治療性黏土訓練對肌少症老年人握力、日常生活活動功能及生活品質影響之研究

A Study of Effect of Therapy Putty Training on Grip Strength, Activities of Daily Living and Quality of Life in Elder Patients with Sarcopenia

方柏翔(Fang Po-Hsiang)

指導教授 ： 馬上閔 ； 蘇蕙芬

國立屏東科技大學/人文暨社會科學院/休閒運動健康系所/碩士(2018年)

https://doi.org/10.6346/THE.NPUST.RSHP.002.2018.F03

摘要

本研究目的旨在探討治療性黏土訓練對肌少症老年人握力、日常生活活動功能及生活品質之影響。實驗研究以屏東縣某長照機構65歲以上肌少症老年人為對象共60名，隨機分配為實驗組與對照組各30人，對照組維持一般復健運動，實驗組經12週治療性黏土手部訓練與一般復健運動後，記錄握力、日常生活活動功能與生活品質前後測數據資料，透過SPSS 18.0 for Windows進行資料分析，主要以二因子混合設計變異數分析統計方法進行分析，若交互作用顯著，則進行單純主要效果考驗以驗證其差異性。研究結果發現：1.治療性黏土手部阻力訓練在實驗組與對照組間有顯著差異；2.在不同測驗時間顯示，後測成績皆優於前測；3.不同組別與測驗別間有顯著交互用存在。根據本研究結果，結論為透過12週治療性黏土訓練能夠明顯提升肌少症老年人手部握力、日常生活活動功能以及提升個人的生活品質。建議相關醫療健康單位與肌少症病患可藉由治療性黏土的攜帶方便、操作簡單、可重複使用等特性，加強訓練手部功能，提升或維持手部握力和肌力。

關鍵字

肌少症 ； 治療性黏土 ； 握力 ； 日常生活活動功能 ； 生活品質

並列摘要

The purpose of this study was to explore the effects of therapy putty training on grip strength, activities of daily living and quality of life in elder patients with Sarcopenia. The subjects are 60 patients with sarcopenia aged above 65 years old who lived in long-term care facilities. They are randomly divided into two groups. One was control group (30 people) who received rehabilitation activities, and another was experimental group (30 people) who received therapy putty training and rehabilitation activities within 12 weeks. A statistical method of two-way mixed design of variance analysis using SPSS 18.0 for Windows was used to analyze the data of pre-test and post-test from grip strength, activities of daily living and quality of life. The simple main effect test will be used to verify the differences if the interactions are significant. The results were as follows: (a) A significant difference was found between control group and experimental group after therapy putty training. (b) The post-test performance were better than pre-test performance. (c) There are significant interaction relations between different groups and test groups. In conclusion, the effects of therapy putty training on grip strength, activities of daily living and quality of life in elder patients with Sarcopenia were significant. Based on the results, the health care providers and patients with sarcopenia can strengthen the hand function and enhance or maintain grip strength and muscle strength by using therapy putty with the characteristics of convenient carrying, simple operation and reusability.

並列關鍵字

Sarcopenia ； Therapy Putty ； Grip Strength ； Activities of Daily Living ； Quality of Life

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