| 摘要: | 研究背景：
隨著人口高齡化的加劇，失智症已成為全球性的重要公共健康議題。臺東縣作為臺灣的偏遠地區，面臨特有的挑戰，包括人口密度低、地理位置偏遠、人力資源匱乏等問題，這些都是對當地的失智症長期照護服務的挑戰。檢視目前國內有關失智症介入照顧的文獻，許多研究均針對介入措施來探討成效，但是這些研究缺乏對臺東地區失智症早期介入成效的全面評估。
研究目的：
本研究旨在探討臺東縣失智症個案接受早期長期照顧與醫療照護介入服務的成效，透過簡短智能測驗來評估其認知功能變化。具體目標：了解臺東地區失智症的流行病學特徵，分析影響失智症病程進展的因素，評估早期介入服務的效果，以及研究不同介入時間長短對失智症病況的影響。
研究方法：
本研究採用資料庫回溯分析方法，透過臺東失智症資料庫，對2018年1月1日至2022年12月31日期間收錄的失智症個案進行次級資料分析。研究樣本篩選後納入121位個案，資料來源包括個案的基本資料、失智症醫療史、過去病史、認知功能量表評估結果及服務紀錄。
研究結果：
研究結果顯示，接受早期長期照顧與醫療照護介入的失智症個案，分別在介入時間小於3個月和超過12個月的組別認知功能變化達到顯著，在介入時間3-12個月的組別中則未達顯著。
結論：
本研究證實了早期長期照顧與醫療照護介入對提升臺東縣失智症個案認知功能的有效性。建議未來在偏鄉地區推廣早期篩檢與介入服務，並根據個案的具體需求制定個性化的照護計畫，以進一步提高失智症患者的生活品質和減輕照顧者的負擔。未來研究應考慮增加樣本量、控制潛在的共變數，並探索變量之間的交互作用，以更全面地理解失智症介入服務的效果。
Background:
With the intensifying aging population, dementia has become a significant global public health issue. Taitung County, as a remote area of Taiwan, faces unique challenges, including low population density, remote geographical location, and a shortage of human resources. These factors pose challenges to the long-term care services for dementia in the region. A review of current domestic literature on dementia care interventions shows that many studies focus on the effectiveness of intervention measures. However, these studies lack a comprehensive evaluation of the effectiveness of early interventions for dementia in Taitung County.
Objective:
This study aims to explore the effectiveness of early long-term care and medical intervention services for dementia patients in Taitung County, assessing changes in cognitive function through the Mini-Mental State Examination (MMSE). The specific objectives include understanding the epidemiological characteristics of dementia in Taitung, analyzing factors affecting the progression of dementia, evaluating the effectiveness of early intervention services, and studying the impact of different intervention durations on the condition of dementia patients.
Methods:
This study adopts a retrospective database analysis method, using the Taitung Dementia Database to conduct a secondary data analysis of dementia cases recorded from January 1, 2018, to December 31, 2022. After screening the research samples, 121 cases were included. The data sources include the basic information of the cases, medical history of dementia, past medical history, cognitive function scale assessment results, and service records.
Result:
The results show that dementia patients who received early long-term care and medical intervention exhibited significant changes in cognitive function in groups with intervention durations of less than 3 months and more than 12 months. However, no significant changes were observed in the group with intervention durations between 3 and 12 months.
Conclusion:
This study confirms the effectiveness of early long-term care and medical intervention in improving the cognitive function of dementia patients in Taitung County. It is recommended to promote early screening and intervention services in remote areas and to develop personalized care plans based on the specific needs of the patients to further improve the quality of life of dementia patients and reduce the burden on caregivers. Future research should consider increasing the sample size, controlling for potential covariates, and exploring interactions between variables to more comprehensively understand the effects of dementia intervention services. |
