The Effects of Reality Orientation Group by Errorless Learning for the Elderly with Dementia in the Community

• Main Authors: Chang Wen Hui, 張雯慧
• Other Authors: Huang Chih Kun
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/bp4m72

碩士 === 美和科技大學 === 社會工作系碩士班 === 107 === Based on the review of literature,the purpose of this study was design and practice a set of errorless learning cognitive activities for the reality orientation group of elderly with dementia in the community. The effectiveness assess includes the cognitive function, depression ,frailty and quality of life。 Quasi-experimental design was used for this study. The participant were 20 whom had evaluated with mild or intermediate dementing disorder, and divided into the experimental group and the control group by random sampling. The experimental group (n=10） is the reality orientation group and practice with erroless learning cognitive activities. The control group (n=10) is in general daily activities. Evaluates their effectiveness after fourteen activities. There are the Montreal Cognitive Assessment（MOCA）,Geriatric Depression Scale（GDS）,Kihon Check List（KCL）,and Quality of Life-Alzheimer’s Disease Scale （QOL-AD）used for evaluates the effectness . These scales test results shows that on cognitive function ,the experimental group has improve effects obviously( Z=-1.963，P=.050）; on the depression, the experimental group did not reach the difference of significant level（Z=-.946，P=.344）;on the frailty, the experimental group did not have difference of significant level（Z=-1.826，Z=.068）;on the quality of life, the experimental group did not have difference significant（Z=-1.367，P=.172）. The comprehensive result shows that reality orientation group practice with designed locally errorless learning cognitive activities, will potentially improve the cognitive function for elderly with dementia in community. It is recommended that the domestic community should augment the further design and implementation of the reality orientation group with errorless learning cognitive activities. The long-term care services industry, the academic and the community have to be strengthen the cooperation, more local researches have to be made, and the practice guidelines of reality orientation group with errorless learning cognitive activities have to be established for domestic community.