
主題關鍵詞：日常生活活動；下肢運動；教育課程；養護機構；Daily activities；Leg exercise；Education program；Institution care
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:20
  • 點閱點閱:104
有鑒於養護機構第一線照護人員，經常面對「執行日常生活活動以預防下肢廢用」與「限制日常生活活動以預防跌倒」的照護困境，兩者間實難以平衡。據此，本文爰由養護機構住民老化與日常生活活動之觀點，釐清照護人員限制住民日常生活活動的問題始末及因應措施；同時，由文獻探討養護機構住民之日常生活活動與下肢運動教育課程介入措施的實質成效，期揭櫫「促進被照顧者最大獨立功能」誠為養護機構住民照護品質之核心議題。最後，期冀照護人員能正視機構住民的日常生活活動，有效落實下肢運動教育課程，俾提升養護機構照護品質及住民生活品質。
The care dilemma for nurses and care aides at long-term care institutions is the selection of the type of care that is appropriate for a resident, either "performance of daily activities to prevent loss of leg functionality" or "limiting daily activity to prevent falls". Therefore, this manuscript reviews the literature on ageing and the daily activities of residents in order to clarify the causes of these limitations. In addition, some literature has indicated that educational programs, leg exercises and encouraging independent daily activities are effective ways of supporting residents. Therefore, "promoting the greatest possible functional independence of residents" is the core issue in terms of quality care. Finally, caregivers generally need to encourage both leg exercise and more independent daily activities among residents in order to provide better quality care and support, which will result in the quality of life of residents is improved.
期刊論文
1.McCluskey, A.、Lovarini, M.(2005)。Providing education on evidence-based practice improved knowledge but did not change behaviour: A before and after study。BMC Medical Education，19(5)，40-51。  new window
2.黃惠璣(20040600)。A Checklist for Assessing the Risk of Falls among the Elderly。The Journal of Nursing Research，12(2)，131-142。new window  new window
3.蔡佳良、黃啟煌(20040600)。從肌力訓練的角度來看運動對老年人的重要性。大專體育，72，185-191。new window  延伸查詢new window
4.黃惠璣、林季宜、王寶英(200706)。老人或失智老人跌倒危險因子之初探。臺灣老人保健學刊，3(1)，1-13。new window  延伸查詢new window
5.Yokoya, T.、Demura, S.、Sato, S.(2008)。Fall risk characteristics of the elderly in an exercise class。Journal of Physiological Anthropology，27(1)，25-32。  new window
6.Brach, J. S.、Simonsick, E. M.、Kritchevsky, S.、Yaffe, K.、Newman, A. B.(2004)。The association between physical function and lifestyle activity and exercise in the health,aging, and body composition study。Journal of the American Geriatrics Society，52(4)，502-509。  new window
7.Pickering, R. M.、Grimbergen, Y. A.、Rigney, U.、Ashburn, A.、Mazibrada, G.、Wood, B.(2007)。A meta-analysis of six prospective studies of falling in Parkinson's disease。Movement Disorders，22(13)，1892-1900。  new window
8.Huang, H. C.、Gau, M. L.、Lin, W. C.、Kernohan, G.(2003)。Assessing risk of falling in older adults。Public Health Nursing，20(5)，399-411。  new window
9.Laurin, Danielle、Verreault, R.、Lindsay, J.、MacPherson, K.、Rockwood, K.(2001)。Physical activity and risk of cognitive impairment and dementia in elderly persons。Archives of Neurology，58(3)，498-504。  new window
10.Caspersen, Carl J.、Powell, Kenneth E.、Christenson, Gregory M.(1985)。Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research。Public Health Reports，100(2)，126-131。  new window
11.洪文東、李長燦(2008)。物理知識活動融入幼兒園主題教學之設計與省思。幼兒保育學刊，6，1-12。  延伸查詢new window
12.張欽凱、郭旭格(2003)。衰弱症候群。長期照護雜誌，10，203-206。  延伸查詢new window
13.黃惠璣、李中一(2009)。養護機構住民身體約束之盛行率調查。臺灣公共衛生雜誌，28，132-143。  延伸查詢new window
14.詹美華(2005)。老年人肌力衰退之機轉予再強化之要訣。物理治療，30，285-392。  延伸查詢new window
15.Eller, L. S.、Kleber, E.、Wang, S. L.(2003)。Research knowledge。attitudes and practices of health professionals，51(4)，165-170。  new window
16.Heath, J. M.、Stuart, M. R.(2002)。Prescribing exercise for frail elders。J Am Board Fam Pract，15(3)，218-228。  new window
17.Huang, H. C.、Lee, C. H.、Wu, S. L.(2006)。Hip protectors。a pilot study of older people in Taiwan，15(4)，436-443。  new window
18.Huang, H. C.、Liu, C. Y.、Huang, Y. T.、Kernohan, W. G.(2010)。Community-based interventions to reduce falls among older adults in Taiwan - long time follow-up randomised controlled study。J Clin Nurs，19(7/8)，959-968。  new window
19.Park, S.、Kwon, Y.、Kim, E.、Hayashi, N.(2008)。Effect of daily physical activity level on muscle volume, bone mineral density and gait characteristics in old women。J Health Sci，30，39-44。  new window
20.Purser, J. L.、Piepen, C. F.、Poole, C.、Morey, M.(2003)。Trajectories of leg strength and gait speed among sedentary older adults: Longitudinal pattern of dose response。J Gerontol，58A(12)，1125-1134。  new window
21.Reinsch, S.、MacRae, P.、Lachenbruch, P. A.、Tobis, J. S.(1992)。Attempts to prevent falls and injury: a prospective community study。Gerontologist，32(4)，450-456。  new window
22.Skelton, D. A.、Kennedy, J.、Rutherford, O. M.(2002)。Explosive power and asymmetry in leg muscle function in frequent fallers and non-fallers aged over 65。Age Ageing，31(2)，119- 25。  new window
23.Wolfson, L.、Whipple, R.、Derby, C. A.、Amerman, P.、Murphy, T.、Tobin, J. N., et al.(1992)。A dynamic posturography study of balance in healthy elderly。Neurology，42(11)，2069-2075。  new window
研究報告
1.黃惠璣、吳森琪、林寬佳、高千惠(2010)。養護機構照護人員對住民活動的知識、技能與自我效能量表之發展暨「活動教育訓練」與「下肢運動」對住民活動之成效。  延伸查詢new window
學位論文
1.余瑩瑛(2003)。醒吾技術學院學生運動習慣與體適能之研究(碩士論文)。國立體育學院。  延伸查詢new window
2.廖國成(2003)。體育課程發展模式對排球學習效果之影響--以五堵國小為例(碩士論文)。國立體育學院。  延伸查詢new window
圖書
1.Watson, D., West, J.、Campling, J.(2006)。Social Work Process and Practice: Approaches, Knowledge and Skill。N.Y.。  new window
2.Centers for Medicare、Medicaid Services(2010)。Freedom from unnecessary physical restraints: Two decades of National Progress in nursing home care。Maryland。  new window
其他
1.McGovern, G.(2005)。Turning knowledge into power，http://www.gerrymcgovern.com/nt， 20100601。  new window
 
 
 
 
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