| 摘要: | 目的：失智症為一種腦部漸進性退化性疾病，除了認知功能的障礙以外-也常會出現認知退化及憂鬱等症狀發生，造成照顧者照護困難的主要因素，臨床除藥物治療外，因應長照政策相關推行，對於減緩照顧者之壓力，非藥物等相關輔助治療措施也顯得格外重要。本研究主要目的藉由光照療法探討床運用對失智症老人認知功能與憂鬱現象有無影響。
方法：總計進行6次資料收集，包括介入措施之前、中、後、1、3、6個月之成效比較。主要成效指標為整體認知功能，測量工具為簡易智能狀態量表MMSE；次要成效指標為失智症老人憂鬱狀態，測量工具為老人憂鬱量表(GDS)。本研究納入符合對象，實驗組及對照組各計30人。將所有資料經己檢查內容無誤後輸入excel軟體建檔以SPSS 22.0進行資料分析描述性統計分析以個位數、百分比、平均值及標準差等方式呈現推論性統計分析採用獨立樣本t檢定及廣義估計方程式(Generalized Estimating Equation)處理追蹤性資料。
結果：本研究介入對失智症老人認知功能成效結果顯示，實驗組在進行光照療法第五週中測(p=.001)、第十週立即後測(p=.001)及光照療法後測一個月(p=.003)的統計上具顯著差異；其中定向感在進行光照中測(p=.001）、第十週立即後測(p=.001)及光照療法後測一個月(p=.040)的統計上具顯著差異以及延遲回憶在介入光照療法後中測(p= .037)統計上具顯著差異。另外老人憂鬱程度顯示實驗組在介入光照中測第五週(p=.014)光照後測第十週(p=0.00)以及光照一個月後測(p= 0.00)統計上均具顯著差異。
結論：光照療法有助於改善失智症老人憂鬱現象及認知功能退化，建議臨床照護人員應加強熟悉光照療法的機轉、使用時間等並可增加樣本數，做長期持續性規劃，以提供老人完善的照護模式。
Purpose: Dementia is a progressive degenerative disease of the brain. In addition to cognitive dysfunction, symptoms such as cognitive degeneration and depression often occur. This is the main factor that causes difficulties in caring for caregivers. In addition to medical treatment, it is related to long-term care policies. Implementation, for alleviating the pressure on caregivers, non-medicinal and other related auxiliary treatment measures are also particularly important. The main purpose of this study is to investigate whether the clinical application of light therapy affects the cognitive function and depression of the elderly with dementia.
Method: A total of 6 data collections were conducted, including the comparison of the effectiveness of interventional measures before, during, and after 1, 3, and 6 months. The main outcome indicator is the overall cognitive function, the measurement tool is MMSE, the secondary outcome indicator is the depression state of the elderly with dementia, and the measurement tool is the elderly depression scale (GDS). In this study, eligible subjects were included, 30 persons in each of the experimental group and the control group. After all the data has been checked and the content is correct, enter the EXCEL software to build a file and use SPSS 22.0 for data analysis. Descriptive statistical analysis presents inferential statistical analysis in the form of single digits, percentages, averages and standard deviations. Inferential statistical analysis adopts independent sample t test and Generalized Estimating Equation deals with traceability data.
Results: The results of this study's intervention on the cognitive function of the elderly with dementia showed that the experimental group was tested in the fifth week of phototherapy(p=.001), immediately after the tenth week(p=.001) and phototherapy One month after the test (p=.003), there is a statistically significant difference; the sense of orientation is measured in the light(p=.001), immediately after the tenth week(p=.001), and one month after the phototherapy(p=.040) statistically significant differences and delayed recall after interventional phototherapy(p=.037) statistically significant differences. In addition, the degree of depression of the elderly showed that the experimental group was re-intervened in the light for the fifth week(p=.014) for the tenth week after the light(p= 0.00) and one month after the light(p= 0.00). There were statistically significant differences.
Conclusion: Light therapy helps to improve the depression and cognitive function degradation of the elderly with dementia. It is recommended that clinical care personnel should be more familiar with the mechanism and use time of light therapy and increase the number of samples, and make long-term continuous planning to provide the elderly with improvement Model of care |
