• 沒有找到結果。

第六章 結論與建議

第二節 建議

綜合文獻分析及研究結果,對未來研究及實務設計部分提出建議如下:

一、 研究對象:本研究所蒐集到的文獻多以高齡之失智症患者為研究對象,結 論無法推論對於較年輕的失智症患者是否有顯著影響。建議未來研究者 可拓展研究母體,對於較年輕之失智症患者族群進行介入與分析,其研究 結果可能更具有外推性。

二、研究方法:本次納入的台灣文獻,研究方法並無隨機分配,建議未來之研 究者可進行隨機分配之實驗設計,以增加研究之內在效度。

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附錄一 文獻品質評定

評分標準 1 2 3 4 5 6 7 8

題目 Modified Jadad Scale(文獻 品質評定) 評分標準/

總分

有無描 述隨機 化(有 1 分,無 0 分)

隨機化 是否適 當(適 1 分,未 描述0 分,不 適當得 1 分)

描述盲 化(雙 1 分、單 0.5 分,未 描述0 分)

盲化是 否適當

(適當 1 分,

未描述 0 分,

不適當 得扣1 分)

描述退 出人數 及理由

(有描 述為1 分,無 描述為 0 分)

描述納 入或排 除標準

(有描 述為1 分,無 描述為 0 分)

描述評 估不良 反應

(有描 述為1 分,無 描述為 0 分)

描述統 計分析 方法

(有描 述為1 分,無 描述為 0 分)

1 運用運動訓練

維持失智老人 如廁功能之探

3 0 0 0 0 1 1 0 1

2

Cost-effectiveness of exercise as a therapy for behavioural and

psychological symptoms of dementia within the

EVIDEM-E randomised controlled trial

5.5 1 1 0.5 1 0 1 0 1

3 團體運動班介

入於社區輕度 認知障礙和輕 度 失智長者之 成效

2 0 0 0 0 0 1 0 1

4 多元運動課程

介入對輕度認 知功能障礙高 齡者之成效研

2 0 0 0 0 0 1 0 1

5 Improved Functional Performance in Individuals With Dementia After a Moderate- Intensity Home-Based Exercise Program:

A Randomized Controlled Trial

6 1 1 0 0 1 1 1 1

6 體能活動介入

對日間照顧中 心失智症高齡 者體適能之成

3 0 0 0 0 1 1 0 1

7 The effects of movement stimulation on activities of daily living performance and quality of life in nursing home residents with dementia: a randomized controlled trial

5.5 1 1 0.5 1 0 1 0 1

8 Psychophysiolo gical Effects of Dance

Movement Therapy and Physical Exercise on Older Adults With Mild Dementia:

A Randomized Controlled Trial

6.5 1 1 0.5 1 1 1 0 1

9 The effect of exercise and social activity interventions on nutritional status in older adults with dementia living in nursing homes: A randomized controlled trail

6.5 1 1 0.5 1 1 1 0 1

10 Six-month observational follow-up on activities of daily living in people with dementia living in nursing homes after a 6-month group based

on either exercis e or social activities

5 1 1 0 0 1 1 0 1

11 Effect of physical exercise on physical performance and fall incidents of individuals living with dementia in nursing homes:

a randomized controlled trial

7 1 1 1 1 1 1 0 1

12 Combined Intervention of Physical Activity, Aerobic Exercise, and Cognitive

5 1 1 1 0 0 1 0 1

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