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系統識別號 U0026-1411201811280100
論文名稱(中文) 結合認知訓練的運動介入對於衰弱高齡者的衰弱及功能性體適能之成效
論文名稱(英文) The effects of physical activities with cognitive components on frailty and functional fitness among frail older adults
校院名稱 成功大學
系所名稱(中) 老年學研究所
系所名稱(英) Institute of Gerontology
學年度 106
學期 2
出版年 107
研究生(中文) 陳良進
研究生(英文) Liang-Chin Chen
學號 TC6054034
學位類別 碩士
語文別 中文
論文頁數 68頁
口試委員 口試委員-官大紳
口試委員-王新台
指導教授-范聖育
中文關鍵字 認知元素  運動  衰弱  功能性體適能  高齡者 
英文關鍵字 Cognitive elements  Exercise  Frailty  Functional fitness  Older adults 
學科別分類
中文摘要 背景:衰弱容易造成高齡者不良的健康結果,而規律運動可以維持或增進高齡者的功能性體適能,減少或延緩失能現象。為了增加趣味性,體適能指導員會在運動中增加認知元素,例如記憶或數學成份。本研究目的為探討結合認知元素的運動介入對於衰弱高齡者在衰弱程度、功能性體適能、日常生活活動功能(Activity of daily living, ADL)的成效。
研究方法:從台灣南部安養機構中徵求65 歲以上衰弱高齡者。採取類實驗設計,以單位隨機方式將研究參與者分派至認知運動組(n=25)或單純運動組(n=28)。兩組都接受12 週,每週2 次,每次60 分鐘的運動介入。單純運動組接受整合性運動;認知運動組接受同樣強度的整合性運動,並將認知能力的專注、記憶、數學之元素與運動動作結合,讓研究參與者同時接受認知與運動訓練。以共變數分析(Analysis of covariance, ANCOVA)分析介入的成效,並使用T 檢定比較兩組在基準點的差異以及不同運動後的成效。
研究結果:兩組間僅只有在衰弱程度(F = 8.63, p = 0.005)有顯著的交互作用,單純運動組之改善程度優於認知運動組。而認知運動組在ADL (t = -2.58, p = 0.017)、上肢柔軟度(右側) (t = -3.50, p = 0.002)、上肢柔軟度(左側) (t = -2.48, p = 0.02)、下肢柔軟
度(右側) (t = -4.69, p < 0.001)、下肢柔軟度(左側) (t = -4.24, p < 0.001)有顯著的提升。單純運動組在衰弱程度(t = 5.89, p < 0.001)、ADL(t = -4.08, p < 0.001)、上肢柔軟度(右側) (t = -4.13, p < 0.001)、上肢柔軟度(左側) (t = -4.35, p < 0.001)也有顯著進步。課程滿意度兩組無顯著差異。
結論:認知運動課程有助於改善機構衰弱高齡者的ADL、柔軟度。建議安養機構未來可規劃長期、規律的課程;或推廣至社區,以改善衰弱高齡者的體適能。
關鍵字:認知元素、運動、衰弱、功能性體適能、高齡者
英文摘要 Frailty may lead to poor health outcomes in older adults, and regular exercise can maintain or enhance the functional fitness and avoid disability. Exercise trainer may integrate cognitive components into exercise for increasing fun. The aims of this study were to
investigate the effects of an exercise intervention combining cognitive components on frailty, functional fitness, and activity of daily livings (ADL). Aged 65 and over frail older adults were recruited from nursing homes in Southern Taiwan. Quasi-experimental design was conducted and participants were randomly assigned based on the institution where they stayed to the exercise combining cognitive (EC, n=25) or the exercise group (EX,
n=28). EC group accepted the integrated exercise combining cognitive components. EX group received the same intensity integrated exercise. All participants received 60-minute
exercise training sessions, twice a week for 12 weeks. Frailty, functional fitness, ADL were assessed at baseline and after intervention. Analysis of covariance of variance
(ANCOVA) was used to analyze the effects of intervention, and paired T-test was used to compare the differences between baseline and after intervention in each group.EC group improved ADL, upper flexibility, low flexibility. EX group improved frailty, ADL, upper flexibility. Exercise combining cognitive components may improve ADL and flexibility of older adults in nursing homes. In the future, this style of exercise can be used in the
communities and long-term care institutions to improve the frail older adults’ functional abilities.
Keywords:Cognitive elements, Exercise, Frailty, Functional fitness, Older adults
論文目次 目錄
中文摘要 .............. I
英文摘要...............II
表目錄 ............... VII
圖目錄 ............... VII
第一章、前言 ............. 1
第一節 研究背景與動機 ............ 1
第二節 研究目的 .............. 2
第三節 專有名詞 .............. 2
第二章、文獻回顧 ............. 4
第一節 衰弱的定義與測量指標 .......... 4
第二節 衰弱的治療與預防 ............ 5
第三節 運動介入對於衰弱之成效 .......... 6
第四節 認知介入、認知結合運動對於功能性體適能成效 ...... 10
第五節 研究假設 .............. 12
第三章、研究方法 ............. 13
第一節 研究對象 .............. 13
第二節 研究設計 .............. 13
第三節 運動介入 .............. 14
第四節 測量工具 .............. 22
第五節 統計分析 .............. 25
第六節 研究倫理 .............. 26
第四章 研究結果 ............. 27
第一節 人口學基本資料描述 ............ 27
第二節 運動認知組與單純運動組於前測結果分析之比較 ...... 29
VI
第三節 運動認知組與單純運動組介入成效之比較 ........ 30
第四節 運動認知組或單純運動組在介入前後依變項之改變 ...... 30
第五節 不同運動方式之滿意度分析 .......... 31
第五章 討論 ............. 38
第一節 不同運動介入對於功能性體適能提升之探討 ...... 38
第二節 不同運動介入對於功能性體適能未改善原因之探討 ...... 40
第三節 不同運動介入對於運動滿意度之成效 ........ 44
第四節 結合認知元素運動實際操作建議 ........ 45
第五節 結論與未來建議 ............ 47
參考文獻 ............. 49
附錄 ............... 58
一、同意人體研究證明書 ............ 58
二、研究問卷 .............. 59
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