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運動作為高齡者照顧的社會處方之可行性研究

Feasibility Study of Exercise as a Social Prescription for the Care of the Older Adults

摘要


相對於醫療處方,社會處方是透過非醫療方式促進病患或是需要幫助者的健康或福祉的方式,例如針對高齡者不同的疾病史與用藥史發展的運動處方。有鑑於高齡運動普遍以團體活動進行,且通常被視為休閒性質,也因為醫療人員參與有限,未能彰顯其在高齡照顧的價值,本研究透過文獻回顧與深度訪談探討運動作為高齡者初級醫療照護服務社會處方的技術、行政與政治的可行性。研究發現從醫師與運動指導員的觀點,均認為運動處方是客製化與一對一的設計與執行,且在執行運動處方前,均認為除了瞭解高齡者的用藥史與運動史外,也需要進行檢測高齡者的身體功能,進而執行運動處方。研究建議政府可以地區試辦方式檢視運動作為高齡照顧的可行性,並針對高齡者進行運動扮演初級照顧角色的宣導,同時建議政府可以培養人才,支持醫學與運動專業之間的合作與分工。

並列摘要


In contrast to medical prescriptions, social prescriptions are non-medical ways to promote the health and well-being of patients or those in need of help, such as exercise prescriptions developed to address a range of diseases and medication histories of older adults. Since senior sports are generally conducted as group activities and are often viewed as recreational in nature, their benefit in senior care is not evident due to limited participation by medical personnel. This study explored through a literature review and in-depth interviews the technical, administrative, and political feasibility of sports as a social prescription for primary health care services for seniors. From the perspectives of physicians and exercise instructors, these exercise prescriptions are to be customizable and one-on-one in design and implementation. Prior to beginning exercises, both believed that in addition to understanding the senior's medication and exercise history, their physical function testing is needed to recommend exercise prescriptions. The study suggests that a regional trial be conducted by the government to examine the feasibility of exercise as a form of senior care and promote its role as primary care for seniors. It also suggests that the government should nurture talents and encourage collaboration between medical and exercise professionals, and encourage division of work.

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