臺灣博碩士論文加值系統

本研究目的主要在探討音樂照顧活動於機構中高齡者成功老化之影響成效，以期提供高齡者從事規律身體活動，提升人際互動以及社會參與，進而促進高齡者生理、心理及社會層面的健康改善，達到成功老化目標。
本研究採實驗設計法，以立意取樣方式於嘉義市某安養機構，選取符合收案條件的高齡者為研究對象，共收案34位，平均年齡76.21±7.24歲。透過音樂照顧活動有無、性別以及身體功能進行為期十二週實驗，音樂照顧介入組進行一週兩次，每次約一小時之音樂照顧活動，無音樂活動介入組則維持機構內原有的生活作息，並記錄五次坐姿起立測試、三米來回測試、抓握力、十秒上舉測試、成功老化量表等生理指標。研究結果顯示，音樂照顧活動介入組在十二週實驗結束後，由實驗數據、現場觀察以及機構相關人員的發現，音樂照顧活動介入組受試者其生理、心理及社會層面上皆有正向的改善，對促進成功老化上有正面的成效。
本研究結果，除了可提供高齡者相關安養機構作參考，在後續研究上，亦可作為探討音樂照顧活動對於高齡者老年生活助益之參考資訊。

The purpose of this research is to investigate the effectiveness of music care on successful aging living in care institution.
An experimental design was used in this study. Thirty-four subjects (76.21ys±7.24ys) from a care institution in Chiayi City were observed. The experiment proceeded in two groups including the experiment group and the control group. For the experiment group, music care was used as a routine activity: one hour each time and twice a week for 12 weeks. The control group followed daily activities arranged by care institution. Before and after the experiments, the subjects’ data of Five-Time-Sit-to-Stand test, Timed-Up-and-Go test, Hand grip strength, Upper limb elevation test and questionnaire were recorded. The results showed that the experiment group has significant and positive improvement in physical, psychological and social aspects. It shows that music care have positive results in the promotion of successful aging.
The results suggest that the care institution can use music care as a regular activity for elders. In addition, future researches could explore the benefit of music care for elders based on this study.

摘 要 i
ABSTRACT ii
誌 謝 iii
目 錄 v
表 目 錄 viii
圖 目 錄 ix
一、?論 1
1.1 研究背景與動機 1
1.2 研究目的 5
1.3 名詞定義 5
1.4 研究範圍與限制 6
二、文獻探討 8
2.1 成功老化 8
2.1.1 成功老化 8
2.1.1.1 Baltes & Baltes的「選擇、最適化與補償」模型 9
2.1.1.2 Rowe & Kahn的「疾病失能低風險、心智身體高功能及對生活積極承諾」模型 10
2.1.2 成功老化的相關研究 11
2.1.3 成功老化之變項關係探討 11
2.2 身體活動 12
2.2.1 身體活動之概念 12
2.2.2 高齡者與身體活動之相關研究 13
2.2.3 影響高齡者規律身體活動因素 14
2.3 音樂治療 15
2.3.1 音樂治療定義 15
2.3.2 音樂治療與老人之相關性研究 15
2.3.3 加賀谷宮本式音樂照顧 16
三、研究方法 19
3.1 實驗目的 19
3.2 實驗假設 20
3.3 實驗工具與設備 20
3.3.1 實驗工具 20
3.3.2 實驗設備 21
3.4 實驗設計 23
3.4.1 自變項 24
3.4.2 依變項 25
3.5 受測者 26
3.6 實驗流程 26
3.7 實驗介入措施 30
3.7.1 對照組 30
3.7.2 實驗組 31
3.8 資料處理與分析 35
四、研究結果 36
4.1 研究對象之人口學屬性 36
4.2 身體功能無失能與輕度失能受試者於實驗介入前其個人生理指標之差異 37
4.3 個人生理指標改變量之差異比較 39
4.4 音樂照顧活動有無對個人生理指標之分析 46
4.5 客觀生理指標與主觀自覺評量之分析 47
4.5.1 FTSS之分析 47
4.5.2 TUG之分析 48
4.5.3 HGS之分析 48
4.5.4 ULE之分析 49
4.5.5 成功老化量表之分析 50
4.6 音樂照顧活動介入有無於受試者成功老化構面改變量之差異比較 51
4.7 成功老化量表構面分析 56
4.8 音樂照顧活動介入受試者成功老化整體狀況之分析 57
4.9 相關係數分析 58
五、討論 59
5.1 研究對象之同質性 59
5.2 探討音樂照顧活動對於生理指標之影響 59
5.2.1 FTSS與TUG 59
5.2.2 HGS、ULE與成功老化量表 59
5.2.3 生理指標進步率 60
5.3 探討音樂照顧活動對於各組別之影響 61
5.4 探討音樂照顧活動對於成功老化之影響 62
5.4.1 生理層面 62
5.4.2 心理層面 63
5.4.3 社會層面 64
5.4.4 整體成功老化 64
六、研究結論與建議 66
6.1 研究結論 66
6.1.1利用音樂照顧活動，提供一個有效協助老人從事規律且安全的身體活動 66
6.1.2利用音樂照顧活動，對老年人日常生活功能性、心靈層面與社會參與的提升 66
6.2 研究建議 67
6.2.1 實務的應用 67
6.2.2 未來建議 67
參考文獻 68
附錄 75

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