A Mental Health Promotion Program: The Effectiveness of Laughing Qigong Program (LQP) for Elderly Residents in Long-Term Care Institution at Beitou

• Main Authors: Shu-Chin Hsu, 徐淑金
• Other Authors: Chia-Jung Hsieh
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/3mbdj6

碩士 === 國立臺北護理健康大學 === 護理研究所 === 102 === ABSTRACT Background： Lots of positive psychological oriented researches related with 「Laughter」and「Emotional Disturbance」recently. Nevertheless, insufficiently experimental interventions were focused on elderly residents in long-term care institutions. Objective： Through Laughing Qigong Program (LQP) intervention, researchers intended to evaluate effectiveness of participants' responses in terms of psychological disturbance、depression moods and emotional status. Additionally, fluctuation changed of Cortisol concentration, a physiological indicator of body pressure, was measured. Methodology： The method of Quasi-Experimental Design was adapted, Laughing Qigong Program (LQP) applied as intervention. Participants were elderly residents living in five long-term care institutions at Baitou District. It was random to select three out of five institutions being “Experiment Group” and other two being “Control Group”. The random sampling was decided by throwing a coin, head was Experiment Group and tail was Control Group. Daily activities and regular cares of two groups were kept the same, except the LQP intervention administrated at different time period. There were 60 valid samples totally. Intervention was administrated in form of closed group, once a week for one hour and twelve weeks consecutively. Furthermore, Experiment Group and Control Group were screened by scores of Mini-Mental State Examination (MMSE) to differentiate normal status based on educational level of participants. The purpose was to understand the effectiveness of LQP to those who having normal cognitive functions. Measurement： Measurement of psychological instruments included Brief Symptom Rating Scale-5 (BSRS-5), Alzheimer Disease-8 (AD-8), Geriatric Depression Scale (GDS), Cornell Scale for Depression in Dementia (CSDD), The Face Scale (FS) and a physiological indicator of pressure hormone, Cortisol. Analysis： Analysis applied Descriptive Statistics to express participants’ personal information and baseline of all dependent variables. Chi Square Test was used for testing differences of demographics. Inferential Statistics used non-parametric Independent-Samples Mann-Whitney U Test and Dependent-Samples Wilcoxon Signed Ranks Test. Results： 1.Effectiveness of before and after LQP intervention in Experiment Group, performance of BSRS-5 (P＜.01)、AD-8 (P=0.02) 、GDS (P＜.01)、 CSDD (P＜.01) and FS (P＜.01), are statistical significance. The physiological indicator of pressure hormone, Cortisol is statistical significance, too (P＜.01).。 2.Effectiveness of before and after LQP intervention in Control Group, performance of BSRS-5 (P＜.01 )、AD-8 (P＜.01) 、GDS (P＜.01)、 CSDD (P＜.01) and FS (P＜.01), are significant statistically. However, the physiological indicator of pressure hormone, Cortisol is NO statistical significance (P=0.18)。 3.Experiment Group was tested again four weeks after LQP intervention, the purpose was to trace “Prolonged Effect”. Main findings are BSRS-5 (P＜.01)、AD-8 (P=0.01) 、GDS (P＜.01)、 CSDD (P＜.01) and FS (P=0.03) able to maintain statistical significance in psychological measurements. The indicator of pressure hormone, Cortisol remains significant statistically (P=0.02). The results have explained “Prolonged Effects” being existent. Keywords: Facilitate Method of Mental Health; Laughing Qigong Program (LQP); Long-Term Care Institution for the Elderly Residents; Cortisol