園藝活動方案對失智老人幸福感影響之準實驗研究

A Quasi-Experimental Study on the Effects of a Horticultural Activity Program on the Well-being of Elderly Individuals with Dementia

游智秀(Chih-Hsiu Yu)

指導教授 ： 黃錦山

國立中正大學/教育學院/成人及繼續教育系高齡者教育研究所/碩士(2012年)

摘要

摘 要
本研究旨在設計機構失智老人的園藝活動方案，探討方案對於失智老人幸福感之影響，採單一組前後測之準實驗設計，以台南市臨安養護中心21位失智住民為研究對象，規劃九週的課程。以「失智老人園藝活動幸福感評量表」進行前測、後測，驗證其成效。結果顯示：「自我成就」、「人際關係」以及「正/負向情緒」四個層面的幸福感達顯著差異；輕中度失智者顯著高於中重度失智者，以「正向情緒」後測平均數最高。而「輕中度失智」、「有農務、園藝經驗」的受試者，參與園藝活動方案後有較高的幸福感。本研究根據研究結論，提出具體建議如下：
一、藉由外部園藝治療團隊，培訓工作人員園藝相關技能，有助活動的長期實施。
二、失智老人因其認知、興趣、體能與能力給予不同的園藝活動內容。
三、園藝活動的設計可加入節慶活動、懷舊素材以及在地的元素。
四、高齡相關機構實施園藝活動，及早預防高齡化社會所帶來高成本的負荷。

關鍵字

園藝活動 ； 老人 ； 失智症 ； 幸福感

並列摘要

Abstract
In the present study, a gardening activity program was designed and implemented in order to explore its effects on the well-being of elderly individuals with dementia. A one-group pretest-posttest quasi-experimental design was adopted, with 21 patients with dementia from the Lin-An Elderly Center in Tainan City serving as participants. A 9-week course was planned and the “Well-being Scale of the Elderly with Dementia on Horticultural activities” was used for pretest and posttest in order to test and verify the results. The results showed that “self-achievement,” “interpersonal relationship,” and “positive/negative emotions” values changed significantly. Patients with mild to moderate dementia had greater changes than those with moderate to severe dementia, with the posttest average of “positive emotions” having the highest scores. Mild to moderate dementia and who had past experience in planting or gardening had higher achievements in the various aspects of well-being after participating in horticultural activities. Based on the research results, the researchers made the following concrete suggestions:
1. Train workers with gardening-related skills to facilitate the long-term implementation of the activity though external horticultural therapy teams.
2. Individuals with dementia can be provided with different horticultural activities based on cognition, interests, physical capability, and ability.
3. Horticultural activities can be designed with festivals, retrospective materials, and local elements.
4. Related institutions for the elderly should implement horticultural activities to mitigate the high costs and burdens resulting from an aging society.

並列關鍵字

horticultural activities ； elderly ； dementia ； well-being

參考文獻

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