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研究生:辛樂琴
研究生(外文):Le-Chin Hsin
論文名稱:園藝療法對改善機構老年人孤寂感、人際互動之成效探討
論文名稱(外文):The Effectiveness of Horticultural Therapy on Improving Loneliness and personal interaction among Institutionalized Elderly
指導教授:陳美戎陳美戎引用關係
指導教授(外文):Mei-Rong Chen
口試委員:李鳳屏許秀月
口試委員(外文):Feng-Ping LeeHsiu-Yueh Hsu
口試日期:2014-04-28
學位類別:碩士
校院名稱:輔英科技大學
系所名稱:護理系碩士班
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:中文
論文頁數:109
中文關鍵詞:園藝療法機構老年人孤寂感人際互動
外文關鍵詞:Horticultural TherapyInstitutional aged peopleLonelinessPersonal interaction
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園藝療法是利用有生命的植物為媒介,透過種植及觀察植物生長的過程,使老年人在參與園藝療法的過程中得到身、心靈的慰藉。老年人透過園藝療法的互動過程,得以重拾生活重心、並藉由種植植物擴展與人交談話題之效益,進而減少孤寂感及增加人際互動。
本研究在探討園藝療法介入後,對改善機構老年人的孤寂感、人際互動之程度。研究採雙組前後測之實驗設計,取樣於高雄市兩家長照機構中取的符合資格的老年人共60位,再依照個案隨機分派分為實驗組與控制組各30位。以結構性問卷調查進行資料收集,並針對實驗組個案施予每週一次的園藝療法活動,每次約30分鐘,共八週的園藝療法活動,而控制組則維持其常規活動及進行其孤寂感、人際互動量表之前後測。研究工具包含老年人基本屬性調查表、孤寂量表、人際互動功能量表。研究資料分析以SPSS18.0中文版套裝軟體進行分析,資料分析採用次數分配、百分比、平均值、標準差、最大值、最小值、全距、卡方檢定、獨立t檢定、配對t檢定、共變數分析等方法。
研究結果顯示,接受園藝療法活動的老年人於後測的孤寂感及人際互動皆有明顯改善(p<.000; p<.000),而兩組在後測比較亦顯示實驗組在孤寂感及人際互動改善狀況顯著優於控制組(p<.000; p<.000)。此研究結果表示園藝療法活動對於機構老年人在孤寂感及人際互動方面具有正向之效果,建議未來能在長期照護機構推廣以老年人的園藝療法活動,並安排有關園藝療法之輔助活動的在職教育課程,以瞭解園藝療法之輔助活動的好處和活動方式,以促進機構老年人的身心健康,提升機構照護品質之依據。

Horticultural therapy is the use plants as a media, and through the process of planting and observing the growing process of the plants, improve the physical, pyschological and spiritual well-being. Through the interactive process of horticultural therapy, the elderly may regain the essence of life. Moreover, through sharing the experiences of growing plants, the elderly may have the chance to interact with others and thus to reduce the feelings of loneliness and to increase inter-personal interaction.
The purpose of this study was to examine the effectiveness of horticultural therapy on improving loneliness and interpersonal interaction of institutionalized elderly in southern Taiwan. A quasi-experimental study with two groups, pre- and post-test design was utilized in this study. A purposive sampling method was used to recruit potential subjects from two elderly care institutions in Kaohsiung city. Sixty residents were randomly and equally assigned to either intervention or control groups. A face-to-face interview method was adopted to collect data through structured questionnaires. Subjects in the intervention group received horticultural therapy 30 minutes once a week, for eight weeks. On the other hand, the control group received regular daily care. Subjects in both groups were measured at baseline and one week after the end of horticultural therapy. Research instruments for this study included a demographic questionnaire, the UCLA Loneliness Scale (version 3), and the Personal Function Scale. The SPSS 18.0 software package of Chinese version was used in this study to analyze data. Descriptive statistics were used including frequency distribution, percentage, mean, standard deviation, maximum, minimum and range, and inferential statistics including Chi-square test, Independent t-test, Paired t-test, and analysis of covariance test.
The results of this study showed that subjects in the intervention group had significant improvement in their feelings of loneliness and personal interaction after implementing horticultural therapy (p< .000, p< .000). Also, significant differences of post-test scores were found between groups in terms of feelings of loneliness and personal interaction (p<.000; p<.000). These findings indicated that horticulture therapy had positive effects on institutionalized loneliness and personal interaction, and suggests that horticulture therapy can be adopted as a choice beneficial of activities for institutionalized elderly. In order for health care providers to adopt horticultural therapy in their care activities, horticultural therapy can be integrated into health care providers’ continuing education program to ultimately promote quality of care.

誌謝 I
中文摘要 II
英文摘要 IV
目錄 VI
附錄 VIII
圖表目錄 IX
第一章 緒論 1
第一節 研究背景與重要性 1
第二節 研究目的 4
第三節 研究假設 5
第四節 名詞界定 6
第二章 文獻查證 8
第一節 機構老年人與孤寂感 8
第二節 人際互動 14
第三節 園藝療法 18
第三章 研究方法 29
第一節 研究架構 29
第二節 研究設計 30
第三節 研究地點 31
第四節 研究對象及取樣 31
第五節 研究工具 32
第六節 研究過程 34
第七節 資料分析 40
第八節 倫理考量 41
第四章 研究結果 43
第一節 研究對象之描述性統計 43
第二節 孤寂感、人際互動之前測 49
第三節 園藝療法對孤寂感之成效 53
第四節 園藝療法對人際互動之成效 55
第五章 討論 57
第一節 研究對象之基本屬性 57
第二節 孤寂感、人際互動 59
第三節 園藝療法對孤寂感之成效 61
第四節 園藝療法對人際互動之成效 63
第六章 結論與建議 66
第一節 結論 66
第二節 研究限制 67
第三節 護理之應用與建議68
參考文獻 70
中文部份 70
英文部分 77
附錄
附錄一 研究同意書、基本問卷資料表 84
附錄二 簡短心智量表(Short Portable Mental State Questionnaire, SPMSQ) 86
附錄三 日常生活活動能力(Activity of Daily Living, ADL) 87
附錄四 UCLA孤寂感量表(第三版) 89
附錄五 人際互動功能量表 91
附錄六 認證園藝治療師證書 92
附錄七 UCLA孤寂感量表(第三版)使用同意書信件 93
附錄八 人際互動功能量表使用同意書 94
附錄九 人體試驗委員會同意臨床試驗證明書 95
圖表目錄
圖一 研究架構 29
圖二 研究資料收集步驟 39
表一 國內外園藝治療的發展史 18
表二 園藝療法應用之國內外的相關研究 24
表三 研究設計 29
表四 單元內容大綱 35
表五 實驗組與控制組人口學屬性比較表 46
表六 實驗組與控制組孤寂感之前測平均分數比 48
表七 UCLA孤寂量表前測各題得分平均數及標準差 49
表八 實驗組與控制組人際互動之前測平均分數比 50
表九 人際互動功能量表前測各題得分平均數及標準差 51
表十 實驗組與控制組之前後測及組間孤寂感比較 52
表十一 實驗組孤寂感各項目前後測平均分數比 53
表十二 實驗組與控制組之前後測及組間人際互動比較 54
表十三 實驗組人際互動各項目前後測平均分數比 55

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