| 摘要註: |
隨著台灣進入高齡社會，如何提升高齡者的生活品質並減緩身體功能退化，成為長期照護中的重要議題。「自立支援」照顧模式，旨在促進老年人的自我照顧能力，提升其日常生活的自主性，並延緩功能退化。然而，自立支援訓練在長期照護實務中尚未全面普及，特別是在實際應用與成效評估方面仍有待研究。本研究以台中市某日間照顧中心為例，採回溯性研究設計，分析2023年7月17日至2023年10月10日期間29位服務對象參與為期12週以每周五天的自立支援活動的成效。活動內容涵蓋肌力訓練、步行與反應能力訓練、平衡測試、上肢功能訓練及心肺耐力訓練等，並以簡易身體功能評估 （SPPB） 進行前、後測分析，評估其對服務對象日常生活功能的影響。使用成對樣本t檢定分析結果顯示，ADL及步行/反應能力4公尺、前臂曲屈/上肢肌力、心肺耐力等項目具有顯著性提升 （P＜.05）。此外，儘管站立/下肢肌力與平衡測試－並排站立、直線站立等項目未達顯著差異，但進步率分別為10.13%、7.57%、10.87%，進步率分析顯示服務對象的功能性改善仍具實質意義。尤其在意識清楚的個案中，上肢肌力、步行速度及心肺耐力均顯著提升，證實自立支援活動可有效提升高齡者生活品質。本研究證實自立支援活動能提升高齡者生活品質，建議長照機構納入日常活動設計，並呼籲國健署推廣延緩失能計畫與預防失能計畫，以提升高齡者的自我照顧能力，達到延緩失能與促進健康老化的目的。uAs Taiwan enters an aging society, how to improve the quality of life of the elderly and slow down the deterioration of physical functions has become an important issue in long-term care. The "Independence Support" care model aims to promote the self-care ability of the elderly, enhance their autonomy in daily life, and delay functional deterioration. However, independence support training has not been fully popularized in long-term care practice, especially in terms of practical application and effectiveness evaluation. This study takes a day care center in Taichung City as an example and adopts a retrospective research design to analyze the results of 29 service recipients who participated in five-day-a-week independence support activities for 12 weeks from July 17, 2023 to October 10, 2023. Effectiveness. The activity content covers muscle strength training, walking and reaction ability training, balance test, upper limb functional training and cardiopulmonary endurance training, etc. The Simple Physical Function Assessment (SPPB) is used for pre- and post-test analysis to evaluate its effect on the daily life functions of the client. Influence. The results of paired sample t test analysis showed that ADL, walking/reaction ability 4 meters, forearm flexion/upper limb muscle strength, cardiorespiratory endurance and other items were significantly improved (P<.05). In addition, although the standing/lower limb muscle strength and balance test-side-by-side standing, straight-line standing and other items did not reach significant differences, the progress rates were 10.13%, 7.57%, and 10.87% respectively. The progress rate analysis showed that the functional improvement of the client was still significant. substantive meaning. Especially in cases with clear consciousness, upper limb muscle strength, walking speed and cardiorespiratory endurance were significantly improved, proving that independence support activities can effectively improve the quality of life of the elderly. This study confirms that independence support activities can improve the quality of life of the elderly. It is recommended that long-term care institutions include daily activities in the design, and calls on the National Health Service to promote disability delay and disability prevention programs to improve the self-care ability of the elderly and achieve The purpose of delaying disability and promoting healthy aging. |