中醫預防及延緩失能模組介入社區長者，健康體能與認知功能之研究

Effect of The Traditional Chinese Medicine Program for Preventing and Delaying Disability on Physical Fitness and Cognitive Function in the Elderly

臺灣於2018年超過65歲的人口為14%進入「高齡社會」，預估2025年臺灣老年人口比率將逾20%，邁入「超高齡」社會。因此如何由政策面與執行面的促進活躍老化與在地老化則是臺灣面臨的重要議題。2017年長照2.0計畫，增加許多以社區為中心的服務模式，其中一項重要計劃就是以實證醫學為基礎的預防及延緩失能照護計畫。本照護模組課程包含中醫識能講座及八段錦運動，藉由知識與傳統氣功之增權賦能過程，提升長者中醫健康認知及健康體能狀態，並期望未來預防失能的發生。研究的目標在於分析社區長者接受延緩失能照護模組後健康體能及認知功能的效益。本研究納入高雄市65歲以上社區長者，並安排12周每周兩小時延緩失能模組課程。共回收103份問卷，有效問卷共80位。資料內容以描述性統計及paired-t等統計方式進行分析。結果顯示30秒坐站（p=0.001）、坐姿體前彎（p=0.003）、5公尺坐走（p＜0.001）、左手握力（p=0.008）及右手握力（p＜0.001）在介入後皆有顯著進步；在認知功能上（MMSD），記憶面向呈現顯著進步。結果顯示預防及延緩失能模組有助改善高齡長者之體能與記憶能力，適合於社區活動推廣。

Taiwan became an aged society as people over 65 years old reaching 14% in 2018 and has been predicted to be a super-aged society in 2025.Aging in the Taiwan has been become a critical issue both in practice and policy, including the active aging and aging in place. LTC 2.0 launched in 2017 adds a number of community-based services, which is an evidenced-based program to implement in community-based service stations. This course of the program includes lectures on the Literacy of Traditional Chinese medicine (TCM) and Baduanjin exercises. Friendly materials of evidence-based Literacy of TCM were established which could promote the Knowledge translation of TCM. The empowerment process through knowledge and traditional qigong enhances the elderly's TCM health awareness and healthy physical status, and hopes to prevent the occurrence of disability in the future. The aim of the research is to analyze the benefits of the health and cognitive function of the elderly in the community after the intervention of the care program. Community elders over 65 years old in Kaohsiung City were included in the research, and a two-hour program course was arranged every week for 12 weeks. A total of 103 questionnaires were collected, with 80 valid questionnaires. The data is analyzed by descriptive statistics and paired-t statistical methods. The results showed that 30 seconds of sitting and standing (p=0.001), sitting body forward bending (p=0.003), 5 meters sitting and walking (p＜0.001), left-hand grip strength (p=0.008) and right-hand grip strength (p＜0.001) were significant improvement after intervention compared to the basic value. In the cognitive function (MMSD) assessment, the memory aspect presents significant progress. The results of this research show that the programs to prevent or delay disability for elderly care could improve the physical fitness and memory of the elderly, and is suitable for the promotion of community activities.