園藝活動對養護機構住民身心功能之影響

The Effects of Horticultural Activity on Physical and Mental Functions of Residents at an Assisted Living Facility

王瀅筑(Ying-Chu Wang) ； 陳炳堯(Ping-Yao Chen) ； 朱僑麗(Chiao-Lee Chu)

《長期照護雜誌》 13卷3期 (2009/12) Pp. 325-337

https://doi.org/10.6317/LTC.200912_13(3).0005

摘要

台灣長照機構需求逐年提升，但入住機構的住民卻可能因為機構生活缺乏活動，而造成身心、社交、認知功能逐漸衰退。本研究目的在於引用園藝活動，以期能增加機構住民活動量、增進社交、維持認知功能，進而維持其身心功能。本研究於北部某養護所進行，園藝活動實施期間為2008年7月9日至8月6日，選取該機構中適合園藝活動之住民，計10位，並規劃換盆、植栽、收成、紀念等四項園藝活動。本研究前後測採Wilcoxon符號檢定，以及質性觀察法與記錄，評估住民因園藝活動而產生之身心功能改變情形。在前後改變的量性測量方面，參考並修改曾慈慧發展的園藝治療評估表，評估單位住民身體、心理、社交、認知功能的改變；質性部分由研究執行者對住民進行觀察與訪談。實施結果發現住民除生理功能外，心理、社交、認知等項目之後測結果皆較前測為佳，且達統計上之顯著；質性觀察部分，發現住民活動量、社交、興趣、成就感、認知等方面皆增加，顯示園藝活動確實在維持住民身心功能有其效果。

關鍵字

園藝活動 ； 身心功能 ； 住民

並列摘要

While the demand of long-term care facility has increased in Taiwan, the residents' physical, mental, social and cognitive functions decrease due to locks of activities. The aim of this study was to examine whether the increase of resident's activities may increase their social interaction and cognitive function. It may further help to maintain their physical and mental function. In this study, ten residents participated in the horticultural program, including four activities, i.e., pots changing, planting, cropping and commemorating between July 9 and August 6, 2008. We consulted and modified the evaluation table for horticulture therapy which was developed by Tseng to assess the physical and mental function change of participants, in addition to qualitative observation. The Wilcoxon Signed-Rank test results showed that posttest score derived from the evaluation table was significantly greater than pretest score, with the exception of the physical function dimension. Qualitative observation also showed that the residents have improved in their volume of activity, social interests, achievement feeling and cognition. It implied that the therapeutic value of our horticulture program and other relevant activities were able to enhance their physical and mental functions.

並列關鍵字

horticultural activity ； physical and mental function ； resident