長照機構實施動物輔助治療方案可行性分析：機構工作人員觀點

Feasibility Analysis of Implementing Animal-Assisted Therapy Programs in Long-Term Care Facilities: An Analysis of Staff Perspectives

隨著高齡人口持續攀升，長者因入住長照機構後，常因環境改變與行動受限而產生孤獨、恐懼，進而影響身心健康。非藥物性治療因具備情感支持特性，逐漸成為高齡照護介入的重要模式。其中動物輔助治療（Animal-Assisted Therapy，AAT）能透過治療動物的定期訪視，有效緩解孤獨與焦慮，並促進人際互動與生活滿意度。然而，此模式在國內推動有限，仍受限於人力、空間與感染控管等挑戰。本研究旨在：一、發展適用於住宿型長照機構之八周動物輔助治療課程方案；二、分析機構工作人員對該方案之可行性建議。研究方法採用德菲法，邀請12位具住宿型長照機構實務經驗之專家，針對課程內容（涵蓋情感支持、人際互動、安全管理、感染控制等面向）進行兩輪問卷調查。第一輪蒐集意見後修正，第二輪再評估課程之適切性與實務可行性。結果顯示，兩輪問卷回收率均達100%。第二輪各題平均數（M）均高於4.5（滿分5），四分位距（IQR）≤1.0，變異係數（CV）≤0.25，符合德菲法專家共識標準。整體而言。專家普遍肯定課程具高度可行性，能有效回應機構長者心理需求，並有助提升參與動機與照護品質，為未來實務推動與政策發展提供參考。

The rising elderly population often leads to loneliness and fear in long-term care (LTC) residents due to environmental changes and restricted mobility, negatively impacting their mental and physical health. Non-pharmacological interventions are thus becoming crucial. Among these, Animal-Assisted Therapy (AAT) effectively alleviates isolation and anxiety while promoting interaction and life satisfaction. However, AAT implementation in Taiwan remains limited by constraints such as human resources, space, and infection control. This study aimed to: 1) develop an eight-week AAT program suitable for residential LTC facilities, and 2) analyze institutional staff's perception of the program’s feasibility. The Delphi Method was employed, inviting 12 experts with practical residential LTC experience to evaluate the course content (covering emotional support, interaction, safety, and infection control) over two rounds. Results showed a 100% return rate for both rounds. In the second round, all items met the Delphi consensus criteria (Mean≥4.5 out of 5; IQR≤1.0; CV≤0.25). Experts overwhelmingly affirmed the program’s high feasibility, noting its potential to address residents’psychological needs, enhance participation, and improve the quality of care. This study provides a valuable reference for future AAT implementation and policy development.