身心動作教育課程應用於改善失智症照顧者照顧負荷之行動研究
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2014
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Abstract
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.
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.
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身心動作教育, 失智症, 照顧者, 照顧負荷, Somatic Movement Education, Dementia, Caregiver, Caregiver Burden