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腦性麻痺兒童參與馬術治療動機及滿意度之研究

A Study of the Hippotherapy participation of motivation and satisfaction for children with cerebral palsy

摘要


身心障礙者進行所謂休閒治療(TR, Therapeutic Recreation)來改善個人休閒生活品質,直到二十世紀中葉才逐漸被人們所重視,腦性麻痺患者接受馬術治療後,不僅行動能力改善,生活能力可自理,自信心提高,語言溝通能力也有所進步。本研究旨在瞭解腦性麻痺兒童參與馬術治療的動機及成效滿意度,採用問卷調查法,以腦性麻痺兒童參與的家長為研究對象,於2014年12月10日回收有效問卷共計130份,根據實際調查所得資料,以描述性統計、因素分析、相關分析、獨立樣本t檢定及單因子變異數分析等統計方法進行資料分析。研究結果顯示:一、腦性麻痺兒童參與馬術治療的主要動機,是為了享受馬術運動的樂趣及認為馬術治療對腦性麻痺孩童的復健是有幫助。二、腦性麻痺兒童參與馬術治療滿意度最高的是執行面,如承辦單位、馬匹、教練、課程等,其次是值得自費讓孩童持續參與馬術治療活動,再來是馬術治療的成效,如提升孩童參與活動的動機及改善孩童的姿態、平衡感等。三、大專教育程度的馬術治療參與動機比較重視讓孩童增加活力與體力,碩士教育程度的馬術治療參與動機比較重視讓孩童享受馬術運動的樂趣。四、痙攣型腦性麻痺的馬術治療參與動機最高,馬術治療成效滿意度也最高。

並列摘要


Until the twentieth century was gradually paid more attention to the recreational therapy (TR, Therapeutic Recreation) could improve individual quality leisure life. We know a cerebral palsy patient was treatment by Hippotherapy, not only to improve the operational capacity, communication skills, self-confidence and also can take care of themselves. The purposes of this study is to study the motivation and satisfaction of children with cerebral palsy take participation in Hippotherapy, the sample was survey from the parent of children with cerebral palsy take participation in Hippotherapy on December 10, 2014, total of valid questionnaires was 130, According to the data collected from the survey, mean, standard deviation, one-way ANOVA, t-test, factor analysis and correlation analysis of SPSS was used to accomplish data analysis. The results showed that: First, the main motivation of Hippotherapy for children with cerebral palsy is to enjoy the fun of riding and could helpful children with cerebral palsy improve the operational capacity and communication skills. Second, the highest satisfaction of Hippotherapy for children with cerebral palsy is the implementation side, such as organizer, horses, coaches, courses, followed is allow to continue Hippotherapy for children with cerebral palsy no financial subsidy in the future, again is the effectiveness of Hippotherapy, such as raising motivation and improve posture and balance. Third, the main motivation of Hippotherapy for children with cerebral palsy in College of Education degree is more emphasis on increasing the motivation and physical activity, but Master of Education degree is more emphasis to enjoy equestrian sports. Fourth, the highest Hippotherapy motivation and satisfaction is children with spastic cerebral palsy.

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