探討運用自癒力課程於樂齡者健康促進生活型態之研究

【背景】高齡社會的來臨，為了有效促進健康、預防衰老及延緩失能，使樂齡者達到成功老化、健康身心靈、在地老化的目標，期待運用自癒力課程於樂齡者，強化自癒力並養成良好健康生活型態。然而過去少有研究探討55歲以上之樂齡者，介入自癒力課程後，健康促進生活型態之相關研究。【目的】了解樂齡者人口學基本資料、健康狀況、生活型態之現況。探討樂齡者人口學基本資料與其自癒力課程介入後，健康促進生活型態之差異。【方法】採類實驗研究設計，收案地點為中部某社區據點和某樂齡學習中心，皆為55歲以上之樂齡者，各有20位，除了參與常規課程外，接受每週1次共6週，每次2小時自癒力課程，於介入前、後樂齡者皆進行【健康促進生活型態量表更新版】的測量( Health - Promoting Life style Profile HPLP)，研究資料以SPSS 22.0軟體，進行統計分析。【結果】40位樂齡者，於自癒力課程介入每週1次共6週，每次2小時，共12小時的自癒力課程後，測量健康促進生活型態量表更新版總分(平均值±標準差)(前測122.65±15.50；後測139.68±10.43)，後測皆大於前測(p<0.001)；量表的七個面向後測皆大於前測，(p<0.001)(見表八)(如圖二十三)。在性別方面與運動行為達顯著差異(p<0.05)；在教育程度，國、高中大於小學，在健康促進總分和生活習慣，達顯著差異(p<0.05)；在飲食習慣，素食者大於葷食者，在運動行為達顯著差異(p<0.05) (見表七)。社區據點或樂齡學習中心各20位樂齡者後測皆大於前測，(p<0.05) 其中健康促進總分、壓力處理、健康責任、自我實現與健康促進生活型態的後測，達顯著差異p<0.05(見表九)。樂齡學習中心之樂齡者，整體進步的成效與幅度大於社區據點之樂齡者(見表十)(如圖二十二)。【結論】本研究得知運用自癒力課程於樂齡者健康促進生活型態，無論是整體、各面向或分別在社區據點和樂齡學習中心，都有顯著差異，可見自癒力課程值得推廣，樂齡者即使高齡為了健康，也會樂意了解與執行健康促進的各種方法。期盼增加健康壽命、延緩老化，讓老年生活不僅活得久，也能活得好。

關鍵字

自癒力；健康促進；健康促進生活型態；樂齡；延緩老化；飲食；運動；習慣；人際關係；身心紓壓；零極限夏威夷療法

並列摘要

Background With the advent of the aging society, in order to effectively promote health, prevent aging and delay disability, so that the elderly can achieve the goals of successful aging, healthy body and mind, and local aging, we look forward to using Self-Healing courses for the elderly to strengthen Self-Healing and develop a healthy lifestyle. However, in the past, few studies have investigated the health-promoting lifestyle of elderly people over 55 years old after intervention in self-healing programs. Objective To learn about the basic demographics, health status, and lifestyle of the elderly. To explore the differences in the Health-Promoting Lifestyles of the elderly after the intervention of basic demographic data and Self-Healing programs. Methods The experimental research design was adopted. The selected places for this survey were the senior citizens in a Community Care Center and a Senior Citizens’ Learning Center in the central part of the country. There are 20 seniors over the age of 55. In addition to participating in regular courses, they received a 2-hour Self-Healing course once a week, which totaled 6 weeks. Before and after the intervention, the elderly’s Health Promotion status was assessed by the Updated version of the Health-Promoting Lifestyle Profile. All the data were conducted through statistical analysis of SPSS 22.0. Results 40 seniors, after the intervention of the Self-Healing course once a week for 6 weeks, 2 hours each time, a total of 12 hours of the Self-Healing course, have got the test results in accordance with the updated version of the Health Promotion Lifestyle Scale (average value ± standard deviation) (pre-test 122.65 ± 15.50; post-test 139.68 ± 10.43), the results post-test is greater than the those of the pre-test (p<0.001); in the seven aspects of the scale the scores are greater than the those of the pre-test, (p<0.001) (see Table 8) (Graph 22). In terms of gender, there was a significant difference in exercise behavior (p<0.05); in terms of education level, junior and senior high school backgrounds, are higher than those with primary school backgrounds; and in Health Promotion total scores and living habits, there was a significant difference (p<0.05); in dietary habits, vegetarian’s scores were more than meat eaters’ and achieved significantly better as well in exercise behaviors (p<0.05) (see Table 7). The post-tests were greater than the pre-tests for 20 seniors in the Community Care Centers or those in the Senior Learning Center (p<0.05) Among them, the post-test of the total score on health promotion, stress management, health responsibility, self-realization, and Health-Promoting Lifestyle reached a significant difference p<0.05. (see Table 9). The elderly in the Senior Learning Center have a greater overall improvement in effectiveness and magnitude than those in the community base (see Table 10) (Graph 22). Conclusion The study found that the application of the Self-Healing courses in the Health Promotion of Seniors' Lifestyles has significant differences whether it is analyzed whole or in varied aspects, and in a Community Care Center or a Senior Learning Center. It demonstrates that the Self-Healing courses are worthy of promotion. Even at an advanced age, people are willing to understand and implement various methods of health promotion. Let’s look forward to the Self-Healing courses increasing healthy life expectancy, delaying aging, and making the elderly live longer and pristine.

並列關鍵字

Self-Healing ； health-promoting ； senior citizens ； prevent aging ； delay disability ； diet and nutrition ； exercise behavior ； lifestyle habits ； interpersonal relationships ； stress management ； health responsibility ； self-actualization

參考文獻

(中文部分)

Google Scholar

王秀媛(2001)‧健康新「煮」張，有勞賢主婦。

Google Scholar

王亭文(2021)‧競技運動員父母知覺壓力因應對涉入動機與行為的調節效果 [Moderating Effect of Perceived Stress and Coping on Motivation and Behaviors of Involvement in Sport Parent]。大專體育(158)，1-13。 https://doi.org/10.6162/srr.202109_(158).0001

Google Scholar

王美玲 (2005) ‧以醫院為基礎之健康促進計畫對社區民眾健康狀況與健康行為改善之成效 (Publication Number 2005年) [臺北醫學大學] AiritiLibrary。

Google Scholar

王冕 (2020)‧成功老化研習對銀髮族健康效益影響之研究 (Publication Number 2020年) [國立臺灣師範大學]AiritiLibrary。

Google Scholar

主題瀏覽