社區慢性失能族群之心理健康促進

Mental Health Promotion among the Chronic Disabled Population in the Community

10.6224/JN.62.4.34

黃惠娟(Hui-Chuan Huang)；王麗華(Li-Hua Wang)；張秀如(Hsiu-Ju Chang)

失能 ； 心理健康促進 ； 音樂療法 ； 懷舊療法 ； 園藝療法 ； disability ； mental health promotion ； music therapy ； reminiscence therapy ； horticultural therapy

護理雜誌

62卷4期（2015 / 08 / 01）

34 - 40

繁體中文

老化社會及慢性疾病型態將導致失能族群增加，由於慢性失能患者肇因於疾病及個人因素易衍生心理問題，不僅影響整體生活品質更衍生照護需求；目前，失能族群之健康照護政策目標以朝向社區式照顧為主，因此如何在社區照護服務中提供失能族群合適心理健康促進活動實屬重要議題。本文依照慢性失能患者之心理照護、心理健康促進策略（包含：音樂治療、懷舊治療與園藝治療），及社區心理衛生專業人員的角色功能進行論述，藉此做為推動社區慢性失能患者之心理健康促進方案之參考，期盼更落實社區化照護，以提升慢性失能患者之心理健康。

Societal ageing and the rising prevalence of chronic disease are important causes that underlie the growth in the number of disabled individuals. The disease-induced psychological distress experienced by this population not only decreases quality of life but also increases demand for healthcare. The healthcare policy for the disabled population currently focuses on community healthcare. Therefore, developing appropriate programs to promote mental health among the disabled population in community settings is a critical issue. The present paper reviews current mental health promotion initiatives that target the disabled population in the community and addresses mental healthcare issues that are prevalent among the chronically disabled; strategies of mental health promotion that use music therapy, reminiscence therapy, and horticultural therapy; and the roles and responsibilities of community professionals in mental healthcare. We offer these perspectives as a reference to promote mental health and to establish holistic community healthcare for chronically disabled individuals.

1. 邱馨慧, H. H.,蔡佳良, C. L(2008)。園藝治療對老年慢性疾病患者的應用方式與成效。中華體育季刊，22(2)，79-85。
   連結：
2. 邱馨慧, H. H.,蔡佳良, C. L(2008)。園藝治療對老年慢性疾病患者的應用方式與成效。中華體育季刊，22(2)，79-85。
   連結：
3. American Music Therapy Association. (n.d.). Definition and quotes about music therapy. Retrieved from http://www.musictherapy.org/about/quotes/
4. Atchley, R. C.(1989).A continuity theory of normal aging.The Gerontologist,29(2),183-190.
5. Bohlmeijer, E.,Roemer, M.,Cuijpers, P.,Smit, F.(2007).The effects of reminiscence on psychological well-being in older adults: A meta-analysis.Aging & Mental Health,11(3),291-300.
6. Bradt, J.,Dileo, C.,Grocke, D.,Magill, L.(2011).Music interventions for improving psychological and physical outcomes in cancer patients.Cochrane Database Systematic Review,8,CD006911.
7. Burnside, I.(1990).Reminiscence: An independent nursing intervention for the elderly.Issues in Mental Health Nursing,11,33-48.
8. Cott, C. A.,Gignac, M. A.,Badley, E. M.(1999).Determinants of self rated health for Canadians with chronic disease and disability.Journal of Epidemiology and Community Health,53(11),731-736.
9. Coulehan, J. L.,Schulberg, H. C.,Block, M. R.,Madonia, M. J.,Rodriguez, E.(1997).Treating depressed primary care patients improves their physical, mental, and social functioning.Archives of Internal Medicine,157(10),1113-1120.
10. Deschênes, S. S.,Burns, R. J.,Schmitz, N.(2015).Associations between depression, chronic physical health conditions, and disability in a community sample: A focus on the persistence of depression.Journal of Affective Disorders,179,6-13.
11. Haber, D.(2006).Life review: Implementation, theory, research, and therapy.The International Journal of Aging and Human Development,63(2),153-171.
12. Juslin, P. N.,Vastfjäll, D.(2008).Emotional responses to music: The need to consider underlying mechanisms.Behavioral and Brain Sciences,31(5),559-575.
13. Kamioka, H.,Tsutani, K.,Yamada, M.,Park, H.,Okuizumi, H.,Honda, T.,Mutoh, Y.(2014).Effectiveness of horticultural therapy: A systematic review of randomized controlled trials.Complementary Therapies in Medicine,22(5),930-943.
14. Kuvalekar, K.,Kamath, R.,Ashok, L.,Shetty, B.,Mayya, S.,Chandrasekaran, V.(2015).Quality of life among persons with physical disability in Udupi Taluk: A cross sectional study.Journal of Family Medicine and Primary Care,4(1),69-73.
15. López, M. A.,Duran, X.,Alonso, J.,Martínez, J. M.,Espallargues, M.,Benavides, F. G.(2014).Estimating the burden of disease due to permanent disability in Spain during the period 2009-2012.Revista Española de Salud Pública,88(3),349-358.
16. Mithen, J.,Aitken, Z.,Ziersch, A.,Kavanagh, A. M.(2015).Inequalities in social capital and health between people with and without disabilities.Social Science & Medicine,126,26-35.
17. Mohanan, M.,Maselko, J.(2010).Quasi-experimental evidence on the causal effects of physical health on mental health.International Journal of Epidemiology,39(2),487-493.
18. Pinquart, M.,Forstmeier, S.(2012).Effects of reminiscence interventions on psychosocial outcomes: A meta-analysis.Aging & Mental Health,16(5),541-558.
19. Thaut, M. H.,Gardiner, J. C.,Holmberg, D.,Horwitz, J.,Kent, L.,Andrews, G.,McIntosh, G. R.(2009).Neurologic music therapy improves executive function and emotional adjustment in traumatic brain injury rehabilitation.Annals of the New York Academy of Sciences,1169(1),406-416.
20. Thaut, M. H.,Leins, A. K.,Rice, R. R.,Argstatter, H.,Kenyon, G. P.,McIntosh, G. C.,Fetter, M.(2007).Rhythmic auditory stimulation improves gait more than NDT/Bobath training in near-ambulatory patients early poststroke: A single-blind, randomized trial.Neurorehabilitation and Neural Repair,21(5),455-459.
21. World Health Organization(2013).Mental health action plan 2013-2020.Geneva, Switzerland:Author.
22. World Health Organization. (2014a). Disability and health. Retrieved from http://www.who.int/mediacentre/factsheets/fs352/en
23. World Health Organization. (2014b). Mental health: A state of well-being. Retrieved from http://www.who.int/features/factfiles/mental_health/en
24. 張珏, C.,謝佳容, C. J.(2014)。心理健康主流化—促進與復元。護理雜誌，61(1)，18-25。
25. 陳彥睿, Y. R.,陳榮五, Y. W.,張隆仁, L. Z.,蔡宜峰, Y. F.,戴振洋, C. Y.,蔡宛育, W. Y.(2010)。園藝治療。臺中區農業改良場特刊，101，198-203。
26. 陳淑華, S. H.,張曉雲, H. Y.,謝秀芳, H. F(2012)。懷舊療法之介紹。馬偕護理雜誌，6(1)，7-16。
27. 陳繼勝, C, S.,林盈盈, Y. Y.,黃晟祐, C. Y.,洪佳慧, C. H.(2010)。園藝活動對社區精神病患生活品質之成效。職能治療學會雜誌，28(1)，57-72。
28. 馮瓊儀, C. Y.,朱信, H.,張秀如, H. J.,梁嘉慧, C. H.,黃維仲, W. C.,周桂如, K. R.(2010)。懷舊治療於改善老年人憂鬱、身心健康及孤寂感之成效探討—文獻回顧。精神衛生護理雜誌，5(1)，13-20。
29. 葉丁鵬, D. P.(2013)。我國失能者身體活動之推廣政策。國民體育季刊，42(3)，6-9。
30. 趙淑員, S. Y.,陳曉容, C. R.,吳秋燕, C. Y,劉杏元, H. Y.(2004)。懷舊治療於老人照護之應用。長期照護雜誌，8(2)，213-222。
31. 謝政廷, C. T.,李健輝, J. H.(2010)。園藝治療的基本概念。諮商與輔導，293，41-45。

1. 許維真(2019)。關懷理論於一位慢性脫髓鞘多發性神經病變病人之護理經驗。領導護理，20(1)，65-79。
2. 楊啟正,周庭筠,沈晏羽,沈孟筑,李沂蓁,吳曉聞(2022)。非癌病人與癌症病人於居家安寧心理照護需求之差異。安寧療護雜誌，26(2)，105-119。