本研究旨在探討身心動作教育課程應用於改善失智症照顧者照顧負荷之可能性，實施過程中瞭解失智症照顧者對身心動作教育課程實施接受度與學習情況，以及實施課程對失智症照顧者改善照顧負荷之情形，最後瞭解教學者在教學行動歷程的反思和成長。研究方法採行動研究進行，研究者對象為立意取樣之兩位女性失智症照顧者，實施七週，每週一次每次130分鐘的身心動作教育課程，透過家庭照護者心理負擔問卷、疲勞視覺類比量表、課後回饋單、觀察員紀錄表、教學省思日誌、課堂影片、課前實施前與實施後訪談紀錄等進行資料收集與分析。研究結果發現：
一、本研究所編排之身心動作教育課程可為失智症照顧者所接受，其中以身體結構與軟球動作探索最受喜愛。
二、身心動作教育課程對改善失智症照顧者照顧負荷效果多呈現於課程實施過程，其中對改善身心疲勞、身體疼痛與睡眠問題有顯著良好的效果，對負面情緒的改善則較不明顯。
三、研究者經由行動歷程的省思，在課程編排、教學能力與專業知識等各方面皆有所精進，在教學與自我專業知能上獲得不少收穫與成長。
研究結論：身心動作教育課程對失智症照顧者身體疼痛、身心疲勞有正面效果，惟課程設計與教學實施需進一步規劃。本研究將針對相關問題及未來研究方向提出建議。

This purpose of the research was to arrange a specific course for Dementia caregives based on the concept of Somatic Movement Education. The course used to improve Dementia caregivers burden, understanding dementia caregivers during the implementation of acceptance and implementation of physical education curriculum studies, and implementing curricula to improve care for dementia care load conditions, final reflections about teaching in the teaching course of action and growth.
Research method action research for researchers object to conception sampling of two bit female lost intellectual syndrome care who, implementation 7 week, weekly once each 130 minutes of physical and mental action education courses, through Zarit Burden Interview and Visual Analogue for Fatigue Scale, and class feedback single, and observer records table, and teaching diary, and classroom film, and interviews records as discussion of pursuant to. Results showed that:
1. The Somatic Movement Education was applicable to the Dementia caregivers.
2. The caregiver demonstrated an 90% of acceptable and active reaction to the learning process, particularly in body mapping and fascial ball. Along with the course, their learning situation get better than before.
3. Somatic Movement Education improve dementia caregivers burden effect on curriculum implementation. It proved significantly positive improvement on physical and mental fatigue, body aches and sleep problems; however, negative emotions was not show obvious effect.
4. The research had done much benefit not only to the Dementia caregiver but also to the research’s teaching ability, professional knowledge and designing skill as well.
Conclusion:Somatic Movement Education on Dementia care for physical pain, mental fatigue will have a positive effect. The research on relevant issues and make recommendations for future research.

內政部 (2013) 。內政部統計通報。臺北：作者。
孔繁鐘 (2007) 。DSM-IV-TR精神疾病診斷準則手冊第四版。臺北市：合記。
孔繁鐘 (2010) 。DSM-IV精神疾病的診斷與統計。臺北市：合記。
毛奕棻 (2010) 。身心技法應用於乳癌病患術後復健之行動研究 (未出版碩士論文) 。臺北市立體育學院，臺北市。
台灣失智症協會 (2008) 。失智症完全手冊。臺北市：健康文化。
江文嘉 (2009) 。高中划船選手在身心動作教育課程中的身體覺察能力之行動研究 (未出版碩士論文) 。國立臺灣師範大學，臺北市。
吳瓊滿 (1999)。居家照顧者的負荷。美和專校學報，17，1-14。
李光哲 (2009) 。以身心放鬆課程進行教師工作壓力抒解之研究 (未出版碩士論文) 。國立臺東大學，臺東市。
李欣萍、蘇以青、侯淑英 (2009) 。運用放鬆技巧及生理回饋訓練照顧門診一憂鬱症患者身心症狀之護理經驗，護理雜誌，56 (6) ，101-108。
李奕龍 (2006) 。彼拉提斯(Pilates)課程應用於改善中老年人功能性體適能之研究~一位初授教師之行動歷程 (未出版碩士論文) 。國立臺東大學，臺東市。
卓子文 (2001)。再訪身心。中華體育季刊，15 (1) ，94-101。
周玉淳、藍育慧、趙淑員 (2008) 。運用個別懷舊治療減緩一位失智長者焦慮之護理經驗。護理雜誌，55 (4) ，105-110。
林大豐、劉美珠 (2003) 。身心學 (Somatics) 的意涵與發展之研究。台東大學體育學報，1，249-272。
林大豐、劉美珠 (2004) 。身心動作教育應用於改善運動員肩部疼痛指數與肌電之效果研究。NTTU Educational Research Journal，15 (2) ，163-192。
林大豐、劉美珠 (2006) 。身心動作教育對大學女生月經疼痛改善之效果研究。大專體育學術專刊，530-535。
林大豐、劉美珠 (2007) 。身心學概論 (Somatics) 概論。載於國立教育資料館 (主編) ，體育理論基礎經典叢書 (上) (頁149-177) 。臺北市：國立教育資料館。
林金定、嚴嘉楓、陳美花 (2005) 。質性研究方法：訪談模式與實施步驟分析。身心障礙研究季刊，3 (2) ，122-136。
林敬程 (2000) 。失智老人家庭照顧者之負荷與支持性服務需求之探討 (未出版碩士論文) 。高雄醫學大學，高雄市。
社團法人台灣失智症協會 (2006) 。我會永遠記得你-認識失智症。臺北市：作者。
社團法人台灣失智症協會 (2013) 。101~145年台灣地區失智症人口推計報告。取自 http://www.tada2002.org.tw/tada_know_02.html#01
邱浩彰 (1995) 。失智症(癡呆)的認識與頭腦的保健。臺北市：中正書局。
邱啓潤、許淑敏、吳淑如 (2003) 。居家照護病患之主要照顧者綜合性需求調查。醫護科技學刊，5 (1) ，12-25。
邱啟潤、許淑敏、吳瓊滿 (2002) 。主要照顧者負荷、壓力與因應之國內研究文獻回顧。醫護科技學刊，4 (4) ，273-290。
邱逸榛、李怡濃、徐文俊、陳獻宗、李佳琳、王智鵬 (2010) 。失智症家庭照顧者睡眠障礙及其相關因素。護理雜誌，57 (4) ，29-38。
邱逸榛、黃舒萱、徐亞瑛 (2004) 。阿茲海默氏症患者照顧者之疲憊、負荷與憂鬱之間的關係。長期照護雜誌，7 (4) ，338-351。
邱溫 (譯) (2011) 。身心調癒地圖。臺北市：生命潛能文化。(Shapiro, D., 2007)
邱銘章、湯麗玉 (2009)。失智症照護指南。臺北市：原水文化出版。.
胡君梅 (2012) 。正念減壓團體訓練課程之行動研究 (未出版碩士論文)。國立臺北教育大學，臺北市。
夏林清、鄭博真 (2008) 。行動研究實作指引。臺北市：華騰文化。
徐翠敏 (2003) 。用「身」體會。中華體育季刊，17 (3) ，145-153。
翁雪芳、陳敏麗 (2013) 。運用冥想式放鬆技巧於一位乳癌手術後病患之護理經驗。新臺北護理期刊，15 (1) ，79-88。
馬先芝 (2003) 。照顧負荷之概念分析。護理雜誌，50 (2) ，82-86。doi: http://dx.doi.org/10.6224/JN.50.2.82
張可臻、陳昭源、林忠順 (2008) 。失智症合併精神行為症狀的診斷及治療照護。基層醫學，23 (6) ，153-157。
張玉佩 (2004) 。「身體智慧」之開發－淺談「身心動作教育」與「動作教育」。學校體育，15 (1) ，121-126。
許建坤 (2009) 。身心動作教育對基層員警工作壓力抒解效果之研究 (未出版碩士論文) 。國立臺東大學，臺東市。
陳宜婷 (2011) 。失智老人家庭照顧者使用居家服務經驗之初探 (未出版碩士論文) 。國立政治大學，臺北市。
陳昱合、張素嫺、方妙君、蔡美利 (2009) 。運用運動訓練維持失智老人如廁功能之探討。護理暨健康照護研究，5 (4) ，265-272。
陳美妙、陳品玲、陳靜敏、徐亞瑛 (2004) 。機構式喘息服務對失能老人主要照顧者負荷之影響。長庚護理，16 (2) ，152-166。
陳素雲 (2010) 。身心動作教育課程對改善公務人員肩頸疼痛之行動研究 (未出版碩士論文) 。國立臺東大學，臺東市。
傅中玲 (2008) 。台灣失智症現況。台灣老年醫學暨老年學雜誌，3 (3) ，168-181。
湯麗玉、葉炳強、陳良娟、謝碧容 (2000)。失智症家屬支持團體成效初探。應用心理研究，7，171-190。
黃正平 (2006) 。失智症之行為精神症狀。台灣精神醫學。20 (1) ，3-18。
黃晴淇 (2006) 。身心動作教育課程對國小教師身心放鬆效果之研究 (未出版碩士論文) 。國立臺東大學，臺東市。
楊茹萍、顏妙芬、張秀蘭 (2002) 。緩解一位照顧者身、心、社會負荷的護理經驗。護理雜誌，49 (6) ，89-94。http://dx.doi.org/10.6224/JN.49.6.89
楊嘉玲、孫惠玲 (2003) 。「照顧者負荷」概念分析。馬偕護理專科學校學報，3，15-27。
楊榮森 (2011) 。肩頸痛有年輕化趨勢。健康世界， 429，17。
趙學瑾、陳坤檸 (2008) 。憂鬱症患者身體覺察能力的開發-以元極舞為例。大專體育學刊，10 (1) ，47-61。
劉亦中 (2010) 。對養護機構失智老人進行園藝活動適用性的初探 (未出版碩士論文)。國立臺灣大學，臺北市。
劉美珠 (2002) 。身心適能 (Somatic Fitness)。中華體育季刊，16 (4)，134-141。
劉美珠、林大豐 (2003) 。身心動作教育之應用研究：開發體操選手身心覺察能力對改善運動傷害之效果研究。大專體育學術專刊，183-195。
劉美珠、林大豐 (2005) 。身心教育研究論文集。臺北市：師大書苑。
劉美珠、林大豐 (2007) 。身心對話：自然動作與身心遊戲。臺東市：臺東大學。
劉美珠、林大豐 (2009) 。身心對話-伸展與放鬆。臺東：臺灣身心教育學會。
鄭增財 (2006) 。行動研究原理與實務。臺北市：五南。
賴佩鈴 (2012) 。身心動作教育應用於乳癌末期疼痛個案研究 (未出版碩士論文) 。國立臺東大學，臺東市。
謝美芬、顏兆熊 (2008) 。失智症患者之行為精神症狀的處置。基層醫學，23 (7) ， 203-208。
顏智淵 (2008) 。身心靈平衡運動課程介入對大專女學生憂鬱傾向及睡眠品質之影響。國立台灣體育大學論叢，19 (2) ，37-49。
Bachner, Y. G., & O’rourke, N. (2007). Reliability generalization of responses by care providers to the Zarit Burden Interview. Aging & Mental Health, 11 (6) , 678-685.
Beaudoin, C. (1999). Integrating somatic learning into everyday life. Canadian Journal of Education/Revue Canadienne De l'éducation, 24 (1) , 76-80.
Chadda, R.K., Singh, T.B., & Ganguly, K.K. (2007). Caregiver burden and coping. Social Psychiatry and Psychiatric Epidemiology 42 (11) , 923-930.
Chan, T. S. F., Lam, L. C. W., & Chiu, H. F. K. (2005). Validation of the Chinese version of the Zarit Burden Interview. Hong Kong Journal of Psychiatry, 15 (1) , 9-13.
Chang H.Y., Chiou, C.J., & Chen, N.S. (2010). Impact of mental health and caregiver burden on family caregivers’ physical health. Archives of Gerontology and Geriatrics, 50, 267-71.
Chien, W. T., & Lee, I. Y. (2011). Randomized controlled trial of a dementia care programme for families of home‐resided older people with dementia. Journal of Advanced Nursing, 67 (4) , 774-787.
Connell, C. M., Janevic, M. R., & Gallant, M. P. (2001). The costs of caring: Impact of dementia on family caregivers. Journal of Geriatric Psychiatry and Neurology, 14 (4) , 179-187.
Coon, D. W., Thompson, L., Steffen, A., Sorocco, K., & Gallagher-Thompson, D. (2003). Anger and depression management: psychoeducational skill training interventions for women caregivers of a relative with dementia. The Gerontologist, 43 (5) , 678-689.
Danhauer, S. C., McCann, J. J., Gilley, D. W., Beckett, L. A., Bienias, J. L., & Evans, D. A. (2004). Do behavioral disturbances in persons with Alzheimer's disease predict caregiver depression over time?. Psychology and Aging, 19 (1) , 198.
Danucalov, M. A. D., Kozasa, E. H., Ribas, K. T., Galduróz, J. C. F., Garcia, M. C., Verreschi, I. T. N., ... & Leite, J. R. (2013). A Yoga and Compassion Meditation Program reduces stress in familial caregivers of Alzheimer's Disease patients. Evidence-Based Complementary and Alternative Medicine, 2013, 1-8.
Davidhiza, R. (1992). Understanding powerlessnesss in family member caregivers of the chronically ill. Geriarric Nursing, 13 (2) , 66-69.
de los Ángeles Villareal-Reyna, M., Salazar-González, B. C., Cruz-Quevedo, J. E., Carrillo-Cervantes, A. L., & Champion, J. D. (2012). Outcomes of interventions for Alzheimer’s family caregivers in Mexico. Western Journal of Nursing Research, 34 (7) , 973-990.
Devor, M., & Renvall, M. (2008). An educational intervention to support caregivers of elders with dementia. American Journal of Alzheimer's Disease and other Dementias, 23 (3) , 233-241.
Epstein-Lubow, G., Davis, J. D., Miller, I. W., & Tremont, G. (2008). Persisting burden predicts depressive symptoms in dementia caregivers. Journal of Geriatric Psychiatry and Neurology, 21 (3) , 198-203.
Epstein-Lubow, G., McBee, L., Darling, E., Armey, M., & Miller, I. W. (2011). A pilot investigation of mindfulness-based stress reduction for caregivers of frail elderly. Mindfulness, 2 (2) , 95-102.
Hanna, T. (1976). The field of somatics. Somatics, 1, 30-34.
Hanna, T. (1991). What is Somatics? Journal of Behavioral Optometry, 2 (2) , 31-35.
Hauer, K., Schwenk, M., Zieschang, T., Essig, M., Becker, C., & Oster, P. (2012). Physical training improves motor performance in people with dementia: a randomized controlled trial. Journal of the American Geriatrics Society, 60 (1), 8-15.
Hébert, R., Bravo, G., & Préville, M. (2000). Reliability, validity and reference values of the Zarit Burden Interview for assessing informal caregivers of community-dwelling older persons with dementia. Canadian Journal on Aging/La Revue Canadienne Du Vieillissement, 19 (4) , 494-507.
Hirano, A., Suzuki, Y., Kuzuya, M., Onishi, J., Ban, N., & Umegaki, H. (2011). Influence of regular exercise on subjective sense of burden and physical symptoms in community-dwelling caregivers of dementia patients: a randomized controlled trial. Archives of Gerontology and Geriatrics, 53 (2) , 158-163.
Holland, D. (2004). Integrating mindfulness meditation and somatic awareness into a public educational setting. Journal of Humanistic Psychology, 44 (4) , 468-484.
Hsieh, C. J., Chang, C., Su, S. F., Hsiao, Y. L., Shih, Y. W., Han, W. H., & Lin, C. C. (2010). Reminiscence group therapy on depression and apathy in nursing home residents with mild-to-moderate dementia. Journal of Experimental & Clinical Medicine, 2 (2) , 72-78.
Huang, M.F., Huang, W.H., Su, Y.C., Hou, S.H., Chen, H.M., Yeh, Y.C., & Chen, C.S. (2013). Coping strategy and caregiver burden among caregivers of patients with Dementia. American Journal of Alzheimer’s Disease & Other Dementias, 1-5. doi: 10.1177/1533317513494446
Jagannathan, A., Hamza, A., Thirthalli, J., Nagendra, H. R., Nagarathna, R., & Gangadhar, B. N. (2012). Development and feasibility of need-based yoga program for family caregivers of in-patients with schizophrenia in India. International Journal of Yoga, 5 (1) , 42.
Joling, K. J., van Marwijk, H. W., Smit, F., van der Horst, H. E., Scheltens, P., van de Ven, P. M., ... & van Hout, H. P. (2012). Does a family meetings intervention prevent depression and anxiety in family caregivers of dementia patients? A Randomized Trial. PloS One, 7 (1) , 1-10.
Kemoun, G., Thibaud, M., Roumagne, N., Carette, P., Albinet, C., Toussaint, L., ... & Dugué, B. (2010). Effects of a physical training programme on cognitive function and walking efficiency in elderly persons with dementia. Dementia and Geriatric Cognitive Disorders, 29 (2) , 109-114.
Ko, K. T., Yip, P. K., Liu, S. I., & Huang, C. R. (2008). Chinese version of the Zarit caregiver Burden Interview: a validation study. American Journal of Geriatric Psych, 16 (6) , 513-518.
Lavretsky, H., Epel, E. S., Siddarth, P., Nazarian, N., Cyr, N. S., Khalsa, D. S., ... & Irwin, M. R. (2013). A pilot study of yogic meditation for family dementia caregivers with depressive symptoms: effects on mental health, cognition, and telomerase activity. International Journal of Geriatric Psychiatry, 28(1), 57-65.
Lengacher, C. A., Kip, K. E., Barta, M., Post-White, J., Jacobsen, P. B., Groer, M., ... & Shelton, M. M. (2012). A pilot study evaluating the effect of mindfulness-based stress reduction on psychological status, physical status, salivary cortisol, and interleukin-6 among advanced-stage cancer patients and their caregivers. Journal of Holistic Nursing, 30 (3) , 170-185.
Lin, L. J., Li, K. Y., & Tabourne, C. E. (2011). Impact of the life review program on elders with dementia: a preliminary study at a day care center in southern Taiwan. Journal of Nursing Research, 19 (3) , 199-209.
Linden, P. (1994). Somatic literacy: Bringing somatic education into physical education. Journal of Physical Education, Recreation & Dance, 65 (7) , 15-21.
Majerovitz, S. D. (1995). Role of family adaptability in the psychological adjustment of spouse caregivers to patients with dementia. Psychology and Aging, 10 (3) , 447–457.
Minor, H. G., Carlson, L. E., Mackenzie, M. J., Zernicke, K., & Jones, L. (2006). Evaluation of a mindfulness-based stress reduction (MBSR) program for caregivers of children with chronic conditions. Social Work in Health Care, 43 (1) , 91-109.
Montgomery, R. J., Gonyea, J. G., & Hooyman, N. R. (1985). Caregiving and the experience of subjective and objective burden. Family Relations, 34, 19-26.
Oken, B. S., Fonareva, I., Haas, M., Wahbeh, H., Lane, J. B., Zajdel, D., & Amen, A. (2010). Pilot controlled trial of mindfulness meditation and education for dementia caregivers. The Journal of Alternative and Complementary Medicine, 16 (10) , 1031-1038.
Papastavrou, E., Kalokerinou, A., Papacostas, S. S., Tsangari, H., & Sourtzi, P. (2007). Caring for a relative with dementia: family caregiver burden. Journal of Advanced Nursing, 58 (5), 446-457.
Papastavroua, E., Tsangarib, H., Karayiannisc, G., Papacostasd, S., Efstathioua , G, & Sourtz, P. (2010). Caring and coping: The dementia caregivers. Aging & Mental Health,15 (6) , 702–711.
Pinquart, M., & Sorensen, S. (2006). Helping caregivers of persons with dementia: which interventions work and how large are their effects? International Psychogeriatrics, 18 (4) , 577-596.
Printz-Feddersen, V. (1990). Group process effect on caregiver burden. Journal of Neuroscience Nursing, 22 (3) , 164-168.
Riedijk, S. R., De Vugt, M. E., Duivenvoorden, H. J., Niermeijer, M. F., Van Swieten, J. C., Verhey, F. R. J., & Tibben, A. (2006). Caregiver burden, health-related quality of life and coping in dementia caregivers: a comparison of frontotemporal dementia and Alzheimer’s disease. Dementia and Geriatric Cognitive Disorders, 22 (5-6) , 405-412.
Rose-Rego S.K., Strauss M.E. & Smyth K.A. (1998). Differences in the perceived wellbeing of wives and husbands caring for persons with Alzheimer’s disease. The Gerontologist, 38, 224–230.
Rudd, M. G., Viney, L. L., & Preston, C. A. (1999). The grief experienced by spousal caregivers of dementia patients: The role of place of care of patient and gender of caregiver. The International Journal of Aging and Human Development, 48 (3) , 217-240.
Schulz, R., & Martire, L. M. (2004). Family caregiving of persons with dementia: prevalence, health effects, and support strategies. The American Journal of Geriatric Psychiatry, 12 (3) , 240-249.
Schulz, R., Boerner, K., Shear, K., Zhang, S., & Gitlin, L. N. (2006). Predictors of complicated grief among dementia caregivers: a prospective study of bereavement. American Journal of Geriatric Psych, 14 (8) , 650-658.
Shapiro, S. L., Brown, K. W., & Biegel, G. M. (2007). Teaching self-care to caregivers: effects of mindfulness-based stress reduction on the mental health of therapists in training. Training and Education in Professional Psychology, 1 (2) , 105-115.
Sung, H. C., Chang, A. M., & Lee, W. L. (2010). A preferred music listening intervention to reduce anxiety in older adults with dementia in nursing homes. Journal of Clinical Nursing, 19 (7‐8) , 1056-1064.
Thomas Hanna. (1988). Somatics: Reawakening the mind's control of movement, flexibility, and health. Cambridge, MA: Perseus.
Tremont, G., Davis, J., Papandonatos, G. D., Grover, C., Ott, B. R., Fortinsky, R. H., ... & Bishop, D. S. (2013). A telephone intervention for dementia caregivers: Background, design, and baseline characteristics. Contemporary Clinical Trials, 36 (2) , 338-347.
Umadevi, P., Ramachandra, S. V., Philip, M., & Gangadhar, B. N. (2013). Effect of yoga therapy on anxiety and depressive symptoms and quality-of-life among caregivers of in-patients with neurological disorders at a tertiary care center in India: A randomized controlled trial. Indian Journal of Psychiatry, 55 (3) , 385-389.
Van Puymbroeck, M., Payne, L. L., & Hsieh, P. C. (2007). A phase I feasibility study of yoga on the physical health and coping of informal caregivers. Evidence-Based Complementary and Alternative Medicine, 4 (4) , 519-529.
Waelde, L. C., Thompson, L., & Gallagher‐Thompson, D. (2004). A pilot study of a yoga and meditation intervention for dementia caregiver stress. Journal of Clinical Psychology, 60 (6) , 677-687.
Wang, J. J., Yen, M., & OuYang, W. C. (2009). Group reminiscence intervention in Taiwanese elders with dementia. Archives of Gerontology and Geriatrics, 49 (2) , 227-232.
Zanetti, O., Frisoni, G. B., Bianchetti, A., Tamanza, G., Cigoli, V., & Trabucchi, M. (1998). Depressive symptoms of Alzheimer caregivers are mainly due to personal rather than patient factors. International Journal of Geriatric Psychiatry, 13 (6) , 358-367.
Zarit, S. H., & Zarit, J.M. (1982). Families under stress intervention for caregivers of senile dementia patients. Psychotherapy: Theory, Research and Practice, 19 (4) , 461-471.
Zarit, S.H., & Zarit, J.M. (1987). Instructions for the Burden Interview. Philadelphia, PA: Pennsylvania State University.
Zarit, S.H., Orr, N.K., & Zarit, J.M. (1985). The Hidden Victims of Alzheimer’s Disease: Families under Stress. New York, NY: New York University Press.
Zarit, S.H., Reever, K.E., & Bach, S. (1980). Relatives of the impaired elderly: Correlates of feeling of burden. The Gerontologist, 20, 649-655.