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    題名: 加賀谷.宮本式音樂照護於中高齡精神障礙者之應用
    其他題名: The Application of Music Care to Middle-Aged and Old-Aged People with Mental Disability
    作者: 葉璇
    YEH, HSUAN
    貢獻者: 自然生物科技學系自然療癒碩士班
    陳嘉民
    CHEN, CHIA-MIN
    關鍵詞: 照顧者負荷及壓力;音樂照顧;中高齡者精神障礙
    Music care;Middle-aged and mental patient elderlies;Caregiver's burden and stress
    日期: 2019
    上傳時間: 2022-03-22 14:01:50 (UTC+8)
    摘要:   背景及目的:隨著年齡的增長,中老年人開始出現記憶力衰退、日常生活功能退化、行為問題等問題。然而這些疾病經常伴隨著精神方面的問題,其中以精神疾病最為常見。因此本篇研究是藉由加賀谷.宮本式音樂照顧活動是否可改善中高齡精神障礙者身體功能、認知功能、社會參與感與愉悅感之成效,並探討照顧者負荷及壓力之改善成效。  材料及方法:研究對象為南部某機構之中高齡精神病患共30位,藉由加賀谷.宮本式音樂照顧方式操作,採用實驗研究設計,以每週進行1次每次1小時的音樂照顧活動,連續12週。單一團體活動進行前後測比較。本研究以認知功能篩檢量表、日常生活觀察評估量表、微笑量表、照顧者負荷及壓力量表作為前後測,以了解介入效果,再針對照服員進行深入訪談,以佐證量化研究結果。  結果:加賀谷.宮本式音樂照顧對於中高齡精神障礙者促進基本日常功能提升,尤其是實用科學、生活自理、居家生活、環境適應及減少異常行為皆有顯著成效。對於照顧者負荷及壓力感受度有減輕。  結論:依照本研究結果建議於機構常規活動,可將音樂療法納入其中,以增進精神障礙者之功能,並可減輕照顧者負荷。
      Background and Purpose: With their ages growing, middle-aged and elderly people began to experience problems such as loss of memories, degraded day to day function, and behavioral problems. However, these diseases are often accompanied by mental problems, out of those problems, mental patient is the most common. This study examines if Music care can improve the physical functions, cognitive functions, social participations and senses of pleasure of middle-aged and elderly mentally disabled people, and the caregivers' improvements on load and stress.  Materials and Methods: The study consisted of 30 senior mental patients in a long-term care-taking facility in Southern Taiwan. Music care was used in this study. A quasi-experimental design was used in this study. The intervention group received music care one hour each time and once a week for 12 weeks. .Single group activities were compared before and after the sessions. In this study, Cognitive Abilities Screening Instrument,Daily Life Observation Scale, Face Rating Scale, Caregiver Burden and Kingston Caregiver Stress Scale were used as pre- and post-test. This study will help understand the intervention effect. The result will be supported by in-depth interviews conducted to the caregiver to confirm the quantitative study.  Results: Music care could improve middle-aged and elderly mental patients' increase functionality of daily life. The improvements are especially noticeable on science, self-caring, home living, environmental adaptability and lowering odd behaviors are effective according to the study. Caregivers' also feel lower burden and stress.  Conclusion: Findings of the study suggest that the music therapy can serve as a basis in the regular activity programs of the care-receivers to improve the function of patient with mental disorder and put lower burden and stress on caregivers.
    顯示於類別:[自然生物科技學系(自然療癒碩士班)] 博碩士論文-自然療癒碩士班

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