機構失智老人懷舊團體介入對憂鬱程度改善之研究

Study on the Effects of Reminiscence Group Work on the Conditions of Depression in Institutionalized Elderly with Dementia

楊秋燕(Chiu-Yen Yang) ； 李美玲(Mei-Lin Li)

《聯合勸募論壇》 3期 (2013/09) Pp. 73-96

摘要

台灣自至2010年，老年人口達到總人口10.74％。根據研究發現，機構老人失智、憂鬱多於社區居住的老人，而非醫藥介入對機構失智老人有其特定之效用。本研究針對老人養護中心居民，探詢表達配合的意願，採取準實驗的研究設計，進行懷舊介入服務，探討實驗與對照兩組成員MMSE智能分數及憂鬱量表前後差異之情形，針對失智養護老人研究結果顯示，古早味團體組MMSE智能分數之前後測雖未有顯著性差異但有提升的趨勢；至於憂鬱分數前後測分數下降達顯著性差異，顯示介入有效果。在六個月後，結果古早味組成員在MMSE智能分數六個月後有顯著下降的情況，在憂鬱量表六個月後亦有顯著之上升的情形，經詳析各參與團體成員個別差異分析結果，顯示有三位團體成員在團體執行後，其憂鬱情形有正向的改善情形，本文最後提出反思及建議。

關鍵字

機構失智老人 ； 懷舊團體 ； 憂鬱量表與MMSE智能分數

並列摘要

In Taiwan 2010 there were more than 2.4 million elderly people in Taiwan, making up a total of 10.74 percent of the population. Out of the population of elderly suffering from dementia, it was found that a majority of this population was living in institutions or care facilities rather than living with family or independently. My research suggests that a non-medical intervention may be useful for this group. This research focused on residents of the Chang-Hua Care Home, MOI. First, a survey was conducted which asked willingness of residents suffering from dementia to participate in the 'reminiscence group'. Secondly, a semi-experimental research method was applied to the 'reminiscence group'. Finally, the experimental and control groups were evaluated and compared in terms of their MMSE and Depression Scale scores after participating in group work intervention. In addition, the individuals were observed and evaluated in order to reveal the effects of the reminiscence group work after participating in this intervention. As a result, there were no significant differences between the experimental and the control groups in the post-test in terms of MMSE scores, whereas their Depression Scale score was significantly lower in the experimental group compared with in the control group. After six months, both groups participated in a follow-up evaluation. The MMSE and depression level of both groups were worse compared with those in the post-test. This shows that the intervention had a measurable effect. Suggestions and reflections are proposed in the final section.

並列關鍵字

elderly people with dementia ； reminiscence group ； depression scale ； MMSE score