臺灣博碩士論文加值系統

失智症的人口，全球以3.2秒增加一位新病例速度繼續上升。全球人口分布，亞洲的490萬佔49％居全球首冠，台灣的人口老年化讓失智人數更持續呈倍數增加，推估2017年台灣65歲以上的老人每13人即有1位失智患者。失智症對患者、照顧者、家屬、社會、國家及全球的照護人力與費用都形成嚴重衝擊。故本研究旨在探討介入氣功運動後，認知功能障礙老年人其短期記憶、專注力、生理功能與生活品質的成效。本研究法採重複測量實驗設計，受試是者以以電腦區塊隨機排序分派方法，將符合條件受試者隨機分派為實驗組(氣功組)與控制組，實驗組(n=35)給予介入站樁氣功運動措施，控制組(n=31)維持一般活動，於措施前進行前測，神經心理認知與肌力、肌耐力與心肺適能測量，每個月進行檢測，持續3個月，在前測及第3個月後測加測簡易智能狀態及生活品質量表。測量數據以SPSS 22.0進行分析，比較兩組在神神經心理認知CORIS、COG比較與肌力、肌耐力與肺適能之差異。研究結果顯示，站樁氣功介入措施後，實驗組在後側2個月與後測3個月的肌力、肌耐力、心肺適能的交互作用皆達顯著差異。實驗組與控制組在短期記憶認知區塊敲擊正確點擊與專注力的點擊命中率，在介入後第1個月到第3個月均呈上升趨勢，且實驗組成效較佳，在組別與時間交互作用上均達顯著差異。本研究結論顯示站樁氣功運動訓練可提升認知短期記憶與專注能力，增加老年人之生理功能可提供臨床醫護人員在照護認知功能障礙或功能下降病人之參考應用。

The number of dementia patients continues to rise at a rate of 3.2 seconds per new case. With the global population distribution, 4.9 million in Asia accounted for 49% of the world’s population. The aging of Taiwan's population has caused the number of demented people to continue to increase by multiples. It is estimated that there will be 1 dementia for every 13 people aged over 65 in Taiwan in 2017. patient. The purpose of this study was to investigate the effects of short-term memory, concentration, and physical functioning on cognitively impaired older adults after intervention in qigong exercises. In this study, repeated measurement experimental design was used. Subjects were assigned randomly using computer blocks. Experimental group (n=35) was given interventional station pile qigong exercises. Control group (n=31) maintained general activities. Before the measure, pre-test, neuropsychological cognition and muscle strength, endurance and cardiorespiratory fitness were measured every month for 3 months. The measurement data was analyzed by SPSS 22.0. The results showed that after interventional measures of staging qigong, there were significant differences in muscle strength, muscle endurance, and cardiopulmonary fitness between the experimental group at the posterior 2 months and the 3 months after the survey. . In the short-term memory cognitive block, the hit and focus hit rates of the experimental group and the control group were increased from the first month to the third month after the intervention, and the experimental results were better than that in the control group. There are significant differences in interaction with time. The conclusion of this study shows that the training of standing qigong exercises can improve cognitive short-term memory and concentration, and increase the physiological function of the elderly.

目　　次
中文摘要 ……………………………………………………………………………i
英文摘要 ……………………………………………………………………………ii
目次 …………………………………………………………………………………iii
表次 …………………………………………………………………………………iv
圖次…………………………………………………………………………………. v第一章 緒論v
第一節 研究背景與動機………………………………………………………… 1第二節 研究目的………………………………………………………………… 2 第三節 研究質疑………………………………………………………………… 2第四節 研究假設………………………………………………………………… 2
第二章 文獻探討
第一節 老年人的生理與認知功能 …………………………………………… 3
第二節 站樁氣功...….…………………………………………………………….6
第三節 氣功與認知的相關研究………………………………………… ………8
第四節 氣功與生理功能之相關研究…………………………………………… 9
第五節氣功與生活品質之相關研究…………………………………………… 11
第三章 研究架構與研究假設
第一節 研究架構 ……………………………………………………………… 14第二節 名詞界定 ……………………………………………………………….15
第四章 研究方法
第一節 研究設計 ……………………………………………………………….17第二節 研究對象及地點 ……………………………………………………….18
第三節 研究工具 …………………………………………………………….…19
第四節 研究步驟 …………………………………………………………….…24
第五節 研究對象權益維護與倫理考量 ………………………………………26
第六節 資料處理與分析 ………………………………………………………26
第五章 研究結果
第一節 研究對象之基本屬性 …………………………………………………28
第二節 站樁氣功介入前後認知障礙老年人之認知功能差異 ………………31
第三節 站樁氣功介入前後認知障礙老年人生理功能之差異 ………………34
第四節 站樁氣功介入前後認知障礙老年人生活品質之差異 ………………38
第六章 討論
第一節 研究對象屬性分析 ……………………………………………………43
第二節 站樁氣功介入前後認知障礙老年人認知功能之影響 ………………43
第三節 站樁氣功介入前後認知障礙老年人生理功能之成效 ………………45
第四節 站樁氣功介入前後認知障礙老年人生活品質之影響 ………………46
第七章 結論與建議
第一節 結論……………………………………………………………………47
第二節 護理的應用 ……………………………………………………………48
第三節 研究建議與限制 ………………………………………………………49
參考文獻
中文部分.………………………………………………………………………...50
英文部分.………………………………………………………………………...51

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