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題名:以親密按摩改善照護機構老人憂鬱及焦慮情緒成效之研究--以單一受試者設計為例
書刊名:護理暨健康照護研究
作者:許金霞楊明磊 引用關係
作者(外文):Hsu, Chin-hsiaYang, Ming-lei
出版日期:2010
卷期:6:1
頁次:頁54-64
主題關鍵詞:親密按摩照護機構老人憂鬱焦慮The intimacy massageInstitutionalized eldersDepressionAnxiety
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(5) 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:5
  • 共同引用共同引用:0
  • 點閱點閱:90
背景 憂鬱、焦慮是機構老人常見的心理問題,而機構老人心理層面的照顧常讓照顧者承受很大的負荷,若有一種能兼顧雙方感受的照顧方法,相信能嘉惠雙方。「親密按摩」是一種關切照顧者辛苦,也重視被照顧者感受的照護方法,此一照顧方式是否能改善機構老人的憂鬱及焦慮,為本研究所關切的問題。目的 本研究欲探討「親密按摩」對照護機構老人之憂鬱、焦慮情緒的改善成效。方法 針對六名照護機構老人採用單一受試研究方法之跨個人的多基線設計,比較不同期間,親密按摩介入的前後,機構老人憂鬱、焦慮程度之變化。本研究共進行二階段基線期、二階段處理期及一階段維持期合計十五天的研究時間,最後以目視分析法及C統計分析之。結果 研究結果得知「親密按摩」的介入可立即減輕機構老人的憂鬱及焦慮程度,但不具保留效果。結論/實務應用 當照護機構遇到老人因憂鬱或焦慮而拒絕合作或難以安撫時,或老人處於突發的憂鬱或焦慮情緒時,若專業醫療人員不在現場,此一簡單的照護方式仍可由親屬親自操作,便於提供即時緩解之處理,以降低機構老人之憂鬱及焦慮。
Background: Depression and anxiety are sources of distress for institutionalized elders that often result in increased workloads for nursing staffs. The development of an effective method to improve depression and anxiety that considers the priorities of both caregivers and patients would offer significant benefits. The efficacy of using intimacy massage on elders in terms of achieving reduced depression and anxiety in a manner that reduces the stress/workload borne by nurses represents the major concern of the study. Purpose: The purpose of this study was to investigate the effect of "intimacy massage" on reducing depression and anxiety in institutionalized elders. Methods: Research was conducted on an individual basis on six institutionalized elders. Observed changes in depression and anxiety before and after the implementation of intimacy massage were recorded. The 15-day research program was divided into 2 baseline phases, 2 treatment phases and 1 maintenance phase. Results were analyzed using a visual analysis method and C statistics. Results: Results showed "intimacy massage" able to alleviate depression and anxiety in participants instantly, without a maintenance effect. Conclusions/Implications for practice: Family members may administer intimacy massage when nurses are unable to do so. Intimacy massage is suitable as a therapy response to the urgent onset of depression or anxiety in the elderly.
期刊論文
1.Reker, G. T.(1997)。Personal meaning, optimism, and choice: Existential predictors of depression in community and institutional elderly。The Gerontologist,37(6),709-716。  new window
2.Carter, P. A.、Chang, B. L.(2000)。Sleep and Depression in Cancer Caregivers。Cancer Nursing,23(6),410-415。  new window
3.廖以誠、葉宗烈、柯慧貞、駱重鳴、盧豐華(1995)。老人憂鬱量表--中譯版之信、效度初步研究。彰基醫學雜誌,1(1),11-17。  延伸查詢new window
4.Loken, L. S.、Wessberg, J.、Monison, I.、McGlone, F.、Olausson, H.(2009)。Coding of pleasant touch by unmyelinated afferents in humans。Nature Neuroscience,12(5),547-548。  new window
5.Zigmond, A. S.、Snaith, R. P.(1983)。The hospital anxiety and depression scale。Acta Psychiatrica Scandinavica,67(6),361-370。  new window
6.Sheikh, J. I.、Yesavage, J. A.(1986)。Geriatric Depression Scale(GDS) Recent Evidence and development of a shorter version。Clinical Gerontologist: The Journal of Aging and Mental Health,5(1/2),165-173。  new window
7.Bjelland, I.、Dahl, A. A.、Haug, T. T.、Neckelmann, D.(2002)。The validity of the Hospital Anxiety and Depression Scale: An updated literature review。Journal of Psychosomatic Research,52(2),69-77。  new window
8.Billhult, A.、Bergbom, I.、Stener-Victorin, E.(2007)。Massage relieves nausea in women with breast cancer who are undergoing chemotherapy。Journal of Alternative & Complementary Medicine,13(1),53-58。  new window
9.Field, T., Diego, M. A.,、Hernandez-Reif, M.(2004)。Massage therapy effects on depressed pregnant women。Journal of Psychosomatic Obstetrics & Gynecology,25(2),115-122。  new window
10.Gary, W. S.(1997)。Recognizing and treating anxiety in the elderly。Journal of Clinical Psychiatry,58(Suppl. 3),41-50。  new window
11.Hernandez-Reif, M., Field, T., Ironson, G., Beutler, J., Vera,Y., Hurley, J. et al.(2005)。Naturnal killer cells and lymphocytes increase in women with breast cancer following massage therapy。International Journal of Neuroscience,115(4),495-510。  new window
12.Lee, D. T. F., Woo, J.,、Mackenzie, A. E.(2002)。A review of older people’s experiences with residential care placement。Journal of Advanced Nursing,37(1),19-27。  new window
13.Quinn, M. E.、Johnson, M. A.、Andress, E. L.、McGinnis, P. M.、Ramesh, M. M.(1999)。Health characteristics of elderly personal care home residents。Journal of Advanced Nursing,30(2),410-417。  new window
14.Rexilius, S. T., Mundt, C. A., Megel, M. E.,、Agrawal, S.(2002)。Therapeutic effects of massage therapy and healing touch on caregivers of patients undergoing autologous hematopoietic stem cell transplant。Oncology Nursing Fourm,29(3),35-44。  new window
會議論文
1.陳慧伶、鄧雅云、楊明磊(2008)。親密按摩對幼兒氣質發展影響研究。中國:香港理工學院。  延伸查詢new window
研究報告
1.劉凱萍、林雅芳、楊明磊(2007)。嬌生嬰兒按摩與親密按摩實作之研究。台北。  延伸查詢new window
學位論文
1.黃靜君(2000)。北投社區型態養護機構住民健康狀況與長期照護服務需求之探討(碩士論文)。國立陽明大學。  延伸查詢new window
2.賴秋萍(2004)。親密按摩應用於成人與親子之生心理效果研究,台北。  延伸查詢new window
3.顧淑芳(2005)。探討鬆弛訓練對外科加護病房術後病患急性疼痛及焦慮緩解之成效,台北。  延伸查詢new window
圖書
1.林信男、林憲(1987)。老人精神醫學。台北:聯經出版公司。  延伸查詢new window
2.許天威(2003)。個案實驗研究法。台北:五南。  延伸查詢new window
3.杜正治(2006)。單一受試研究法。心理出版社。  延伸查詢new window
4.楊明磊(2002)。親密按摩。台北。  延伸查詢new window
 
 
 
 
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