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題名:精神病者身體活動與生命療癒--以太極拳為例
書刊名:護理雜誌
作者:林玄昇許樹珍李鶯喬蔣欣欣
作者(外文):Lin, Shuan-shengSheu, Shuh-jenLee, Ying-chiaoChiang, Hsien-hsien
出版日期:2014
卷期:61:4
頁次:頁46-55
主題關鍵詞:太極拳慢性精神病人敘事分析焦點團體TaijiquanChronic psychiatric patientsNarrative analysisFocus group
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:19
  • 點閱點閱:18
背景:慢性精神病者易有認知與整體生活功能障礙,參與體能活動能增進他們健康及獨立能力,經常練習太極拳有助於改善情緒和生活壓力,促進身、心健康。目的:將太極拳應用於臨床精神醫療照護的學習活動,探討慢性精神病人學習十三週太極拳之過程及經驗,了解對其疾病與日常生活之影響、意義與體會。方法:以焦點團體及個別訪談進行資料收集,運用敘事分析進行資料整理及分析。結果:研究結果以:一、投身太極學功夫。二、揮動太極鬆束縛。三、學習太極造非凡等三大向度描述慢性精神病者的疾病、身體與人際生活觀;其中特別著重病者學習太極拳活動對其身體、生活與生命的潛在療癒和影響,描述學員「困境」、「突破與慣習」、「通達」三階段學習歷程。結論與臨床應用:太極拳對慢性精神病者身體活動的學習初期有其挑戰性,當熟習動作招式和拳術要領後,有助於身體的放鬆、感知和平衡,同時穩定病情、心緒和人際交往,藉以增進美好的生活經驗與疾病復元。當病者將太極拳融入日常活動時,能開創成為重要保健、療癒和復元的可能性,因此推薦將太極拳列入精神療癒項目之一。
Background: Chronic psychiatric patients tend to have cognitive and functional impairments. Participation in physical activity has been shown to improve their health and independence. Regular practice of Taijiquan may help improve mood and life stresses, promoting physical and mental health. Purpose: This research explores the effect of a 13-week Taijiquan learning program on the daily life experience of chronic psychiatric patients. The process and the essential meaning of the entire learning experiences are presented. Methods: Data were collected from a psychiatric daycare center at a Teaching Hospital in Taipei. The 6 patients who participated in this study included 3 with bipolar disorders and 3 with schizophrenia. Narrative inquiry and focus-group interviews were used for qualitative data collection and analysis. Results: The initial results of participant experiences were categorized into 3 themes: 1. Learning kung fu in the Taijiquan; 2. Releasing binding through the practice of Taijiquan; and 3. Pursuit of excellence through the learning of Taijiquan. The views of illness, body, and interpersonal interaction as well as the three stages of dilemma, transcendence/acclimation, and acquaintance for the psychiatric patients and their Taijiquan's learning world were described and the potential therapeutic effects on the body and daily life of these patients were explored. Conclusions/Implications for Practice: Learning Taijiquan is highly challenging for the novice, especially those with chronic psychiatric illnesses. However, after familiarization with the postural actions and key concepts of this exercise, Taijiquan facilitated body relaxation, heightened perception, and postural balance. Consequently, this exercise stabilized the mood, disease status, and capacity for handling interpersonal relationships of participants and consequently may enhance their long-term life quality and disease recovery status. Results of this study recommend strongly that Taijiquan be included as a therapeutic activity for psychiatric patients to improve their health, healing, and recovery.
期刊論文
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8.留淑婷、蕭世朗、禚昌麟、張明昆、林嘉倩、黃鈞鈴(20100300)。中低強度運動對服用第二代抗精神藥物Clozapine的肥胖精神分裂症病患之影響。醫護科技期刊,12(1),35-46。new window  延伸查詢new window
9.Abbott, R.、Lavretsky, H.(2013)。Tai Chi and Qigong for the treatment and prevention of mental disorders。Psychiatric clinics of North America,36(1),109-119。  new window
10.Donaghy, M. E.(2007)。Exercise can seriously improve your mental health: Fact or fiction?。Advances in Physiotherapy,9(2),76-88。  new window
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12.Ho, T. J.、Liang, W. M.、Lien, C. H.、Ma, T. C.、Kuo, H. W.、Chu, B. C.、Lin, J. G.(2007)。Health-related quality of life in the elderly practicing Tai Chi Chuan。The Journal of Alternative and Complementary Medicine,13(10),1077-1084。  new window
13.Iwasaki, Y.、Coyle, C. P.、Shank, J. W.(2010)。Leisure as a context for active living, recovery, health and life quality for persons with mental illness in a global context。Health Promotion International,25(4),483-494。  new window
14.Leung, D. P.、Chan, C. K.、Tsang, H. W.、Tsang, W. W.、Jones, A. Y.(2011)。Tai chi as an intervention to improve balance and reduce falls in older adults: A systematic and meta-analytical review。Alternative Therapies in Health and Medicine,17(1),40-48。  new window
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19.Tetlie, T.、Heimsnes, M. C.、Almvik, R.(2009)。Using exercise to treat patients with severe mental illness。Journal of Psychosocial Nursing and Mental Health Services,47(2),32-40。  new window
20.Tsang, H. W.、Chan, E. P.、Cheung, W. M.(2008)。Effects of mindful and non-mindful exercises on people with depression: A systematic review。British Journal of Clinical Psychology,47(3),303-322。  new window
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23.呂萬安(20070900)。二個月太極拳訓練對於中老年人肱動脈血管彈性度的影響。中醫藥研究論叢,10(2),108-115。  延伸查詢new window
24.藍青、陳思遠、賴金鑫、黃美涓(20091100)。太極拳的健身效果及臨床應用。臺灣醫學,13(6),599-605。  延伸查詢new window
25.余文章、洪偉欽(20090400)。運動與憂鬱症之探討。嘉大體育健康休閒,8(1),228-234。new window  延伸查詢new window
會議論文
1.陳姮岑、黃月桂(2011)。老人參與太極拳對睡眠品質及幸福感之影響。2011健康休閒國際研討會。台南市:嘉南藥理科技大學。  延伸查詢new window
圖書
1.王延年(1972)。楊家秘傳太極拳圖解。台北市:圓山太極拳總社。  延伸查詢new window
2.林厚省(2006)。太極氣功十八式。新北市:林鬱。  延伸查詢new window
3.Streubert, H. J.、Carpenter, D. R.(2011)。Qualitative research in nursing: Advancing the humanistic imperative。Philadelphia, PA:Wolters Kluwer Health。  new window
4.Lincoln, Yvonna S.、Guba, Egon G.(1985)。Naturalistic Inquiry。Sage。  new window
5.蔡敦浩、劉育忠、王慧蘭(2011)。敘說探究的第一堂課。臺北市:鼎茂圖書出版公司。  延伸查詢new window
6.Riessman, Catherine Kohler(1993)。Narrative Analysis: Qualitative Research Method。Sage Publications, Inc.。  new window
7.胡幼慧(2008)。質性研究:理論、方法及本土女性研究實例。巨流。  延伸查詢new window
其他
1.歐陽學忠(2005)。太極拳的源與流,http://www.wdgf.cn/wdgf/taiji/6.html。  延伸查詢new window
2.National Center for Complementary and Alternative Medicine(2010)。Tai Chi: An introduction,http://nccam.nih.Gov/health/taichi/introduction.htm。  new window
 
 
 
 
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