Title

笑靜心運用於養護機構老人身心靈提昇之研究

Translated Titles

Laughing Meditation for Nursing Homes Senior Citizens'' Body-Mind-Spirit Improvement

DOI

10.6822/CTUST.2012.00070

Authors

林政毅

Key Words

笑靜心 ; 養護機構 ; 老人 ; 身心靈 ; Laughing Meditation ; Body-Mind-Spirit ; Elderly Person ; Nursing Home

PublicationName

中臺科技大學健康產業管理研究所學位論文

Volume or Term/Year and Month of Publication

2012年

Academic Degree Category

碩士

Advisor

鍾燕宜

Content Language

繁體中文

Chinese Abstract

背景與目的: 面對高齡化社會,老人照顧問題相對增多。老人照顧不僅重視生理層面的最基本照護需求,更迫切於心理方面靈性需求的滿足。過去研究證實靜心對身心的療癒有功效;「笑」對人體的免疫功能、疼痛忍受度、內分泌、神經系統、幫助消化、促進呼吸與血液循環等諸多重要生理指標都能產生正向改變;「笑靜心」即是結合笑與靜心的靈性增能方式。本研究旨在探討養護機構老人接受笑靜心的靈性增能方式後,是否影響其身、心、靈的提升。 研究方法:以某養護機構老人隨機分配為實驗組(n=10;74.5±8.46歲)、對照組(n =10;82.8±6.12歲)。所有受測者於介入前、後接受老人體適能檢測、憂鬱情緒量表及生命意義量表;實驗組並於活動前後加測臉譜情緒量表。 結論:居住在養護機構老年人經八週的笑靜心的活動後,實驗組在每次笑靜心活動前後臉譜情緒表現及身體機能測試之半坐姿體前彎測試,心理層面之憂鬱情緒表現有明顯下降且具顯著差異(p<0.05),而憂鬱情緒量表(對照組: 3.7±1.76 vs實驗組: 1.0±2.21, p<0.05)則具組間差異。另外,身體機能測試之後背伸展,生命意義量表則無顯著差異。 討論:本研究顯示笑靜心的靈性增能方式,能夠影響機構老人身體機能、心理層面。研究結果可提供機構經營者作為老人臨床照顧之參考。

English Abstract

PURPOSE- Facing the aging society, the problems relatively increased in senior citizen nursing issue. The basic level of physical care needs is not only important issue in senior citizen nursing, but also the more spiritual needs in the psychological satisfaction is more urgent. Recent research confirmed that the laughing meditation has unique effects on both physical and mental medication; "laughing" can produce positive changes in the body''s immune response, pain tolerance, endocrine, nervous system, help in the digestive process , respiration and increasing blood circulation, and other important physiological indicators. Laughter meditation is a combination of laughter and meditation, which in turn spiritual empowerment. The current major issue is how to make the senior citizen staying health and the meaning of life can be effectively promoted by laughter meditation. METHOD- Twenty senior citizens were randomized into 2 groups:(1) an experimental groups (EG , n =10 ; 74.5±8.46 years), and (2) a control group (CG , n = 10 ; 82.8±6.12 years). Outcome measures included the Senior Fitness Test, Depression Anxiety Stress Scales and Meaning of Life scale, all subjects were evaluated before and after 8 weeks (twice-pre-week) of laughter meditation program. The Face Scale were performed weekly only for experimental groups. RESULT- A comparison of the back stretch and Meaning of Life scale after 8 weeks laughter meditation program, there is no significant difference for back scratch and Meaning of Life scale. Nevertheless, significant differences were demonstrated appeared in chair sit-and-reach, Depression Anxiety Stress Scales and The Face Scale. Significant differences between groups for right side chair sit-and-reach (CG:28.8±6.69 vs EG:14.2±17.6,p<0.05); Depression Anxiety Stress Scales (CG: 3.7±1.76 vs EG:1.0±2.21,p<0.05). Conclusion- Body fitness and mind for chosen senior citizens obviously improved after received 8 weeks of twice-per-week laughter meditation program, this result provided as reference for senior citizen nursing care giver.

Topic Category 醫藥衛生 > 預防保健與衛生學
管理學院 > 健康產業管理研究所
社會科學 > 管理學
Reference
  1. 吳奇璋、黃惠滿、高家常與高碧凰(2010)。養護機構內老年人自主性及其相關因素之探討。長期照護雜誌,14(1),27-41。
    連結:
  2. 李貞得(2004)。“笑疾”考-兼論中國中古醫者對喜樂的態度。中央研究院歷史語言研究所集刊。75,99-48。
    連結:
  3. 杜明勳(2003)。談靈性。護理雜誌。50,81-85。
    連結:
  4. 唐婉如 (1998)。癌症病人之靈性評估與照護。腫瘤護理雜誌。8(1),13-25。
    連結:
  5. 徐欣萍 (2007)。歡笑方案應用於成年女性身心靈增能團體之研究。台灣大學衛生政策與管理研究所碩士論文。
    連結:
  6. 張春興(1991)。現代心理學。台北市:東華。
    連結:
  7. 張珏、謝佳容、洪嘉欣、高瑞協、林玉華與徐森益 (2010)。國中生笑笑功練習之成效初探。中華心理衛生學刊,23(2),219-239。
    連結:
  8. 張珏與徐欣萍 (2008)。笑與健康研究的回顧:中西方觀點。台灣衛誌,27(4),282-290。
    連結:
  9. 陳金城、鄭宗芥、張永賢(2004)。氣功的現代科學研究概況。基層醫學,19(8),183-187。
    連結:
  10. 陳凱華、周適偉、林瀛洲、蘇先河、黃偉舜與黃美涓 (2003)。台灣地區日常生活功能獨立之中老人體適能與年齡性別相關探討。中華民國復健醫學會雜誌,31(3),139-145。
    連結:
  11. 黃獻樑、陳晶瑩與陳慶餘 (2007)。老人運動處方之實務探討。臺灣家庭醫學研究,5 (1),1-16。
    連結:
  12. 楊志堅、劉心筠與楊志強 (2004)。縱貫研究以潛在成長模式分析之樣本數與檢定力研究。教育與心理研究,27(3),603-626。
    連結:
  13. 楊惠如 (2005)。社區獨居老人健康狀況與長期照護需求研究。屏東:美和技術學院健康照護研究所碩士論文。
    連結:
  14. 劉淑娟(1999)。老年人的靈性護理。護理雜誌。46(4),51-56。
    連結:
  15. 謝伶瑜與林淑英 (2009)。老年末期腎病患者生命意義感及影響因素之探討。護理雜誌,56(5),39-48。
    連結:
  16. 謝佳容、蕭伃伶與劉淑娟(2007)。年老住民在長期照護機構中的心理健康促進與情緒調適。長期照護雜誌,11(2),132-140。
    連結:
  17. Alma, H. & Zock, H. (2002). I and me, the spiritual dimension of identity formation. International Journal of Education and Religion, 3(1), 1-15.
    連結:
  18. Banks, R. L. (1980). Health and the spiritual dimension : Relationshipsand implications for professional preparation programs. The Journalof School Health, 50, 195-202.
    連結:
  19. Bennett M. P, Lengacher CA. (2008). Humor and Laughter May Influence Health: III. Laughter and Health Outcomes. Evid Based Complement Alternat Med,5,37-40.
    連結:
  20. Bennett, M., & Lengacher, C. (2009). Humor and laughter may influence health: IV. humor and immune function. Evidence Based Complement Alternative Medicine, 6,159-164.
    連結:
  21. Bensley, R. J. (1991). Defining spiritual health: A review of the literature. Journal of Health Education, 22(5), 287-290.
    連結:
  22. Beson, H. (1975). The relaxation response. New York: Avon.
    連結:
  23. Chang, V. Y., Palesh, O., Caldwell, R., Glasgow, N., Abramson, M., Luskin, F., et al.(2004). The effects of a mindfulness-based stress reduction program on stress,mindfulness self-efficacy, and positive states of mind. Stress and Health, 20,141-147.
    連結:
  24. Chao, C. S. C., Chen, C. H., & Yen, M. (2002). The essence of spirituality of terminally ill patients. Journal of NursingResearch, 10(4), 237-245.
    連結:
  25. Curiati, J. A., Bocchi, E., Freire, J. O., Arntes, A. C., Braga, M., Garcia, Y., et al.(2005). Meditation reduces sympathetic and improves the quality of life in elderly patients with optimally treated heart failure: a prospective randomized study. The Journal of Alternative and Complementary Medicine, 11(3),465-472.
    連結:
  26. Dellasega ,C. & Nolan, M. G.(1997).Admission to care:Facilitating role transition amongst family cares. Journal of Clinical Nursing,6(6),443-451.
    連結:
  27. Fry, W.F. (1992). The physiologic effects of humor, mirth, and laughter. Journal of the American Medical Association, 267(13), 1857-1858.
    連結:
  28. Gillani, N. B., & Smith, J. C. (2001). Zen meditation and ABC relaxation theory: an exploration of relaxation states, beliefs, dispositions and motivations. Journal of Clinical Psychology, 57(6), 839-846.
    連結:
  29. Hiatt, J. (1986). Spirituality, medicine, and healing.Southern Medical Journal, 79, 736-743.
    連結:
  30. Hicks, T. J.(2000).What is your life like now? Loneliness and elderly individuals residing in nursing homes. Journal of Gerontological Nursing,26(8),15-19.
    連結:
  31. Kabat-Zinn J. (2005). Coming to our senses: healing ourselves and the world mindfulness. London: Piathus.
    連結:
  32. Lance, C. E., Vandenberg, R. J., & Self, R. M. (2000). Latent growth models of individual change: The case of newcomer adjustment. Organizational Behavior & Human Decision Processes, 83(1), 107-140.
    連結:
  33. Lorish,C. D.&Maisiak ,R.(1986).The face scale:a brief,nonverbal method for assessing patient mood.Arthritis Rheum ,29,906-909.
    連結:
  34. Ludsin, F.(2004).Transformative practices for for integrating mind-body-spirit. The journal of alternative and complementary medicine,10(1), 15-23.
    連結:
  35. MacDonald , C. M. (2004). A chuckle a day keeps the doctor away: therapeutic humor and laughter. Journal of psychosocial nursing and mental health services, 42, 18-25.
    連結:
  36. Manion, P. S., & Rantz, M.J. (1995).Relocation stress syndrome:A comprehensive Plan for long-term care admissions. Geriatric Nursing,16(3),108-112.
    連結:
  37. Martsolf, D. S. & Mickley, J. R. (1998). The concept of spirituality in nursing theories: Differing world-views and extent of focus. Journal of Advanced Nursing, 27(2), 294-303.
    連結:
  38. McCracken, A.(1987). Emotional impact of possession loss.Journal of Gerontological Nursing,13(2),14-19.
    連結:
  39. Murata, T., Takahashi, T., Hamada, T., Omori, M., Kosaka, H., Yoshida. H., et al. (2004). Individual trait anxiety levels characterizing the properties of Zen meditation. Neuropsychobiology, 50, 189-194.
    連結:
  40. Nay, R. (1995).Nursing home residents perceptions of relocation. Journal of Clinical Nursing,4(5),319-325.
    連結:
  41. Perez-De-Albeniz, A. & Holmes, J. (2000). Meditation: concepts, effects and uses in therapy. International Journal of Psychotheraphy, 5 (1), 49-57.
    連結:
  42. Ramel, W., Goldin, P. R., Carmona, P. E. & McQuaid, J. R. (2004). The effects of mindfulness meditation on cognitive processes and affect in patients with past depression. Cognitive therapy and research, 28(4), 433-455.
    連結:
  43. Reed, P. (1987). Spirituality and well-being in terminally ill hospitalized adults. Research in Nursing & Health, 10, 335-344.
    連結:
  44. Reker, G. T. (1997). Personal meaning optimism and choice;existential predictors of depression in community and institutional elderly. The Gerontologist,37(6),709-716.
    連結:
  45. Rikli, R. E., & Jones, C. J. (2001). Senior Fitness Test Manual. Champaign: Human Kinetics.
    連結:
  46. Rosswurm, M. A.(1983).Relocation and the elderly.Journal of Gerontological Nursing,9(12),632-637.
    連結:
  47. Schmidt, S. (2004). Mindfulness and healing intention: concepts, practice, and research evaluation.Journal of Alternative and Complementary Mdeicine,10(1),7-14.
    連結:
  48. Smith, W. P., Compton, W. C. & West, W. B. (1995). Meditation as an adjunct to a happiness enhancement program. Journal of Clinical Csychology, 51(2),269-273.
    連結:
  49. Sulmasy, D. P. (2002). A biopsychosocial-spiritual model for the care of patients at the end of life.The Gerontologist, 4, 24-33.
    連結:
  50. Sutorius, D. (1995). The transforming force of laughter, with the focus on the laughing meditation. Patient Education and Counseling, 26, 367-371.
    連結:
  51. Tompson, L., Waelde, L. C. & Gallagher-Thompson, D. (2004). A pilot study of a Yoga and meditation intervention for dementia caregiver stress. Journal of Clinical Psychology, 60(6), 667-687.
    連結:
  52. Vattano, A. J. (1978). Self-management procedures for coping with stress. Social work, 3, 113-118.
    連結:
  53. Wells, L.,& Macdonald, G.(1981).Interpersonal networks and post-relocation adjustment of the institutionalized elderly. The Gerontologist,21(2),177-183.
    連結:
  54. Yorston, G. A. (2001). Mania precipitated by meditation: a case report and literature review. Mental health, religion & culture, 4(2), 209-213.
    連結:
  55. Young, A., & Dinan, S. (1994). ABC of Sports Medicine: Fitness for older people. British medical journal, 309, 331-334.
    連結:
  56. Young, C. (1993).Spinituality and the chronically ill Christian elderly.Geriatric Nursing,14(6).298-303.
    連結:
  57. 內政部統計處(2010)。內政統計通報。九十九年第四週。
  58. 朱玲億等 譯(2000)。原著:Corsini &Wedding 主編。當代心理治療的理論與實務。台北市:心理。
  59. 呂雀芬、廖張京棣、劉家逸、劉幸元、張雅惠(1998)。靜坐對焦慮症之效果。台灣精神醫學,12(4),47-54。
  60. 林信男(2002)。靈性與健康。台灣精神醫學。16(1),3-17。
  61. 初麗娟與高尚仁(2004)。靜坐放鬆效應之研究。醫學心理學、軍事心理、康復心理、醫學心理教育學術研討會。
  62. 邱淑芬(2002)。靈性面向在成人教育上的意義。成人教育學刊。6,51-72。
  63. 張珏與張德聰 (2006)。社區心理健康促進整合模式試辦計畫,國健局補助計畫報告。國民健康局。
  64. 許姚敏(2001)。台灣老人家庭照顧研究之評析:護理人類學觀點。國家科學委員會研究彙刊:人文及社會科學。11(2),167-177。
  65. 陳芳玲、Wong, P(2002)。老年死亡態度與心理諮商。生命教育中心靈成長教育研討會論文集。5-21。
  66. 陳錫琦(2005)。禪修、健康與創意人生。國民教育,45(5),23-35。
  67. 黃國彥、鍾思嘉(1987)。老人健康自評、生活改變和生命意義與其生活滿意之關係。中華心理衛生學刊,3(1),169-181。
  68. 奧修著,謙達那譯(1996)。靜心與健康(上、下冊)。台北:奧修出版社。
  69. 劉美珠、林大豐 (2001)。身心學。體育理論基礎經典叢書序論首冊,141-160,教育部。
  70. 蔡坤良 (2004)。小琉球漁村老人生命意義感、死亡態度與幸福感之研究。未發表的碩士論文。嘉義縣:南華大學生死學研究所。
  71. 饒見維 (2010)。靜心在壓力調適與身心健康之功用。教師天地。164,24-31。
  72. Brooke, V. (1989). How elders adjust: through what phases do newly admitted residents pass? Geriatric Nursing, 10(2), 66-69.
  73. Goldstein, J. & Kornfield, J. (1987) Seeking the heart of wisdom. Boston:Shambhala.
  74. Hassed, C. (2001). How humor keeps you well. Australian Family Physician, 30 (1), 25-28.
  75. Woods, D. W. (1994). Toward developing a theory of spirituality. Visions, 2, 35-43.