| Summary: | 碩士 === 義守大學 === 護理學系 === 107 === This study used experimental research design. Participants were sampled in five long-term care center in the south of Taiwan. The purpose of this study was to examine the effectiveness of Virtual Reality Training on Cognition and Motor Control (VRTCM) on elderly in long-term care of the competent authorities of the Social Welfare Bureau. The subjects were over 65 years old and were randomly sampled by the same envelope bag number. 60 olders were randomly assigned to 30 experimental groups and 30 control group, 10 olders were excluded by the seasonal influenza. Exclude visual impairment, inability to communicate, dementia, cognitive dysfunction (Mini-Mental Status Examination, MMSE < 13 points), vegetative, handicapped.The experimental group was involved in the eight-week VRTCM system, 45 to 60 minutes once a week of interventions were received, and no intervention in the control group. The Activity of Daily Living (ADL), the Cognitive Assessment Screening Instrument (CASI), the Short Smart Test (MMSE), and the clock test (Clock Drawing Test-Drawing Part, CDT-D), Taiwan''s World Health Organization Quality of Life Brief (WHQOL-BREF) were tested in the two groups. For analysis, the present study used the Two -way ANOVA. The significant level was set to α=.05. The system parameters of VRTCM were generated by the experimental group: The Correction Rate and the Weekly (Population Variance of Time Difference) were measured by Repeated measured ANOVA. Explore the progress of cognitive function and motion control training. The results showed that the experimental group had significant differences in cognitive function CASI and MMSE compared with the control group (p < .05), scored in CASI dimension, short-term memory (p =.00), attention (p = .00), set center calculation (p = .01), language ability (p = .00), and thought fluency (p = .02) all showed significant differences (p < .05). The score on the WHQOL-BREF scale was significant (p < .05). The ADL and CDT-D scales were not significant (p > .05). The experimental group used the generalized estimating equation (GEE) to explore the progress of VRTCM intervention before and after the experimental group questionnaire, and the short-term memory, attention, central computing power, orientation, language ability, and thoughts in the CASI questionnaire. There was a significant difference in fluency and MMSE scores from the quality of life (p = .00, <.05). The results showed that
the average correct rate of the eighth week was significantly increased by 0.18. The experimental group compared with the control group and the variation of difference in response time of the eighth week also was significantly reduced by 20.62 in VRTCM index. In terms of cognitive function and life ability, short-term memory, attention, language ability, thought fluency, and quality of life were significantly improved after the intervention. By training of VRTCM could improve the motor control ability, many domains of cognitive function, and improve the quality of life in the elderly with mild cognitive dysfunction. Thus, present study could be the reference for promoted training of aging social health in the future.
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