社區健康老人整合性健康促進方案初探之成效──自癒力教室

An investigation on the impact of integrated health promotion program in community dwelling old people: Self-healing Enhancement Program(SEP)

本研究以自癒力教室為例進行15個月的研究，包含三階段課程與兩次課程後的追蹤，檢驗整合型的健康促進對老年人的影響：一、對於生理指標的影響；二、對心理指標的影響；三、以及是否能夠帶來持續性的效應，共140人參與第一階段的課程，65人完整參與三階段課程，並進行課程後的兩次追蹤。結果發現，整合性的健康促進方案，對於生理指標的影響較為明顯，在心理指標上，僅對於生活品質評估有正面影響。另外，此15個月的研究也發現，經過5次的介入與追蹤都持續有效，顯示自癒力教室有潛力成為提升老年人健康的作法。展望未來，可積極推動促成行為改變的整合型健康促進方案，預防或延緩失能。

This 15-month research with 3 levels of program and 2 times follow-ups used Self-healing Enhancement Program (SEP) as an approach to investigate the impact of integrated health promotion program on older adults: 1. Impact on physiological index; 2. Impact on psychological index; 3. Lasting impact. There were 140 older adults participated the first level program, and 65 older adults completed the three levels program with 2 times follow-ups. The results showed that the integrated health promotion program is more effective on physiological index compared to psychological ones. In addition, the results also showed that the 15-months program has lasting impact on 3 months and 6 months follow-up examinations after 9 months intervention. Based on the findings from current study, Self-healing Enhancement Program has potential in promoting health among older adults. For future perspective, the integrated health promotion program should be actively advocated to prevent or delay the onset of disability.