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題名：體能活動介入對日間照顧中心失智症高齡者體適能之成效
書刊名：臺灣職能治療研究與實務雜誌
作者：陳秀惠 引用關係／林品瑄 引用關係／楊尚育／李雅珍
作者(外文)：Chen, Hsiu-hui／Lin, Pin-hsuan／Yang, Shang-yu／Lee, Ya-chen
出版日期：2018
卷期：14:2
頁次：頁101-110
主題關鍵詞：體能活動；失智症高齡者；體適能；Physical activity；Elderly with dementia；Physical 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(1) 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:69
  • 點閱點閱:3
背景：失智症高齡者其身體活動量與體適能表現，通常比一般高齡者或輕度認知障礙者明顯較差，因此也加重了照顧者的負擔。透過體能活動介入失智症高齡者的體適能，我們可以促進其肌肉力量、肌肉耐力、走路功能、柔軟度、平衡能力與協調能力外，進一步可預防跌倒的發生、延緩獨立生活明顯失能、減輕照顧者負擔與提升生活品質。目的：本研究目的在探討日間照顧中心的失智症高齡者之體適能，經12週體能運動介入後之成效。方法：採方便取樣，針對高雄某日間照顧中心之60歲以上輕／中度失智者，進行為期12週，每週1次，每次60分鐘體能活動，並於執行體能活動介入前後進行體適能檢測。結果：在身體組成和體型方面，失智高齡者的前後測身體質量指數、腰圍與臀圍值並無顯著差異。在體適能六個項目中，在30秒連續坐椅站立測驗、30秒肱二頭肌屈舉測驗與坐椅體前彎三個項目，失智高齡者有顯著的進步（p ＜. 05～.01）。在剩下其它三個體適能項目則無顯著進步。結論：透過12週的體能活動介入，對這些日間照顧中心的失智症高齡者之體適能，包括上肢肌力與下肢柔軟度有顯著成效。因此，建議未來在日間照顧中心可提供體能活動來維持或改善失智症高齡者之體適能。
Background: As the consequence of the dementia, the physical activity and physical fitness of elderly with dementia are significantly lower than the healthy counterparts. Declining health of elderly with dementia could impose a great burden on the caregivers. Through engaging in physical activity and physical fitness, the muscular strength, endurance, and flexibility could be improved in elderly with dementia. Effectiveness of muscle strengthening could assist in preventing falls which may lead to a better quality of life. Purpose: This study aimed to probe the effectiveness of a 12-week physical fitness intervention in elderly with dementia in Geriatric Day Care Center. Methods: Participants were recruited via convenience sampling from a Geriatric Day Care Center in Kaohsiung. Participants, aged over 60 years with mild to moderate dementia, attended 60- minute physical activity sections, once a week, for 12 weeks. The physical fitness test was administered to the participants before and after the interventions. Results: A total of 30 participants (11 males, 19 females) participated in this study. After a 12-Week of physical activity section, the results showed no difference in Body Mass Index (BMI), waist, and hip circumferences before and after interventions. All participants had significant improvement in the ＂30-s chair stand test＂, ＂arm curl test＂, and ＂chair sit-and-reach test＂ (p ＜ .05~.01). No significant difference was found in the rest of 3 physical fitness items (6-min walk, 2-min step, and back scratch). Conclusion: The 12-Week of physical activity intervention has shown the effectiveness in improving the muscle strength of upper and the flexibility of lower limb function in elderly with dementia in the Geriatric Day Care Center.
期刊論文
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3.王秀華、李淑芳(20110900)。不同運動階段老年婦女其功能性體適能與健康生活品質之研究。體育學報，44(3)，333-350。new window  延伸查詢new window
4.黃盈達、李皓綸、成和正(20120400)。運動對失智症的預防及對生理與心理的影響。嘉大體育健康休閒，11(1)，272-278。new window  延伸查詢new window
5.羅鈞令、毛慧芬、蔡宜蓉、黃小玲、林惠冠、李世代、張志仲(20021100)。長期照護機構職能治療服務模式之發展。職能治療學會雜誌，20，117-128。  延伸查詢new window
6.王駿濠、蔡佳良(20090800)。以運動與身體活動預防失智症：文獻回顧。臺灣公共衛生雜誌，28(4)，268-277。new window  延伸查詢new window
7.張耿介、林新龍(20151200)。銀髮族體適能檢測意義與內涵之探究。屏東大學體育，1，205-220。new window  延伸查詢new window
8.吳麗珍、黃惠滿、李浩銑(20140600)。方便取樣和立意取樣之比較。護理雜誌，61(3)，105-111。new window  延伸查詢new window
9.謝瓊儀、王秀華(20170800)。多元運動課程介入對輕度認知功能障礙高齡者之成效研究。嘉大體育健康休閒，16(2)，13-32。new window  延伸查詢new window
10.Waldron, I.、Johnston, S.(1976)。Why do women live longer than men?。Journal of Human Stress，2(2)，19-30。  new window
11.Toulotte, C.、Fahre, C.、Dangremont, B.、Lensel, G.、Thévenon, A.(2003)。Effects of physical training on the physical capacity of frail, demented patients with a history of falling: A randomised controlled trial。Age and Ageing，32(1)，67-73。  new window
12.Minn, Y. K.、Choi, S. Hye、Suh, Y. Ju、Jeong, J. Hyang、Kim, E. J.、Kim, J. H.、Choi, S. J.(2018)。Effect of physical activity on the progression of Alzheimer's disease: The clinical research center for Dementia of South Korea study。Journal of Alzheimer's Disease，66(1)，249-261。  new window
13.Minagawa, Y.(2013)。Gender differences in alcohol choice among Russians: Evidence from a quantitative study。European Addiction Research，19(2)，82-88。  new window
14.Melikian, A. A.、Djordjevic, M. V.、Hosey, J.、Zhang, J.、Chen, S.、Zang, E.、Stellman, S. D.(2007)。Gender differences relative to smoking behavior and emissions of toxins from mainstream cigarette smoke。Nicotine & Tobacco Research，9(3)，377-387。  new window
15.Lee, H. J.、Kim, K. D.(2018)。Effect of physical activity on cognition and daily living activities of the elderly with mild dementia。Journal of Physical Therapy Science，30(3)，428-433。  new window
16.Hollamby, A.、Davelaar, E. J.、Cadar, D.(2017)。Increased physical fitness is associated with higher executive functioning in people with dementia。Frontiers in Public Health，5。  new window
17.Hesseberg, K.、Bentzen, H.、Bergland, A.(2015)。Reliability of the senior fitness test in Community-dwelling older people with cognitive impairment。Physiotherapy Research International，20(1)，37-44。  new window
18.Gonçalves, A. C.、Cruz, J.、Marques, A.、Demain, S.、Samuel, D.(2017)。Evaluating physical activity in dementia: A systematic review of outcomes to inform the development of a core outcome set。Age and Ageing，47(1)，34-41。  new window
19.Deary, I. J.、Whalley, L. J.、Batty, G. D.、Starr, J. M.(2006)。Physical fitness and lifetime cognitive change。Neurology，67(7)，1195-1200。  new window
20.Chang, S. H.、Chen, C. Y.、Shen, S. H.、Chiou, J. H.(2011)。The effectiveness of an exercise programme for elders with dementia in a Taiwanese day-care centre。International Journal of Nursing Practice，17(3)，213-220。  new window
21.Andersen, D. A.、Roos, B. A.、Stanziano, D. C.、Gonzalez, N. M.、Signorile, J. F.(2007)。Walker use, but not falls, is associated with lower physical functioning and health of residents in an assisted-living environment。Clinical Interventions in Aging，2(1)。  new window
22.楊榮真、許瑞祈、蔡曉婷、蔡逸蓁、陳怡君、朱育瑩、蔡孟儒、呂怡慧、羅靜斐、賴彥廷、劉文勝(20171100)。團體運動班介入於社區輕度認知障礙和輕度失智長者之成效。臨床醫學，80(5)=479，662-666。new window  延伸查詢new window
23.陳秀惠、林品瑄、楊尚育、李雅珍(20171200)。體能活動介入對社區高齡者功能性體適能之影響。臺灣職能治療研究與實務雜誌，13(2)，71-82。new window  延伸查詢new window
24.許君瑩、張雁晴、郭昶志、蘇純瑩、陳明德(2017)。思覺失調症個案運動健康效益及參與影響因子--質性研究。職能治療學會雜誌，35(1)，7-27。  延伸查詢new window
研究報告
1.教育部體育署(2015)。104年度臺灣年長者功能性體適能現況評估研究--結案報告書。  延伸查詢new window
學位論文
1.林宜霈(2017)。阿茲海默氏失智症長者的身體活動量、功能性體適能與憂鬱程度之相關研究(碩士論文)。高雄醫學大學。  延伸查詢new window
圖書
1.Brill, P. A.(2004)。Functional fitness for older adults。Champaign, IL：Human Kinetics。  new window
2.Rikli, R. E.、Jones, C. J.(2001)。Senior fitness test manual。Human Kinetics。  new window
3.Rikli, R. E.、Jones, C. J.(2013)。Senior Fitness Test Manual。Human Kinetics。  new window
其他
1.國民健康署(2009)。柳腰豐臀的完美對話--身體曲線與健康，http://tp2-pp021.24drs.com/txt/PreciousLifeZone/print.aspx?TopIcNo=52&DS=1-Article。  延伸查詢new window
2.台灣失智症協會(2018)。台灣失智症人推估，http://www.tada2002.org.tw/About/IsntDementia。  延伸查詢new window
 
 
 
 
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