2026-11-092026-11-09https://scholars.csmu.edu.tw/handle/123456789/37954Dementia is a change in mental status and cognitive function. The prevalence of dementia is increased with advanced age. The rapid increase of the elderly population and the prolong of life expectancy will result in the raising percentage of persons with dementia in Taiwan. It makes the care on persons with dementia become much more important. Research evidences provide support about the benefits of exercise on motor function and balance that could prevent persons from falls and fracture, and thus avoid hospitalization and dependence. Exercise also has the effect on the decrease of anxiety and depression. These benefits make exercise particularly important to persons with dementia. However, persons with dementia are usually excluded from exercise interventions because the impairment of cognitive function interfere them to follow exercise instructions. Furthermore, health professionals view the decline of physical function in persons with dementia as an inevitable consequence of the disease, therefore hesitate to provide physical activities for persons with dementia. Research findings reveal that no matter the level of cognitive impairment, persons with dementia could do exercise and obtain benefits from exercising under adequate supervision. The purpose of this study is to develop an exercise intervention appropriate for persons with dementia and test its effects on cognition, balance, gait and emotion. For the first year, one hundred subjects will be recruited from three dementia special care units in the middle area of Taiwan. Cognition, gait, balance and emotion will be measured by the Haycox Dementia Behavior Scale, Tinetti Balance and Gait Assessment, and the Apparent Emotions Rating Scale. For the second year, exercise intervention will be implemented to 30 subjects in a special care unit in Taichung City. Research findings will increase knowledge about the use of exercise on persons with dementia and courage nurses to use nonpharmacotherapeutic approaches to care persons with dementia.運動對失智症患者認知功能、步態、平衡及情緒之成效 Effects of Exercise on Cognitive Function, Gait, Balance, and Emotion in Persons with Dementia （一）計畫中文摘要 失智是一種心智狀態的改變，其發生率與年齡成正比。國內老年人口快速增加及平均餘命 延長，失智症的人口比例將大幅增加，使得失智症照護更顯重要。研究證據顯示運動對於 行動能力和平衡感的好處，能有效預防跌倒和骨折，進而避免住院或生活上的依賴。運動 也能有效減少焦慮及憂鬱，這些好處對失智症患者尤其重要。然而，失智症患者由於認知 功能缺失，導致經常被排除在運動措施之外，加上醫護人員常將患者身體活動的退化當作 是失智症一種無可避免的後果，因此很少提供增進身體功能的活動，顯示對失智症患者照 護的不足。研究證據顯示失智症患者不論認知功能受損的嚴重度，在監督下皆可進行運動 並獲得益處。本研究目的是要發展適合失智症患者的運動內容，並測試該運動對患者認知 功能、平衡步態及情緒之成效。本研究第一年將至中部地區三個附設失智症照護中心之護 理之家進行收案，使用Haycox Dementia Behavior Scale、Tinetti Balance and Gait Assessment、the Apparent Emotions Rating Scale 測量研究對象的認知功能、平衡與步態、及 情緒，預收案100 位。第二年將採類實驗研究法於台中市某護理之家附設失智症照護中心 進行運動介入措施之研究，預收案30 位。研究結果將可增加運動措施使用於失智症患者成 效之知識，並鼓勵護理人員使用非藥物措施照護失智症患者。失智症運動認知功能平衡及步態情緒dementiaexercisecognitive functionbalance and gaitemotionProject