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題名:體智能運動方案對衰弱症前期高齡者認知功能與肌力促進之成效-以梅山護理之家為例
作者:楊世承
作者(外文):Yang, Shyh-Cheng
校院名稱:國立中正大學
系所名稱:成人及繼續教育研究所
指導教授:魏惠娟
學位類別:博士
出版日期:2018
主題關鍵詞:衰弱症前期高齡者體智能方案發展認知老化功能性體適能Pre-Frailty ElderlyPhysical and Mental FitnessProgram DevelopmentCognitive AgingFunctional Fitness
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(5) 博士論文(0) 專書(0) 專書論文(0)
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  • 點閱點閱:8
本研究以「體智能運動方案」為媒介,試圖改善衰弱症前期高齡者的認知功能與肌力,並能發展一套「體智能運動方案」於高齡照護機構實施的模式。
本研究方法採個案研究法,包括量化研究與質性研究,以方案發展程序發展「體智能運動」課程,以八週,每週五天,每天60分鐘的運動處方介入,針對平均78.9歲,入住機構時間平均為1.34年的梅山護理之家經SOF篩檢出8位高齡衰弱症前期患者為研究對象。
本研究於課程實施前利用MMSE與功能體適能進行前測,包括認知功能、握力、上肢肌力、下肢肌力,並於實施後進行後測比較,同時輔以教學觀察軼事紀錄與半結構訪談加以分析。
本研究結果發現:一、護理之家高齡者的衰弱症分佈情形是女多於男,每一位均患有0至3類不同的疾病;二、「體智能運動方案」介入後,認知功能有顯著改善,其中以定向感與記憶力是有顯著進步的,其他能力也有不一樣程度的改善,同時發現,高齡者不僅動機增強,自我效能提高,也獲得情感支持,進而提高社會參與感;三、「體智能運動方案」介入後,握力、上肢肌力、下肢肌力均有顯著改善,拿東西變得比較輕鬆,三位坐輪椅者,可以靠輔具行走。四、「體智能運動方案」於高齡照護機構實施的模式是經情境分析、需求評估、方案行銷、學習活動設計、方案執行、評鑑等次系統發展的。
本研究結論:一、「體智能運動方案」及早介入護理之家衰弱症高齡者其效果越好;二、「體智能運動方案」介入後,衰弱症前期高齡者之認知功能有改善;三、「體智能運動方案」介入後,衰弱症前期高齡者之肌力有改善,且具可逆性;四、「體智能運動方案」可於各類高齡照護機構實施參考運用。
The purpose of this study is to apply the "Physical and Mental Fitness Program" as a medium, aiming to improve the cognitive function and muscle strength of the pre-frailty elders, and also provides a model for the implementation of the "Physical and Mental Fitness Program" in senior care facilities.
The research adopts the method of Case Study, including quantitative research and qualitative research, conducting the course of the "Physical and Mental Fitness Program" in accordance with the Program Development Process. The program applies the exercise prescription of the course with an eight-week course, containing 60 minutes per day, five days a week, to the participants of 78.9 year-old age on average. The subjects are eight patients with pre-existing frailty disease, identified by SOF screening, having been staying in the institution of Meishan Nursing Home for an average of 1.34 years.
This study used MMSE and functional fitness to perform the pre-test before the implementation of the course, including cognitive function, grip strength, upper limb muscle strength, and lower limb muscle strength, and also the post-test after the course. The research was analyzed with the comparison of the pre- and post-tests, and half-structural interviews, supplemented by teaching observation of anecdotal records.
The results of the research reveal that: 1. The distribution of gender differences in the frailty conditioned elders is more women than men in the nursing home, each with 0 to 3 different diseases; 2. After the intervention of the "Physical and Mental Fitness Program", in cognitive function, there is a significant improvement in participants’ orientation and memory abilities, and also other cognitive abilities have been improving in different degrees.
At the same time, it is found that the elderly are not only motivated and promoted in self-efficacy, but also gain emotional support so as to enhance their senses of social participation; 3. After the intervention of the program, the participants have significantly improved in their grip strength, upper limb muscle strength, and lower limb muscle strength, allowing them to grasp things easier. In addition, three wheelchair users can get up to walk with walking aids; 4. The model of the “Physical and Mental Fitness program” implemented in the elderly care institutions was developed through sub-systems, including situation analysis, needs assessment, program marketing, learning activity design, program implementation, and evaluation.
The conclusions of this study: 1. The earlier intervention of "Physical and Mental Fitness Program" is treated on the frailty elderly, the better results can be seen in care homes; 2. After the intervention of the "Physical and Mental Fitness Program", the cognitive function of the pre-frailty elderly has been improved; 3. After the intervention of the "Physical and Mental Fitness Program", the muscle strength of the pre-frailty elderly has been improved and is reversible; 4. The "Physical and Mental Fitness Program" can be implemented in various types of elderly care institutions as reference.
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