從阿美族視角探討園藝健康促進方案對原住民高齡者健康促進效果的影響

目標：本研究由阿美族的視角來探索園藝健康促進方案如何促進阿美族高齡者的健康福祉，並評估具文化意涵的園藝健康促進方案對原住民高齡者健康促進的效益。方法：採準實驗法，共執行三週，研究對象為阿美族長者，以隨機分配法將其分配到實驗組和對照組，並以問卷方式進行量測。結果：對照組在生理健康、心理健康與幸福感等三個構面並未達顯著水準，惟在整體健康促進效果具顯著水準；而實驗組在社會互動、認知強化、心理健康、生理健康、自我提升、幸福感等構面均達顯著差異，且整體效果明顯；另兩組比較後發現，實驗組在園藝健康促進方案各構面效益及整體效果上，均優於對照組且多具顯著水準。結論：本研究證實綠色生命園藝健康促進方案對阿美族高齡者皆具正向效益，且導入文化元素後，可在更廣泛且核心的健康面向上提升效益，顯示文化適切性在阿美族高齡者健康促進成效中具有加乘作用，故未來在設計原住民族健康促進方案時，建議可將文化元素納入並做為整體健康促進規劃的重要條件。

Objectives: This study adopted an Amis cultural perspective to determine how horticultural programs promote health and well-being among older adults belonging to the Amis tribe. Methods: The present quasi-experimental study was conducted over a 3-week period. Amis older adults were randomly assigned to experimental and control groups. Health outcomes of a horticultural program were assessed using structured questionnaires. Results: In the control group, no significant improvements were observed in physiological health, psychological health, or well-being; however, overall health improved significantly. By contrast, in the experimental group, significant improvements were observed in all dimensions—social interaction, cognitive enhancement, psychological health, physiological health, self-improvement, and well-being—as well as in overall health. A comparative analysis revealed higher overall health and dimension scores in the experimental group than in the control group, with significant differences in social interaction, cognitive enhancement, psychological health, physiological health, self-improvement, and overall health scores. Conclusions: The findings revealed that the horticultural health promotion program benefitted Amis older adults. Incorporating cultural elements enhanced program effectiveness across comprehensive and core health dimensions, indicating that cultural appropriateness exerts a synergistic effect on health promotion outcomes. Thus, future health promotion programs for indigenous older adults should integrate cultural elements as core components.