研究生: |
張怡華 |
---|---|
論文名稱: |
「學習療法」在臺推動影響因素之研究:以「腦健康教室」為例 |
指導教授: | 鄭勝分 |
學位類別: |
碩士 Master |
系所名稱: |
社會教育學系 Department of Adult and Continuing Education |
論文出版年: | 2015 |
畢業學年度: | 103 |
語文別: | 中文 |
論文頁數: | 141 |
中文關鍵詞: | 成功老化 、預防失智 、學習療法 、腦健康教室 |
英文關鍵詞: | successful aging, prevent dementia, learning therapy, brain health club |
DOI URL: | https://doi.org/10.6345/NTNU202205631 |
論文種類: | 學術論文 |
相關次數: | 點閱:256 下載:41 |
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臺灣從高齡到超高齡社會,臺灣準備的時間比日本、韓國、美國、中國都少。需要要加快腳步。難道這是我們的宿命嗎?如果正向事情都不做只能補破網,失能老人就會越來越多,病床越多,還是我們來做一個政策思維翻轉,換來減少失能老人,增加老人健康餘命。
研究者期待可以運用學習療法的概念,讓更多學習者可以運用此方法與預防失智與成功老化。研究者想瞭解學習療法的內涵,探究揚生腦健康教室發展與實施方式與分析揚生腦健康教室對健康學習者成功老化之影響,作為長期推動的指標依據。
研究者發現經12週腦健康教室學習者們對成功老化六項自我感受改變的狀況有明顯的改變,且改變幅度都在10%以上,特別是在健康自主16.65%與社會及生活適應16%與親友關係15.72%為前三名,再來是學習層面15.07%、家庭層面14.82%,而經濟保障最少改變幅度為13.77%。將前後測結果繪製成功老化量表前後測差異雷達圖,發現生活適應、社會親友關係,健康自主、經濟保障、學習層面、家庭層面六大項,學習者自我感受改變都有明顯改變。由此可揚生健康就是對成功老化自我觀念的改變狀況是有明顯影響的。
Abstract
Taiwan from the elderly to the super aged society.Taiwan elderly are less prepared than Japan, South Korea, the United States and China. To accelerate the pace required. Could this be our destiny? If not do positive things can only fill nets, disabled elderly will be more and more, more beds, or do we do in exchange for a reduction in policy thinking flip disabled elderly, I ordered the elderly health.
Researchers can use the concept of looking forward to learning therapy, so that more learners can use this method with successful aging and prevent dementia. The researchers would like to know of a learning therapy, explore the impact of brain health classroom Young student development and implementation of methods and analysis of classroom Young student health and brain health of aging learner success, as an indicator of long-term-driven basis.
The researchers found that after 12 weeks of brain health classroom learners aged six to successful self-perception changed significantly change the situation, and the magnitude of the changes in more than 10%, especially in the health and social autonomy 16.65 percent and 16 percent live adaptation relationships with family and friends 15.72% for the top three, again learning level 15.07%, 14.82% at the household level, and the financial security of a minimum margin of 13.77% change. The test results are plotted before and after the success of the scale measuring the difference before and after aging radar, found that life adjustment, social family relations, health, independence, economic security, learning level, family level six items, learner self-perception has changed significantly changed. Whereby students can raise healthy self-concept is to succeed the aging changes have significantly affected the situation.
Keywords: successful aging, prevent dementia, learning therapy, brain health club
壹、中文文獻
行政院『人口政策白皮書』2008年3月,取自內政部戶政司網頁
行政院衛生署國民健康局(2009-2012)老人健康促進計畫
林麗惠,2006,「積極老化:政策架構」之簡介,成人及終身教育,第16
期,頁51-53。
舒昌榮,2008年6月,由積極老化觀點論我國因應高齡社會的主要策略—
從「人口政策白皮書」談起。社區發展季刊, 頁215-235。
教育部(2006)邁向高齡社會老人教育政策白皮書
陳玟玲『介紹日本東北大學聰明老化研究中心』,臺灣老年學論壇, 第 11
期 , 2011 年 8 月。
曾淑惠(2009)。高齡者生活型態與健康老化關係之研究。國立中正大學高
齡者研究所碩士論文
游智秀(2012)。園藝活動方案對失智老人幸福感影響之準實驗研究。中正
大學高齡者教育研究所碩士論文
劉淑娟總校閱(2006)。激腦大作戰-大腦功能活化訓練。臺北:新文京
謝佳蓉(2003).老年人認知功能的指標測量與應用.醫護科技學刊,5(4),
387-395。
鐘惠如(2014)內如主要翻譯日本學習訓練療法協會網站資料
臺灣老年醫學暨老年學雜誌,2008年3(3):頁169-181
貳、英文文獻
Association between cognitive impairment and gait disturbance in patients with
idiopathic normal pressure hydrocephalus.Dement Geriatr Cogn Disord. 2005;20(2-3):71-6.
Assessing frontal lobe function in patients with amyotrophic lateral sclerosis by
frontal assessment battery].Rinsho Shinkeigaku. 2010;50(6):379-84. Japanese.
Can the frontal assessment battery (FAB) differentiate bradykinetic rigid
syndromes? Relation of the FAB to formal neuropsychological testing.
Neurocase. 2005;11(4):274-82.
Comparison of EXIT-25 and the Frontal Assessment Battery for evaluation of
executive dysfunction in patients attending a memory clinic.Dement Geriatr
Cogn Disord. 2009;27(5):424-8.
Dubois B, Slachevsky A, Litvan 1.et aL The FAB A frontal
assessment battery at bedside.Neurology,2000,55:1621—1625.
Differentiating Alzheimer's disease from subcortical vascular dementia with the
FAB test.J Neurol. 2006;253(11):1490-4.
Differentiation of dementia with Lewy bodies from Alzheimer disease using the
frontal assessment battery test.Int J Geriatr Psychiatry. 2009;24(9):1034-5.
Frontal assessment battery and differential diagnosis of frontotemporal dementia
and Alzheimer disease.Arch Neurol. 2004;61(7):1104-7.
Frontal assessment battery and brain perfusion image in Parkinson's disease.
J Geriatr Psychiatry Neurol. 2006;19(1):41-5.
Frontal Assessment Battery is a marker of dorsolateral and medial frontal functions:
A SPECT study in frontotemporal dementia.J Neurol Sci. 2008;273(1-2):84-7.
Frontal Assessment Battery and brain perfusion images in amnestic mild cognitive
impairment.Geriatr Gerontol Int. 2011;11(1):77-82.
Korean version of frontal assessment battery: psychometric properties and
normative data.Dement Geriatr Cogn Disord. 2010;29(4):363-70.
Relationship of frontal lobe dysfunction and aberrant motor behaviors in patients
with Alzheimer's disease.Int Psychogeriatr. 2010;22(3):463-9.
Subscores of the FAB differentiate frontotemporal lobar degeneration from AD.
Neurology. 2005;65(5):726-31.
The FAB: a Frontal Assessment Battery at bedside.Neurology. 2000;55(11):1621-6.
The Frontal Assessment Battery (FAB): normative data from an Italian sample and performances of patients with Alzheimer's disease and frontotemporal dementia.Funct Neurol. 2004;19(3):191-5.
The Frontal Assessment Battery (FAB): normative values in an Italian population
sample.Neurol Sci. 2005;26(2):108-16.
The validity and reliability of chinese frontal assessment battery in evaluating
executive dysfunction among Chinese patients with small subcortical infarct.
Alzheimer Dis Assoc Disord. 2004;18(2):68-74.
The frontal assessment battery does not differentiate frontotemporal dementia from
Alzheimer's disease.Dement Geriatr Cogn Disord. 2006;22(2):125-31.
The Frontal Assessment Battery (FAB) in Parkinson's disease and correlations with
formal measures of executive functioning.J Neurol. 2008;255(11):1756-61.
Walker, A. (2002) A strategy for active ageing. International Social Security
Re-view, 55(1), 121-139.
WHO (2002). Active ageing: a policy framework. September, 18, 2006,
retrievedfrom http://whqlibdoc.who.int/hq/2002/WHO_NMH_NPH_02.8.pdf
Wiley, J., & Sons, L. (1998). Interpretation of mini-mental state examination scores
in community-dwelling elderly and geriatric neuropsychiatry patients. International .Journal.Geriatric. Psychiatry, 13, 661-666.
Reliability and validity of the Japanese version of the Frontal Assessment Battery in
patients with the frontal variant of frontotemporal dementia.Psychiatry Clin
Neurosci. 2007;61(1):78-83.
Use of the frontal assessment battery in evaluating executive dysfunction in patients
with Huntington's disease.J Neurol. 2009;256(11):1809-15.
Using the Frontal Assessment Battery to identify executive function impairments in
amyotrophic lateral sclerosis: A preliminary experience.Amyotroph Lateral
Scler. 2010;11(1-2):244-7.
參、日文参考文献
杉下守弘ほか:MMSE-J(精神状態短時間検査ー日本語版)の妥当性
と信頼性について:A preliminary report. 認知神経科学, 12:186-190(2010)
相馬芳明, 田邉敬貴:失語の症候学. 医学書院, 東京(2003)リンク
Snodgrass JG and Vanderwart M: A standardized set of 260 pictures: norms for
name agreement, image agreement, familiarity, and visual complexity. J Exp
Psychol Hum Learn. 1980;6(2):174-215.
Warrington EK and James M: Visual Object and Space Perception Battery. Bury
St. Edmunds: Thames Valley Test Company (1991) リンク
森悦朗(監訳):臨床家のための高次脳機能のみかた. 新興医学出版
社, 東京(2011)リンク
伊藤恵美ほか:健常成人の言語流暢性検査の結果について ー生成語
数と年齢・教育歴・性別の影響ー. 神経心理学, 20:254-263(2004)
PDF(IDとパスワードが必要)
Nishimoto T, et al.: Japanese normative set of 359 pictures. Behav Res Methods.
2005;37(3):398-416.
ダウンロード:Frontal Assessment Battery (FAB)《使用する場合は必ず下記
文献をお読みください》
Dunois, B., Slachevsky, A., Litvan, I. Ct al.: The FAB : A Frontal assessment
battery at bedside. Neurology, 55:1621-1626, 2000.
小野剛:簡単な前頭葉機能テスト.脳の科学, 23:487-493, 2001.
FABに関する参考文献です。
Japanese version of the Frontal Assessment Battery for dementia.
Psychiatry Res. 2007;153(1):69-75.
Frontal assessment battery and brain perfusion imaging in early dementia.
Dement Geriatr Cogn Disord. 2009;27(2):133-8.
前頭葉簡易機能検査(FAB) パーキンソン病患者における検討脳と神経.
2002;54(10):897-902.
前頭葉実行機能に対する情動障害(うつ,アパシー)の影響 Frontal
Assessment Battery を用いた検討 認知神経科学. 2005;7(3):256-260.
高齢者に対するFrontal assessment battery(FAB)の臨床意義について
脳と神経. 2006;58(3):207-211.
Frontal Assessment Battery(FAB)の年齢による効果神経心理学. 2009;25(1):51-56. PDF(pass wordが必要)
肆、網路文獻
臺灣失智症協會,(2012) ,http://www.tada2002.org.tw/tada_download.aspx#
http://translate.google.com.tw/translate?hl=zh-TW&sl=en&u=http://books.goo
gle.com.tw/books%3Fid%3Dt1SrYVLTjEkC%26pg%3DPA57%26lpg%
3DPA57%26dq%3D%2522Reading%2Baloud%2Band%2Barithmetic%2
Bcalculation%2Bimprove%2Bfrontal%2Bfunction%2Bof%2Bpeople%2
Bwith%2Bdementia.%2522%2BJournals%2Bof%2BGerontology,%2Bse
ries%2BA,%2BBiological%2BSciences%2Band%2BMedical%2Bscienc
es,%2B60A:%2B380-384,%2B2005%26source%3Dbl%26ots%3DngQC
XinAyQ%26sig%3DPOoBuFKLXoE10S4hioAb8SazwVY&prev=/searc
h%3Fq%3D%2522Reading%2Baloud%2Band%2Barithmetic%2Bcalcula
tion%2Bimprove%2Bfrontal%2Bfunction%2Bof%2Bpeople%2Bwith%2
Bdementia.%2522%2BJournals%2Bof%2BGerontology,%2BSeries%2B
A,%2BBiological%2BSciences%2Band%2BMedical%2BSciences,%2B6
0A:%2B380-384,%2B2005%26es_sm%3D93(2014年11月27日查詢)
http://translate.google.com.tw/translate?hl=zh-TW&sl=en&u=http://www.ncbi
.nlm.nih.gov/pubmed/15860478&prev=/search%3Fq%3Dreading%2Baloud%2Band%2Barithmetic%2Bcalculation%2Bimprove%2Bfrontal%2Bfunction%2Bof%2Bpeople%2Bwith%2Bdementia%26sa%3DX%26es_sm%3D93%26biw%3D1366%26bih%3D667(2014年11月27日查詢)
http://www.kumon-lt.co.jp/basics/mmse.php?kid=80(2014年11月27日查詢)
http://changturtle.blogspot.tw/2010/03/mmse.html(2014年11月27日查詢)
http://apital.asahi.com/article/kasama/2012122500015.html(2014年11月27日查詢)
http://books.rakuten.co.jp/rb/6274207/?scid=af_pc_ich_link_tbl&sc2id=14547
1339(2014年11月27日查詢)
http://www.wakayama-med.ac.jp/med/dementia/shindan/shinri.html(2014年11月27日查詢)
http://www.nichibun.co.jp/kobetsu/kensa/mmse_j.html(2014年11月27日查詢)
http://www.kumon-lt.co.jp/basics/fab.php?kid=80(2014年11月27日查詢)
http://www.tagg.org.tw/DOWN/%E9%9B%9C%E8%AA%8C/3-3%E6%9C%9F/3-3-2.pdf(2014年11月27日查詢)