背景:人口高齡化及急速老化會衍生出許多老人健康問題，團體遊戲能協助個案達到正向的健康發展。目的:探討養護機構老人於團體遊戲介入前後，在衰弱之改變程度。方法:採雙組前後測之類實驗設計，以高雄縣兩家養護機構六十位老人為收案對象，實驗組個案接受為期五週十次的團體遊戲，控制組則無接受團體遊戲，兩組老人均接受衰弱量表之前測與後測。結果:團體遊戲介入後，實驗組老人在衰弱的改變程度有顯著差異（p < .01），控制組老人在衰弱前測與後測則無顯著改變，且實驗組老人較控制組老人在衰弱後測有顯著改善（p < .01）。結論:團體遊戲可降低老人衰弱程度，故未來可在長期照護機構推廣老人的團體遊戲，建議機構安排相關在職教育課程，以讓照護人員瞭解團體遊戲的好處和活動方式，以促進機構老人的身心健康。

Background: Aging populations increase the prevalence of health problems amongst the elderly. Group play may contribute positively to health and development in this vulnerable population.Purpose: Authors designed this study to measure frailty amongst nursing home residents prior to and after receiving a group play intervention.Methods: Sixty residents staying at two nursing homes in Kaohsiung County participated in this quasi-experimental study. Experimental group participants joined 10 play sessions over a five-week period, while the control group did not. Both groups submitted responses to the same questionnaires, distributed prior to and after the intervention.Results: The experimental group showed a significant difference (p < .01) between pre- and post-intervention frailty.The control group showed no significant change in frailty between the two periods. Also, change in experimental group frailty was more significant than in the control group (p < .01).Conclusions: Group play can decrease degree of frailty in nursing home residents. Thus, such may be applied in long-term-care facilities. To enhance the physical and mental health of nursing home residents, the authors suggest including
information on group play in nursing continuing education programs that will enhance healthcare staff understanding of group play advantages and methods.