探討娃娃治療介入對長期照顧機構住民憂鬱程度之影響

Exploring the Influence of Doll Therapy on Depression Level of Long-Term Care Facility Residents

張妤安(Yu-An Chang)；施以諾(Yi-Nuo Shih)；郭佳慧(Chia-Hui Kuo)

長期照顧 ； 娃娃治療 ； 憂鬱 ； depression ； doll therapy ； long-term care

志為護理-慈濟護理雜誌

20卷6期（2021 / 12 / 01）

71 - 83

繁體中文

長期照顧機構住民易失落、焦慮、憂鬱及低自尊等負向感受，影響生理層面之健康問題。國外研究娃娃治療為失智症個案提供非藥物性治療，增強幸福感、並降低其精神行為干擾症狀。本研究探討長期照顧機構住民以娃娃治療介入憂鬱程度之成效。採單組前後測之研究設計，以立意取樣對北市某長期照顧機構住民進行收案，經由為期4週娃娃治療活動介入，於施測時提供娃娃介入並採用「簡易老年憂鬱量表」做為前後測，以成對樣本t檢定分析其結果。本次收案樣本數31人，以成對樣本t檢定，前後測顯著差異（p＜.001），後測（mean=19.13）顯著低於前測（mean=25.23）。「簡易老年憂鬱量表（GDS-SF）」前後測亦有顯著差異，t檢定達顯著水準（p＜.001），後測（mean=3.74）顯著低於前測（mean=5.26），表示受試者在治療後，憂鬱感受程度降低。結論，透過娃娃治療活動可降低機構住民憂鬱感受程度，藉以改善住民在機構中容易產生負面情緒，使其提升滿意度與生活品質。

Residents of long-term care facilities are prone to experience negative feelings of loss, anxiety, depression, and low self-esteem, which accentuates the impact of physical problems on health. International studies have found that doll therapy exerts a non-pharmacological therapeutic effect in patients with dementia by enhancing happiness and reducing the symptoms of mental and behavioral disturbances. This study explores the effectiveness of a 4-week doll therapy intervention on depression symptoms in residents (n=24) of a long-term care facility in Taipei. A research design with pre/post-test of a single group was adopted, with participants recruited by purposive sampling. The Geriatric Depression Scale-Short Form (GDS-SF) was used after 4 weeks of doll therapy activity introduction and the actual doll therapy intervention. The paired-sample t-test showed the post-test score mean of 19.13 was significantly lower than the pre-test score mean of 25.23, Furthermore, the t-test showed a significant difference between the pre- and post-test scores of GDS-SF (p ＜ .001); the post-test score (mean = 3.74) was significantly lower than the pre-test score (mean = 5.26), showing that the residents' depression levels decreased after the intervention. Results suggest doll therapy activities can reduce the depression level among the residents of long-term care facilities, leading to a decrease in their negative emotions and improvement in satisfaction levels and quality of life.

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