和諧粉彩藝術活動對護理之家老人憂鬱症與幸福感之影響

Survey of Depression and Anxiety Among Elderly People in Long-Term Care Institutions

鄭繡媖(Hsiu-Ying Cheng)；黃惠滿(Hui-Man Huang)；史惠春(Hui-Chun Shih)；徐敏芬(Min-Fen Hsu)；連雅棻(Ya-Fan Lien)

長照機構 ； 老人 ； 憂鬱焦慮 ； Pastel Nagomi Art ； elderly ； long-term facilitie ； well-being ； depression status

台灣健康照顧研究學刊

28期（2023 / 07 / 01）

64 - 82

繁體中文;英文

憂鬱狀態和幸福感影響長照機構老人的心理健康。藝術治療的介入對於老年人身心保健有其效益，然而和諧粉彩藝術應用於老年人之相關研究結果卻相當有限。本研究藉由和諧粉彩藝術之介入，探討其對長照機構老人於憂鬱狀態和幸福感之成效。透過雙組前後測之類實驗研究設計，本研究以立意取樣方式選取某醫院長照機構35位老人，實驗組15人全程參與和諧粉彩藝術活動，對照組20人參加機構常規活動。介入時間六週、每週兩次，每次60分鐘。介入前一週及結束後第六週，測量老人的憂鬱狀態、幸福感以檢視實驗組、對照組之前後測及二組之差異。研究結果顯示，長照機構老人呈現輕度憂鬱狀態，幸福感屬中上程度。介入措施前後兩組老人的憂鬱狀態、幸福感間均無顯著差異；但介入措施後，實驗組「情感」層面的憂鬱狀態獲改善及提升了「自我肯定」層面的幸福感。此研究結果說明藝術治療活動有益於長照機構老人的心理健康。建議健康照護提供者可將和諧粉彩藝術活動納入護理工作，將有助於發展多樣化、創新的長期照護特色。

Depression and well-being affect the mental health of the elderly who live in long-term facilities. The art therapy has its benefits for the physical and mental health to the older adults, but the relevant evidence of "Pastel Nagomi Art" applied to the elderly are quite limited. The aims of this study was to administrate a "Pastel Nagomi Art" program for the elderly in long-term facilities, and test the effectiveness on depression status, well-being of the elderly. A pre and post-test with quasi-experimental design was used. A total of 35 older adults were recruited from a hospital-based nursing home using purposive sampling strategy. The subjects were divided into experimental and control group by draw-lot method. The last, 15 subjects who participated in a Pastel Nagomi Art program were assigned to the experimental group, and 20 subjects who adhered to their ordinary activities were allocated to the control group. The total duration of the intervention was six weeks, twice a week, 60 minutes each time. To examine the differences between two groups and the differences before and after the intervention, subjects' depression status and well-being were measured at one week before the intervention and six weeks after the intervention. The results showed that the depression status was at a mild level, and the sense of well-being was at an upper middle level. There were no significant differences between the depression state and well-being of the two groups before and after the intervention; however, after the intervention, the depression state of the experimental group at the "emotional" dimension was improved and the well-being at the "self- affirmation" dimension was enhanced. Conclusion: Art therapy activities benefit the mental health of the elderly. It is recommended that health care providers incorporate "Pastel Nagomi Art" activities into nursing work may help develop long­term care into a more diverse and innovative direction.

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