智慧型能力回復機介入生活自立支援之成效研究

A Research Study on the Effectiveness of Intervention of an Intelligent Ability Recovery Machine on Independent Living Support

為因應未來龐大的長照需求並減輕家庭照顧沈重的負擔，政府積極推動預防及延緩失能照顧，如何讓中高齡者透過使用智慧型能力回復機介入生活自立支援延緩老化，是非常重要的議題，本研究以社團法人南投縣基督教青年會銀髮健身俱樂部學員使用智慧型能力回復機為研究對象，共計50人，研究方式先進行功能性體適能前測再進行12週課程，課程後進行功能性體適能後測及使用智慧型能力回復機的參與動機、效益、滿意度之問卷調查，再將三者之間相關性及人口統計變項之間的差異進行分析，共發出50份，回收有效樣本50份。研究結果：（1）人口統計變項中的不同健康狀況與參與動機、參與效益、參與滿意度皆有顯著差異。（2）五項功能性體適能前後測均具顯著進步（3）參與動機、參與效益、參與滿意度整體平均數皆屬中高程度。顯示規律的參與銀髮健身俱樂部的智慧型能力回復機運動訓練對中高齡者的身體功能有正面影響，可提供日照中心、巷弄長照站及長照機構在預防及延緩失能活動設計參考，建議政府與民間合作推廣銀髮健身俱樂部，透過運動指導人員提供運動指導服務、鼓勵長者就近依個別需求進行身體活動，以預防及延緩失能及增加長者參與活動的可近性。

In response to the massive demands for long-term care in the future and to relieve the heavy burden of domestic care, the Government has been proactively promoting the prevention and delay of disability care. The issue of interventions for middle-aged and senior citizens to achieve self-support by Intelligent Power Rehabilitation (IPR) machines to slow down the aging process has emerged as a critical issue. This study targeted the participants of the Silver Fitness Club of the Nantou YMCA who use the intelligent power rehabilitation machine, and there were 50 participants in total. The study was conducted firstly by taking the functional physical fitness pre-test followed by a 12-week course, and after the course, a functional physical fitness post-test and a questionnaire survey which contained three factors namely, participation motivation, benefits, and satisfaction level of the use of the Intelligent Power Rehabilitation Machine were conducted. Then, the correlation among the three factors and the differences among demographic variables were analyzed, and a total of 50 samples were sent out, and 50 valid samples were recovered. The results of the study showed that (1) there were significant differences in the demographic variables of different health status, motivation to participate, benefits of participation, and satisfaction with participation. (2) There were significant improvements in all seven measures of functional fitness (3) The overall mean scores of motivations, benefits, and satisfaction were all in the medium-high range. This study shows that regular participation in the Silver Fitness Club's Intelligent Power Rehabilitation Machine exercise training has had a positive impact on the physical functioning of the middle-aged and elderly. This study can offer references for the design of prevention and delaying disabilities activities for daycare centers, long-term care centers, and long-term care organizations. We suggest that the Government should collaborate with the private sector to promote silver fitness clubs. These clubs should provide exercise guidance services through exercise instructors and encourage the elderly to engage in physical activities in their neighborhoods according to their individual needs, so as to prevent and delay disability and increase the proximity of the elderly to participate in activities.