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    Title: 魚菜共生於長期照護系統之應用研究
    Applications of Aquaponics on Long-term Care Systems for the Disabled
    Authors: 陳益乾
    Chen, Yi Chyan
    Contributors: 黃正忠
    陳益乾
    Chen, Yi Chyan
    Keywords: 失能
    老化
    失智
    慢性精神疾病
    長期照護
    綠色療癒
    魚菜共生
    服務模式
    disability
    ageing
    dementia
    chronic mental disorders
    long-term care
    green therapy
    aquaponics
    service model
    Date: 2016
    Issue Date: 2016-03-02
    Abstract:   失能長期照護及人口老化是社會重大議題,如何有效預防及治療是造就社會永續發展的根本。身體的殘障造成的失能須考量個人疾病的因素及社會環境的因素,從醫療照護系統提供疾病的診治,社會環境應提供友善及便利的環境設施,以避免疾病造成的失能。長期照顧法服務是政府推動重大政策,其服務模式、人才、資源及財源配置,更需要整合性的思維。除了提供有效便利的人力服務外,更須考量發展兼具疾病預防、提升病人及家人的幸福及滿足感,符合自然及人性的服務模式,創造價值共享的社會。
    本文研究包含三部份,首先分析日本熊本縣之長期照顧模式,從社區日間支持照護、老人安養照護機構及區域主責醫院,質性研究探討其組織架構、服務模式、資源配置及經費來源等,並進一步思考如何架構一個屬於國內長照服務可行的照護模式。探討國內現有精神醫療體系在長照服務建立時可仿效的處遇模式。其次在醫院精神科日間照護中心建立魚菜共生系統取代傳統園藝治療,架構一個團體治療及復健的平台,質性評量精神病患治療成效,並分析其主觀感受及需求。第三部份問卷調查社區長照及綠色療癒的推廣應用。
    研究結果顯示日本成熟的長照服務模式,國內導入時可架構在現有完備的精神醫療網進行策略規畫,為考量社區化與住宅屬性的差異,採用微生態魚菜共生系統服務模式,將其當作復健的平台,是長照服務架構一個值得思考的議題。創造出一個新的服務模式,讓老年人得以參與社區活動,接觸自然,增加活動量減少孤獨與失能,達到疾病預防及療癒的目的。論文希望以魚菜共生系統為平台,由課程的設計、從植物種植與觀察生長歷程、至成果分享與交換,重拾失能者與老年人的生產力,由此創造更多親屬及朋友間的互動平台,甚至創造更多的就業機會,讓年輕人投入長照服務產業,創造世代間的共享價值。
    Reference: 一、中文文獻
    1. 詹文男、陳信宏、林欣吾,2015,2025台灣大未來,大立文創。
    2. 王獻堂、水水團隊,2015,魚菜共生,尖端出版。
    3. 黃明發,2013,長照機構經營與管理,楊智文化。
    4. 荒野保護協會譯,2012,生態心理學,荒野保護協會。
    5. 黃正平,2008,臨床老年精神醫學,合記圖書出版社。
    6. 陳柏琪、張靜貞、陳肇男,2015,台灣老年長期照護需求之推計‐GEMTEE 模型之應用。
    7. 陳益乾、魯思翁、陸汝斌,1994,幻覺的理論與臨床意義,臨床醫學34:424-430
    8. 陳益乾、黃政嘉、魯思翁,1995,慢性精神分裂病之治療策略 (上),臨床醫學35:53-56
    9. 陳益乾、黃政嘉、魯思翁,1995,慢性精神分裂病之治療策略 (下),臨床醫學35:107-112
    10.陳益乾、諶立中,1996,抗精神病藥物之分類及臨床應用,國防醫學 23(5):387-391
    11.陳雅卉、呂昌明,2009,大學生自尊、憂鬱程度、社會支持與自殺意念之相關研究-以某大學為例
    12.陳心怡,2000,貝克憂鬱量表
    13.卓淑玲、洪儷瑜、蘇嘉鈴、陳學志,2009,「貝克兒童及青少年量表」之中文化研究
    14.姚開明,2000,台灣簡明版世界衛生組織生活品質問卷(WHOQOL-BREF)
    15.楊家正,1998,羅斯伯自尊感指標
    16.汪慧君,2008,台北縣某高中生知覺生活壓力、自尊、社會支持、與自殺意念之相關研究。

    二、英文文獻
    1. Armen H. (2007). "Mind launches green agenda for mental health. Ecotherapy vs. retail therapy." Heliq.com.

    2. Barley, E. A., Robinson, S., et al. (2012). "Primary-care based participatory rehabilitation: users` views of a horticultural and arts project." Br J Gen Pract 62(595): e127-134.

    3. Beck, J. S., Beck, A. T., et al. (2001). "The Beck Youth Inventories of Emotional and Social Impairment." San Antonio, TX: Harcourt Assessment.

    4. Catlin, P. A., Milliorn, A. B., et al. (1992). "Horticulture therapy promotes `wellness,` autonomy in residents." Provider 18(7): 40.

    5. Dauphinais, D. R., Rosenthal, J.Z., et al. (2012). "Controlled trial of safety and efficacy of bright light therapy vs. negative air ions in patients with bipolar depression." Psychiatry Res. 196(1):57-61.

    6. Endut, A., Jusoh, A., et al. (2002). "A study on the optimal hydraulic loading rate and plant ratios in recirculation aquaponic system." Bioresour Technol 101(5): 1511-1517.

    7. Flory, R., Ametepe, J., et al. (2010) "A randomized, placebo-controlled trial of bright light and high-density negative air ions for treatment of Seasonal Affective Disorder." Psychiatry Res. 177(1-2):101-8.

    8. Gilbert, E., Marwaha, S., et al. (2013) "Social Firms as a means of vocational recovery for people with mental illness: a UK survey." BMC Health Serv Res 13: 270.

    9. Gonzalez, M. T., Hartig, T., et al. (2011). "A prospective study of existential issues in therapeutic horticulture for clinical depression." Issues Ment Health Nurs 32(1): 73-81.

    10.Goel, N., Etwaroo, G.R. (2006). "Bright light, negative air ions and auditory stimuli produce rapid mood changes in a student population: a placebo-controlled study." Psychol Med. 36(9):1253-63.

    11.Goel, N., Terman, M., et al. (2005). "Controlled trial of bright light and negative air ions for chronic depression." Psychol Med. 35(7):945-55.

    12.Harmer, C. J., Charles, M., et al. (2011). "Negative ion treatment increases positive emotional processing in seasonal affective disorder." Psychol Med. 42(8):1605-1612.

    13.Hu, Z., Lee, J. W., et al. (2015). "Effect of plant species on nitrogen recovery in aquaponics." Bioresour Technol 188: 92-98.

    14.Kamioka, H., Tsutani, K., et al. (2014). "Effectiveness of horticultural therapy: a systematic review of randomized controlled trials." Complement Ther Med. 22(5):930-43

    15.Krivograd Klemencic, A., Griessler Bulc T. (2015). "The use of vertical constructed wetland and ultrasound in aquaponic systems." Environ Sci Pollut Res Int 22(2): 1420-1430.

    16.Kuo, F. E., Taylor, A. F. (2004). "A Potential Natural Treatment for Attention-Deficit/Hyperactivity Disorder:Evidence from a National Study" Am J Public Health 94(9): 1580-1586.

    17.Louv, R. (2005). "Last Child in the Woods: Saving our children from nature-deficit disorder." ISBN: 9781565126053

    18.Love, D. C., Fry, J. P., et al. (2014)."An international survey of aquaponics practitioners." PLoS One 9(7): e102662.

    19.Lawson, W. (2004). "It`s easier seeing green ADHD curbed when kids play outdoors. " Psychology Today. 26-27.

    20.Mormont, E., Jamart, J., et al. (2014). "Symptoms of depression and anxiety after the disclosure of the diagnosis of Alzheimer disease." J Geriatr Psychiatry Neurol. 27(4):231-6.

    21.Munguia-Fragozo, P., O. Alatorre-Jacome, et al. (2015). "Perspective for Aquaponic Systems: "Omic" Technologies for Microbial Community Analysis." Biomed Res Int e: 480386.

    22.Prema, T. P., Devarajaiah, C., et al. (1986). "Horticulture therapy: an attempt at Indianisation of psychiatric nursing." Nurs J India 77(6): 154-6.

    23.Perez, V., Alexander, D. D., et al. (2013) "Air ions and mood outcomes: a review and meta-analysis." BMC Psychiatry 13(29): 1186-1471

    24.Rosenberg, M. (1965). "Society and adolescent self-image." Princeton, NJ: Princeton University Pess

    25.Soderback, I., Soderstrom, M., et al. (2004). "Horticultural therapy: the `healing garden`and gardening in rehabilitation measures at Danderyd Hospital Rehabilitation Clinic, Sweden." Pediatr Rehabil 7(4): 245-60.

    26.Spurgeon, T., Underhill, C. (1979). "Horticultural therapy--aspects of land use for the mentally handicapped. A system of planning for the requirements of the mentally handicapped gardener." Int J Rehabil Res 2(3): 343-52.

    27.Terman, M., Terman, J. S. (2006) "Controlled trial of naturalistic dawn simulation and negative air ionization for seasonal affective disorder." Am J Psychiatry. 163(12): 2126-33.

    28.Thomas, S. P. (2014) "Therapeutic horticulture deserves wider implementation." Issues Ment Health Nurs 35(3): 155-234.

    29.Tokuyama, T., Mine, A., et al. (2004). "Nitrosomonas communis strain YNSRA, an ammonia-oxidizing bacterium, isolated from the reed rhizoplane in an aquaponics plant." J Biosci Bioeng 98(4): 309-12.

    30.Vaccaro, J. V., Cousino, I., et al. (1992). "The growth of supported employment from horticulture therapy in the veterans` garden." New Dir Ment Health Serv 53: 97-104.

    31.Whear, R., Coon, J. T., et al. (2014) "What is the impact of using outdoor spaces such as gardens on the physical and mental well-being of those with dementia? A systematic review of quantitative and qualitative evidence." J Am Med Dir Assoc 15(10): 697-705.

    32.Zou, Y., Hu, Z., et al. (2015). "Attempts to improve nitrogen utilization efficiency of aquaponics through nitrifies addition and filler gradation." Environ Sci Pollut Res Int PMID: 26645232

    三、網路資料庫
    1.衛生福利部長期照護專區
    http://www.mohw.gov.tw/cht/LTC/DM1_P.aspx?f_list_no=903&fod_list_no=5589&doc_no=52346
    2.衛生福利部心口司
    http://www.mohw.gov.tw/cht/DOMHAOH/DM1_P.aspx?f_list_no=182&fod_list_no=5124&doc_no=46112
    3.衛生福利部護理及健康照護司
    http://www.mohw.gov.tw/cht/DONAHC/DM1_P.aspx?f_list_no=584&fod_list_no=0&doc_no=51017
    4.衛生福利部統計處
    http://www.mohw.gov.tw/cht/DOS/
    5.Green therapy
    http://www.winmentalhealth.com/green_therapy.php
    6.Negative ion:
    http://www.dalimara.com/pages/Discover-How-Negative-Ions-Benefit-You
    7.Harvard Mental Health Letter: Exercise and depression.
    https://www.health.harvard.edu/newsweek/Exercise-and-Depression-report-excerpt.htm
    Description: 碩士
    國立政治大學
    經營管理碩士學程(EMBA)
    102932110
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0102932110
    Data Type: thesis
    Appears in Collections:[經營管理碩士學程EMBA] 學位論文

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