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系統識別號 U0026-3107201800452100
論文名稱(中文) 靈性學習對高齡者的認知功能與生活品質之個案研究
論文名稱(英文) The Study of the Relation between the Elder’s Cognitive Function and Quality of Life by the Spiritual Learning
校院名稱 成功大學
系所名稱(中) 工程管理碩士在職專班
系所名稱(英) Institute of Engineering Management (on the job class)
學年度 106
學期 2
出版年 107
研究生(中文) 林卉鵑
研究生(英文) Hui-Chuan Lin
學號 N07041376
學位類別 碩士
語文別 中文
論文頁數 45頁
口試委員 指導教授-邵揮洲
共同指導教授-張玲慧
口試委員-尹協德
口試委員-劉世南
中文關鍵字 高齡者  靈性學習  認知功能  生活品質 
英文關鍵字 Elderly  Spiritual Learning  Cognitive Function  Life Quality 
學科別分類
中文摘要 人口老化早已是全球性的趨勢,高齡者老化過程中,晚年生活面對各種危機下如何維持其幸福感及減緩認知功能衰退,使高齡者能在健康及維持有尊嚴享受老年生活是各界關心之議題。
高齡者的認知功能衰退會影響到個體生活品質、獨立生活功能,甚至可能罹患失智症之疾病,且其面臨的不單是生理的衰老現象,也包括角色轉變的生活適應與生命挑戰,當個體缺乏生活的目標與追求生命意義,較容易產生負面情緒。我們應該如何面對高齡化社會,在秉持減少疾病與失能情況下仍維持心智與身體機能之健康,使高齡者晚年保有健康及更有價值與意義。世界衛生組織在1998年重新定義健康,加入「靈性」並視其為健康的要素指標之一,因此,本研究目的以靈性學習對高齡者的認知功能與生活品質之個案研究,本研究採用質性訪談與量化統計研究,針對以福智教育園區中「退居班」中65歲以上的高齡者進行個案研究。本研究結果發現,第一、靈性學習為透過主觀經驗學到的靈性知識,進而追尋生命意義、察覺自我、從中學習自我的生命意義,第二、個案透過靈性學習,使其高齡者可維持認知功能的正常表現,第三、個案透過靈性學習,對於晚年有生活目標,對整體生活品質主觀感受存在正向關係。
本研究的具體貢獻為透過個案研究,讓人們可以更早接觸靈性學習,進而預防年老的快速衰退及對於自我晚年價值感給予正向評價。
英文摘要 Population ageing has long been a global trend, during the ageing process of elders, facing various crises in their twilight years such as how to maintain happiness and reduce the decline in cognitive function so they can enjoy their lives in a manner of health and maintain dignity, is a concerned issue to all parts of society.
The decline in cognitive function of the elderly will affect the life quality of individuals, independent living functions, and may even suffer from the Dementia. They confront not only the physical aging phenomena but life adaptations and challenges of changing roles. When individuals lack for goals and seeking the meaning of their lives, it is more likely to produce negative emotions. How we face the aging society and maintain a healthy mind and physical function while reducing illness and disability so that the elderly can keep their health in good condition in later years which can create more values and significances. In 1998, the World Health Organization redefined “health” and added “spirituality” as one of its key indicators. Therefore, the purpose of this research is to use case studies of spiritual learning on the cognitive function and quality of life of elderly people. Qualitative interview and quantitative research were adopted in this study, conducted case studies of elderly people aged 65 or above in the “retirement class” at the Bliss and Wisdom Educational Park.
This study found that: Firstly, the spiritual learning is the spiritual knowledge learned through subjective experience, thereby seeks the meaning of life, perceives one's self and learns the meaning of life of one's self. Secondly, through the spiritual learning, the case is able to maintain normal performance of cognitive function. Thirdly, through the spiritual learning, the case will have life goals in the later years, and there is a positive relationship between the subjective feelings of the overall life quality and it. The specific contribution of this paper is that through case studies, people can be engaged in spiritual learning earlier, thereby preventing the rapid decline of the aging process and making a positive assessment to their sense of value in their later years.
論文目次 摘要 I
Extended Abstract II
誌謝 V
目錄 VI
表目錄 IX
圖目錄 X
中英文全名對照表 XI
第一章 緒論 1
1.1 研究背景 1
1.2 研究動機 2
1.3 研究目的 2
1.4 研究範圍與限制 3
1.5 研究問題 3
第二章 文獻探討 4
2.1 老化過程與老年發展理論探討 4
2.1.1 老化過程探討 4
2.1.2 老年期的發展任務理論 5
2.2 靈性發展之探討 6
2.2.1 靈性的定義 6
2.2.2 靈性健康的意涵及面向 7
2.2.3 高齡者的靈性發展需求 7
2.3 認知促進活動與認知功能表現關係探討 8
2.3.1 認知促進活動與認知功能表現 8
2.3.2高齡者的認知功能衰退的狀況 10
2.4 生活品質的定義與相關研究 11
2.4.1 生活品質的定義 11
2.4.2 生活品質的量測 11
2.4.3 影響高齡者生活滿意度的相關因素 12
第三章 研究方法 14
3.1 研究架構與流程 14
3.2 研究個案對象 17
3.3 研究問題 17
3.3.1 訪談問題設計 17
3.4 研究工具 18
3.4.1 量化問卷調查表 18
3.4.2 質性訪談使用工具 19
3.5 資料分析 20
3.6 研究倫理 20
第四章 研究結果 21
4.1 研究個案特性描述 21
4.1.1 背景資料分析 21
4.1.2 靈性學習之高齡者認知功能現況分析 23
4.1.3 靈性學習之高齡者生活品質現況分析 23
4.2 相關分析 24
4.2.1 靈性學習之高齡者認知功能分析 24
4.2.2 靈性學習之高齡者生活品質分析 29
4.3 研究問題結果與討論 34
4.4 研究發現 35
第五章 結論與建議 37
5.1 結論 37
5.2 研究建議 37
5.3 未來研究建議 38
參考文獻 39
附件一研究和訪談問題 44
附件二成大倫理審查證明 45

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