輕中度高齡失智者參與懷舊活動方案促進其幸福感之研究－以台南市一所養護中心為例

An Investigation of the Improvement of the Elderly People’s Sense of Well-being through the Program of “Retrospect Activity”: Based on the Interviews of the People with Moderate Senile Dementia in the Residential Care Home

羅秋茗(Chiu-Ming Lo)

指導教授 ： 張菀珍

國立中正大學/教育學院/成人及繼續教育學系/碩士(2014年)

摘要

本研究主旨在瞭解懷舊活動對失智高齡者幸福感之影響，並且從失智老人參與懷舊活動的感受、對長者生活的影響與心情的轉變，進而探討懷舊活動的參與如何影響失智長者幸福感的之提昇。主要研究目的有：(一)瞭解高齡失智者在懷舊活動方案中之重要經驗與整體歷程感受；(二)瞭解高齡失智者參與懷舊活動方案前後之日常生活互動狀況；(三)瞭解高齡失智者參與懷舊活動方案後對其幸福感的影響。本研究採質性研究以半結構式訪談來收集資料並加以分析，共訪談六位失智長者，三位機構人員、三位家屬。訪談後針對所得資料進行分析，主要根據研究結果發現，本研究將結論歸納如下： 一、 失智高齡者參與懷舊活動之重要經驗歷程與感受可以歸納為兩項：(一)因健康狀況不佳及缺乏自信心而降低參與懷舊活動的動機。(二)高齡失智者參與懷舊活動後，能有效提昇其正向感受及繼續學習意願。 二、 高齡失智者參與懷舊活動中，產生日常生活中的影響可歸納為三項：(一)同儕之間互動，產生日常生活上的影響。(二)獲得家人親友鼓勵與關心表現自信心(三)參與懷舊活動中與教會社區團體互動，得到支持與鼓勵增加喜悅與自信。 三、 高齡失智長者參與懷舊活動後產生幸福感的影響結果歸納為三點：(一)對活動興趣感到生活很滿意，且得到親友關心與支持，心靈有寄託心情就變好。(二)高齡失智者參與懷舊活動，重拾服務分享的角色，受到尊重與體諒，讓長者維持尊嚴心情愉快增加自信心。(三)高齡失智者參與懷舊活動，認真學習受到社會互動的支持建立成就感會感恩回饋感到幸福感。 最後，研究者根據上述研究結果加以討論，並依據此結果提供若干建議給對帶領懷舊活動師資、對服務高齡者相關單位、對政府方面、對未來研究者作為參考依據。 關鍵字：高齡者、輕中度失智症、幸福感、懷舊活動方案

關鍵字

幸福感 ； 輕中度失智症 ； 高齡者 ； 懷舊活動方案

並列摘要

The purpose of the present research is to understand the influence of the “Retrospect Activity” on the sense of well-being of the elderly people with moderate senile dementia, and to discuss why these elderly people’s sense of well-being can be improved by participating in the activity, through analyses of their feelings, life experiences and sentiment after their participation. The research is aimed to: (1) to understand the crucial experiences and the feelings of the elderly people with moderate senile dementia when they take part in the whole process of the “Retrospect Activity”; (2) to comprehend the elderly People’s daily interaction with others prior to and posterior to the activity; (3) to grasp the influence of the activity on the sense of well-being of the elderly people with moderate senile dementia. The present research applies qualitative research method and semi-structured interview with six elderly people with moderate senile dementia, three social workers and three family members.
Having analyzed the information obtained from the interviews, the researcher concludes as follows:
I. Concerning the experiences and the feelings of the elderly people with moderate senile dementia while taking part in the activity; there are two situations can be seen: (1) The elderly people are hesitating to take part in the activity due to poor health condition and low self-confidence. (2) Those who partake in the activity are significantly encouraged and willing to learn more.
II. Regarding the elderly people’s daily interaction with others after partaking in the activity, three points to be noted: (1) The daily life-style has been positively changed due to their interaction with peers. (2) Their self-confidence is recovered by family members’ encouragement and concern. (3) They become joyful and are inspired by the church and community members in the process of the activity.
III. As for the influence of the activity on the sense of well-being of the elderly people, there are also three things to be said: (1) They not only show obvious interest in the activity and great satisfaction of life, but also find spiritual sustenance in family members’ support. (2) They are willing to serve one another because of the respect and understanding from others, which make them feel happy and confident. (3) The elderly people gain the sense of achievement and support from the society by their earnest commitment in the activity, and in return gratefully feedback to others.
Lastly, the researcher will further discuss the results of the present research, and offer some suggestions to the leaders of the retrospect activity, the authority concerned, the government, and provide information for future researchers’ reference.

Keywords: elderly people, moderate senile dementia, sense of well-being, the program of retrospect activity

並列關鍵字

sense of well-being ； moderate senile dementia ； elderly people ； the program of retrospect activity

參考文獻

李歡芳（2003）。老人自尊與懷舊療法。護理雜誌，50（4），98-102。

宋惠娟（2003）。長期照護機構治療性活動的安排與應用。慈濟護理雜誌，2（2），27-31。

周玉淳、藍育慧、趙淑員（2008）。運用個別懷舊治療減緩一位失智長者焦慮之護理經驗。護理雜誌，55（4），105-110。

吳麗芬（2001）。懷舊治療與人生回顧。護理雜誌，48（1），83-88。

吳麗芬、周青波、陸秀芳、曾惠楨（2006）。團體懷舊治療實務指引之研發。實證護理，2（3），173-179。