社區休閒教育方案對輕型認知障礙者健康促進生活型態與休閒態度之影響研究

Abstract

輕型認知障礙者認知功能衰退並不影響其日常生活能力，且常被忽略或被誤認為老化所造成的記憶減退，但其被臨床醫學視為失智症重要徵兆，故維持認知功能及避免轉變為失智症視為重要課題。本研究探討休閒教育對輕型認知障礙者之健康促進生活型態與休閒態度的影響，通過教育方案的介入是否能顯著改變參與者的健康促進生活型態意向與休閒態度。本研究採單組前後測設計，研究對象來自新北市新莊社區與臺北市萬和社區的自願參與者，經簡易智能狀態檢查 (Mini-mental state examination, MMSE)符合潛在輕型認知障礙之條件者共20名，隨後進行12週的休閒教育方案介入。資料的收集則使用健康促進生活型態量表與休閒態度量表，其以無母數相依樣本分析之。根據統計結果，參與者於健康促進生活型態無顯著變化，而總體的休閒態度與休閒認知部分有顯著的改變。結果發現，休閒教育方案的介入對於參與者之健康促進生活型態的意向有潛在的助益；另外，教育方案提供的資訊與傳遞的概念有益於參與者的休閒態度培養與正向的休閒觀念建立。

The decline in cognitive ability of mild neurocognitive disorder doesn’t affect daily life ability, and it is usually ignored or misunderstood as aging progress. The mild neurocognitive disorder is an important sign of dementia in clinical medicine. This is the reason why maintaining cognitive ability and avoiding mild neurocognitive disorder transferring into dementia is vital issue. This study aims to understand the impact of community based leisure education on health promotion lifestyle and leisure attitude for people with mild neurocognitive disorder through an intervention program. The study is the one-group pretest posttest design. The volunteers of the study are from community care at Xinxhuang Dist., New Taipei City and Wenshan Dist., Taipei City. The volunteers need to test their cognitive ability which meets the requirement of potential mild neurocognitive disorder tested by Mini-mental state examination. There are 20 participants who are potential mild neurocognitive disorder after the cognitive exam. The participants accepted the 12 weeks leisure education intervention. The data is collected by health promotion lifestyle profile II and LAS and be analyzed by nonparametric statistics of dependent simples. According to statistical results, the change degree of health promotion lifestyle of participants is not significant, but the leisure attitude and the leisure cognitive condition are significant. In conclusion, leisure education are potentially beneficial for the intention of health promotion lifestyle, and on the other, the information and concept of leisure education are good for development and establishment of positive leisure attitude for people with mild neurocognitive disorder.