| 中文摘要 |
本研究研發犬類動物輔助治療活動方案，運用於長照機構失智症長者，並評值其成效。本研究採類實驗介入研究法，招募台北市內確診為失智症且居住於長期照護機構之長者58名，依其意願分為實驗組與控制組各29名。研究期間對實驗組施以每次40分鐘，共16次的「治療犬」動物輔助治療活動，對控制組則施以一般性日常護理照護，並以中文版老年多面向觀察量表（Multidimensional Observation Scale of Elderly Subjects,MOSES）、中文版柯恩－曼斯菲爾德激動情緒行為量表（Cohen-Mansfield Agitation Inventory,CMAI）及自訂之個別治療目標（individual therapeutic goal,ITG）行為觀察表為評量工具。結果顯示在介入活動後，兩組組間MOSES及CMAI量表得分均有顯著差異（p<.001），且呈現交互作用。在個別化治療目標達成率方面，發現實驗組之前後測在語言、動作、記憶、社交等類項的治療目標達成率都有顯著的成效，尤以主動肢體表達（p<.001）、依指令完成動作、記憶的質與量以及專注於話題與活動（p<.05）等目標達成最為顯著。本研究最後對動物輔助治療在長期照護機構的應用、推廣、教育及研究提出中肯之建議。 |
| 英文摘要 |
This research was to develop and evaluate a canine animal assisted therapy (ATT) program using in the elderly with dementia in long-term care facilities in Taiwan. Based on a quasi-experimental research design, 58 elderly residents with dementia in nursing homes participated in this program. Participants were divided equally into experimental (E group) and control group (C group) with 29 elders in each group. 16 times of 40-minutes designed 'Therapeutic Dog' program was applied to E group, while regular daily care activity was applied to C group, during the study period of two months. The Multidimensional Observation Scale of Elderly Subjects (MOSES), Cohen-Mansfield Agitation Inventory (CMAI) and the individual therapeutic goal (ITG) were used for evaluating the effectiveness of this program. The results revealed: 1) E group had a significant improvements in CMAI and MOSES and its subscales; 2) E group had a significant improvement in the ITG fields of oral expression, movement, memory and socialization; 3) the ITG improvement was observed specially in the fields of 'active physical expression' (p <.001), 'movement by order', 'quantity and quality of memory', and 'keep focusing on topics and activities' (p <.05). Several suggestions of future utilization, promotion, education and research regarding the application of AAT in long-term care facilities were proposed. |
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