| Summary: | 碩士 === 實踐大學 === 家庭研究與兒童發展學系高齡家庭服務事業碩士在職專班 === 105 === This study aims at combining both the horticultural therapy and the positive emotion related theory to design a treatment program for elderly with early- and mid-stage dementia.The research adopts a one-group pretest-posttest design as the research method, supported with experimental design collected data on patient information leaflets of 12 early- and mid-stage dementia elderly patients from a conservation organization at Sanxia District in New Taipei City. The experimental treatment program was conducted 12 times on each patient, at the frequency of 2 times per week, and 90 minutes each time.
Data collected from both forms: “Positive Emotion Scales Questionnaire - for Elderly with Dementia” and “The Efficacy of Horticultural Therapy Evaluation Form” , as well as records from “Patient Information Leaflets” were analysis using the statistical software package SPSS 18.0. The software was analyzed by descriptive statistics, and the wilcoxon signed rank test was used to analyze the differences between the subjects before and after the program. In addition, the Pearson correlation coefficient was used to analyze the seven items before and after the " The efficacy of horticultural therapy evaluation form", and to understand the influencing factors of the participants before and after the program.
This research shows: A. the treatment program works the best in increase “Contentment “ emotion; B. Elderly with dementia think they were most benefit on “Sense of Accomplishment” and “Relaxation” after the treatment program; C. the treatment program can turn positive emotion into positive circle of influence; D. the treatment program works most effectively on elderly with early- stage dementia ; E. Elderly with dementia have more expectations towards life and increased conversation with children.
Based on the research conclusion, the following recommendations are made: (A). Each individual nurse aide to learn or become a horticultural therapist, which is more than a vocational skill, also help to discharge individual’s negative emotion from working in a high-pressure environment; (B). Conservation organizations to adopt horticultural therapy into daily routine, and to train and develop more nurse aides in becoming horticultural therapists; (C). Suggestion for future work, the researchers should extend the research attempt to evaluate the extended effects in more longer term. And lastly, hope the treatment program used in this study provides the frame of reference of horticultural therapy in dementia care and in clinical practice.
Keywords: Horticultural therapy program; elderly with dementia; positive emotion
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