臺灣博碩士論文加值系統

失智症是常見的老年疾病，不僅影響患者本身日常生活能力，對於家屬及社會更是一大挑戰。由於失智症無法治癒，只能透過藥物及非藥物治療減緩其惡化速度，其中懷舊治療即是失智症照護實務中最常見的非藥物治療方法。
為了更彈性實施懷舊治療活動，並使失智者在懷舊活動過程中更具自主性，本研究設計開發一套以台灣本土代表性懷舊意象為元素之數位懷舊系統，以「我的記憶，與你共存」為意義，取「憶存」為本研究系統命名。本研究藉由參訪彰化照護機構及台灣本土懷舊意象調查之結果，作為系統設計開發之根據。系統以網頁形式建置，系統內建素材為彰化地區懷舊人事物，並以團體懷舊治療方式，引導輕、中度失智者創造自己的故事，最後，本研究利用SPSS對使用性問卷進行統計分析。
研究結果發現，不同年齡層過往記憶有其獨特且明顯的劃分，將懷舊元素數位化並分類，能透過資料庫對檔案進行管理，讓使用者自主性選擇有共鳴之素材做為觸發物，搭配語音及畫面記錄，能使懷舊治療過程更完整被記錄。

Dementia is a common senile disease that not only affects the patient's daily life ability, but also poses a major challenge to family members and society. Because dementia can't be cured, it can only slow down the rate of deterioration through drug and non-drug treatment. Reminiscence therapy is the most common non-drug treatment in dementia care practice.
In order to more flexibly implement reminiscence therapy and make the dementia more autonomic in the process, this study designed and developed a digital reminiscence System with Taiwan's representative nostalgic things. Take "my story, store with you" as meaning, and "Restor" as the name of the research system. The design and development of Restor is based on the visits of Changhua care institutions and the result of Taiwan's representative nostalgic questionnaires. Restor is a webpage, and the built-in material of the system is nostalgic things in the Changhua. This study used group reminiscence therapy methods to guide light and moderate dementia to create their own stories. Finally, this study used SPSS to conduct statistical analysis of the usability questionnaire.
The study found that the past memories of different age groups have their own unique and obvious division. Classified digitalized nostalgic materials can be managed through the database, and can be given different choices by different users. With voice and picture recording, the reminiscence therapy process can be recorded more completely.

中文摘要 i
Abstract ii
誌 謝 iii
目 錄 iv
圖索引 vi
表索引 viii
第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的 8
第三節 名詞釋義 9
第四節 研究範圍與限制 10
第二章 文獻探討 12
第一節 失智症 12
第二節 懷舊治療 19
第三節 失智症之輔助科技 23
第四節 使用性 27
第五節 小結 31
第三章 研究方法 32
第一節 研究架構 32
第二節 研究流程 33
第三節 實驗設計 35
第四節 使用性問卷 43
第四章 數位懷舊系統 48
第一節 照護機構場域觀察 48
第二節 台灣本土懷舊意象調查 50
第三節 數位懷舊系統建置 55
第四節 系統介面雛型 59
第五章 實驗結果分析 64
第一節 樣本特性 64
第二節 行為觀察 68
第三節 數位懷舊系統故事製作 72
第四節 信效度評估 78
第五節 小結 81
第六章 結論與討論 82
第一節 結論 82
第二節 研究貢獻 84
第三節 未來研究方向 86
參考文獻 87
附錄一 CDR臨床失智評分量表 94
附錄二 台灣本土懷舊意象調查問卷 96
附錄三 研究參與者同意書 106
附錄四 系統使用性評估問卷 109

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