Please use this identifier to cite or link to this item: http://hdl.handle.net/11455/29390
標題: 園藝治療活動對失智症患者治療效果之個案研究
The Case Studies of Treatment Effect of Horticultural Therapy Activities on Dementia Patients
作者: 董芝帆
Tung, Chih-Fan
關鍵字: 園藝治療;Horticultural Therapy;失智症;個案研究;Dementia;Case Study
出版社: 園藝學系所
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摘要: 
園藝治療是一種以植物做為媒材的治療活動,透過專業的園藝治療活動設計
者為參與者設計合適的活動,以促進參與者身心健康並達到療癒的效果。失智症
患者除了正式療程外,園藝輔助性的治療方法亦得到相關醫療專業的重視。本研
究以三個不同程度的失智症患者為研究對象,分別針對失智症個案之症狀及資訊
擬定適合的園藝活動,探討透過專屬的園藝治療活動設計後,失智症患者園藝治
療的效益,並提出針對不同程度的失智症患者園藝治療活動設計準則。由於三個
個案在程度及活動安排上皆不同,因此本研究以個案研究的方式進行,在活動過
程中利用深入訪談的方式了解個案在其中的感受,並以半結構式訪談向家屬或社
工蒐集活動設計所需的個案資訊及活動後觀察資料。活動及訪談全程架設錄影機
存檔,將所有訪談內容於訪談後書寫成逐字稿,採用內容分析法,進行結果之分
析與歸納。
研究結果顯示個案A(重度失智症者)在第一天插花及水果品嚐的活動中,產生
感謝、成就感、正向情緒、降低焦慮情緒、學習、促進思考、感官刺激、分享及
幫忙之效益。在第二天長壽花贈送的活動中,產生成就感、正向情緒、降低焦慮
情緒及促進思考之效益。第三天拼圖的活動產生成就感之效益。第四天公園散步
的活動產生增加生理活動及感官刺激之效益。
個案B(中度失智症者,能力較好)在第一天盆栽組合活動中產生新奇有趣感、
學習、求知、感官刺激、促進思考、喚起過去記憶、觀察及分享之效益。在第二
天香草餅乾活動中產生感謝、成就感、求知、學習及感官刺激之效益。在第三天
的插花活動中產生成就感、求知、學習、感官刺激、喚起過去記憶、觀察及分享
效益。在第四天的蔥油餅活動中產生感官刺激、喚起過去記憶、分享及稱讚之效
益。
個案C(中度失智症者,能力較差) 在第一天蔬菜辨別的活動中產生喚起過去
記憶、分享及配合之效益。在第二天的蔬菜烹飪中產生謙虛、喚起過去經驗及配
合之效益。在第三天的香草辨別活動中產生自豪、學習、促進思考、感官刺激、
聯想、分享、配合及友善之效益。在第四天的香草茶活動中產生感官刺激、記憶
及分享之效益。
研究結果顯示專屬的園藝治療活動對於不同程度的失智症患者在心理、生理、
認知及社交等方面有改善的助益,園藝治療活動安排的內容依據個案特性有所不
同,所產生的活動效益也不同,故可將園藝療法應用於失智症患者的輔助療法中,
並針對個案的特性給予適當的園藝活動,來達到治療效果。研究結果亦顯示不論
針對哪種程度的失智症患者,在園藝治療活動設計上,都需考量個案的興趣、喜
好厭惡、生活經驗及平日的休閒活動等個人相關訊息,才能正確掌握活動的設計
II
方向。除了考量失智等級外,應將患者的能力一併納入,對於能力較好的失智症
患者應設計帶有新鮮感並具有挑戰性的活動,對於能力較差的失智症患者應設計
能夠喚起過去記憶及重覆性高的活動。
本研究建議在後續失智症園藝治療應用上,對於失智症者應以專屬園藝治療
活動為操作原則,並嘗試不同的園藝活動類型;對於後續研究建議納入不同的園
藝治療評估工具及納入專業的醫療人員一同進行,並加長研究時間及增加個案數
量。

The horticultural therapy is one of complementary therapy applying plants to
promote individual physical, psychological, cognitive, and social well-being. Except for
the medication, horticultural therapy has been adapted for cares of dementia patients.
The purpose of this study was to explore what kind of benefits can be generated from
horticultural therapy programs for dementia patients, and to provide specific design
guidelines for different levels of dementia patients. Three different levels of dementia
patients were chosen as the study cases. The in-depth interview and the
semi-structured interview were adopted to collect data. The in-depth interview was
applied to understand overall feeling of patients during activities and the
semi-structured interview was conducted to collect more observation data after activities
from patients'' family and social workers. Data were analyzed by the content analysis.
The results showed that there were physical benefits (e.g., promoting physical
health), psychological benefits (e.g., expressing thanks and modest, increasing sense of
pride and accomplishment, decreasing anxiety, improving positive emotion, thirst for
knowledge, feel interesting), cognitive benefits (e.g., evoking past memories, improving
observation and thinking, sensory stimulation, inspiring imagination, enhance memory
function), and social benefits (e.g., improving share, help, engagement, and praise).
The activities in the horticultural therapy guidelines should be considered from
various perspectives such as patient''s interest, habit, experience, symptom, and etc. For
the patient with better abilities, new and interesting activities to challenge new
experience are important. In contrast, the patient with low abilities, the use of repeating
activities to evoke their past memories is recommended. In conclusion, this study
showed benefits of horticultural therapy for dementia patients in psychological,
physiological, cognitive and social dimensions. The results will help medical staffs to
design the special program of horticultural therapy for dementia patients in the future.
URI: http://hdl.handle.net/11455/29390
其他識別: U0005-2108201211373000
Appears in Collections:園藝學系

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