超高齡社會海嘯來臨！預防失智症治療活動之探討

Taiwan will be a Super-aged Society! Explore the Diversity of Dementia Prevention Treatment Program

許瀚仁(Han-Jen Hsu)

《源遠護理》 13卷2期 (2019/07) Pp. 14-20

https://doi.org/10.6530/YYN.201907_13(2).0003

摘要

2018年全球失智症人口推估有5千萬人，台灣將快速從2018年高齡社會預估於2026年邁入超高齡化社會，推估2017年底失智人口已超過27萬人。在現今預防失智症的治療活動中，嚴肅遊戲具有個別化與系統化的認知功能改善療程。體感遊戲的治療活動，能讓個案同時使用肢體復健活動與專注判斷等多系統訓練。而陪伴機器人的發展可以著重在高齡個案獨處時的情緒陪伴與焦慮改善等。而非科技的治療活動，如：桌遊、棋弈、舞蹈活動等在高齡失智個案上的焦慮情緒與憂鬱傾向改善卻更有成效。學者提出未來幾個研究方向可以強化，應注意人與人之間的行為，將治療活動標準化，進行跨領域的合作加強AI的分析，提升精準互動的質量，失智高齡個案可達更好的生活品質。

關鍵字

失智症 ； 阿茲海默症 ； 嚴肅遊戲 ； 陪伴機器人 ； 體感遊戲 ； 桌遊

並列摘要

By the end of 2017, the number of demented population in Taiwan has exceeded 270,000. The dementia population worldwide is estimated to be 50 million in 2018. Taiwan will enter the ultra-aged society by 2026. Current dementia prevention treatment program uses serious games that may be individualized to improve systematic cognition. The therapeutic program of the motion game allows the elderly to use multiple system training such as physical rehabilitation activities and a cognitive training program. The development of home robots for elderly who live alone can improve emotions and reduce anxiety. The traditional treatment programs, such as board games, chess games, and dance are more effective in improving anxiety and depression in the dementia elderly. The study suggests that future research to strengthen interpersonal interactions, standardize treatment program, collaborative effort to develop artificial intelligence technology, to improving the interactive relationship, and to provide better quality of life in the dementia elderly.

並列關鍵字

dementia ； alzheimer's disease ； serious game ； home robot ； motion game ； board game

參考文獻

Dietlein, C., Eichberg, S., Fleiner, T., & Zijlstra, W. (2018). Feasibility and effects of serious games for people with dementia: A systematic review and recommendations for future research. Gerontechnology, 17(1), 1-17. doi:10.4017/gt.2018.17.1.001.00

Dove, E., & Astell, A. (2017). The kinect project: Group motion-based gaming for people living with dementia. Dementia (London), 1471301217743575. doi:10.1177/1471301217743575

Fernandez Montenegro, J. M., & Argyriou, V. (2017). Cognitive evaluation for the diagnosis of Alzheimer’s disease based on turing test and virtual environments. Physiology & Behavior, 173, 42-51. doi:10.1016/j.physbeh.2017.01.034

Miltiades, H. B., & Thatcher, W. G. (2019). Individuals with Alzheimer’s learn to play a tile placement game: Results of a pilot study: Innovative practice. Dementia (London), 18(2), 802-807. doi:10.1177/1471301216675989

Petersen, S., Houston, S., Qin, H., Tague, C., & Studley, J. (2017). The utilization of robotic pets in dementia care. Journal of Alzheimer’s Disease, 55(2), 569-574. doi:10.3233/jad-160703