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中護學報

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篇名 高齡者園藝治療效果初探—以中部某一老人安養中心為例
卷期 10
並列篇名 An exploratory research of the effect of horticulture therapy in the elderly-The example of an elderly nursing home in central Taiwan
作者 林俊德
頁次 027-052
關鍵字 園藝治療高齡者老人諮商老人安養機構horticultural therapythe elderlycounseling elderlyelderly nursing home
出刊日期 201111

中文摘要

本研究之目的在於探討高齡者進行園藝治療之效果,其過程乃透過團體諮商形式,融入賦能概念之園藝活動設計,引導高齡者投入園藝治療團體歷程,以理解其參與園藝治療團體之身心效益。
研究之進行,以團隊形式進駐中部某一老人安養機構,成員包括諮商心理師、園藝治療師、社工人員及助理等。治療團體由諮商心理師及園藝治療師協同帶領,社工人員及研究助理則扮演資源協調與觀察記錄之角色。研究對象為長住該老人安養機構之65 歲以上高齡者,共計8 名,經醫師評估其生理狀態可負荷園藝治療相關活動之進行者。園藝治療團體之設計,除考量高齡者之生理限制外,並於團體帶領過程中,融入園藝專業及賦能等概念;即以園藝活動為媒材,完成10 次園藝治療團體過程。治療效果的評估以團體歷程之觀察記錄及其結束後的成員訪談記錄為研究分析之文本,經質性資料分析結果,提出高齡者參與園藝治療具有效果,確可從園藝治療團體過程中獲益,包括有:(1)生理效益:肌肉伸展及鍛鍊、身心舒暢感等;(2)認知效益:學到知識、提升自主決定力、希望感等;(3)情感效益:高興、增加生活樂趣、情緒宣洩等;(4)行為效益:人際互動頻率的增加、社交能力提升、彼此協助(利他性)等。園藝治療形式提供老人心理照護的另一參考,參與活動之高齡者確實可從中獲益,而對老人諮商實務工作的開展,也提供另一選擇。本研究結果提供有興趣之研究者及實務工作者未來投入老人諮商實務之參考。

英文摘要

The purpose of this study was to explore the effect of elderly orticulture therapy. The process proceeded with group counseling and added empowerment concept into horticultural activities, and guided the elderly inhabitants into the group process for understanding the physical and mental benefits when they participated in a horticulture therapy group. This therapeutic group enters in a nursing home where located in the central Taiwan. The group members included counselors, horticultural therapists, social workers and assistants. Treatment group was co-led by the counselors and horticultural therapists. Social workers and research assistants play as the role of coordinating resource and observing process. The research samples were eight elderly inhabitants who above the age of 65 years old. They had lived agency for a long period and could participate in horticultural therapy associated activities through the assessment of physician. The design of this project not only considered the physical restrictions of elderly but integrated empowerment concepts of horticulture therapy into the group process. Evaluations of treatment effect were collected by the group process ecorders and interviewers. After the text analysis by the qualitative data analysis, the horticultural therapy of elderly inhabitants indeed has the benefit from the participation in gardening, include physical, cognitive, emotional,and behavioral benefits.Horticultural therapy is another choice for the psychological care of elderly due to their participation in horticultural activities could indeed get benefits. herefore, horticultural therapy provide an alternative for the elderly to carry out substantive work of counseling. The results of this study provide researchers and practitioners interested in the old consultative practices into future reference.

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