19852 research outputs found
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[[alternative]]Greenhouse Gas Inventory in Enterprise Supply Chain--Taking Ayunjie Farm in Kinmen County as an Example
No full text[[abstract]] 本研究旨在調查農企業從生產到銷售的碳排放情況、進行溫室氣體盤查，藉此了解農企業的碳排放熱點、推動減排措施。 研究首先分析農產品產供業鏈，將其分為生產、集貨儲存和銷售三個階段。並以金門縣阿芸姐農場為研究對象，該農場同時具備溫室生產、集貨儲存及門市銷售，並採用有機耕作，適合進行產業鏈研究。研究採用ISO 14064-1:2018碳盤查規範，分析各階段的碳排放。 依據研究提出具體因應對策：門市銷售可減少冷氣使用；運輸工具改用電動車，並落實地產地銷，以減少運輸碳排放；冷藏車改為電動車；淘汰低效能的冷凍/冷藏庫。 最後，在研究成果中比較了門市2021年與2023年的碳排放量，結果顯示碳排放量均顯著下降。總排放量從2021年的322.6178 (公噸CO2e/年)下降到2023年的146.6952 (公噸CO2e/年)，下降幅度顯著達54.52%。這表明所提出的減碳建議有效且可行。[[abstract]] This study aims to investigate the carbon emissions of agricultural enterprises from production to sales by conducting a comprehensive greenhouse gas inventory. The objective is to identify carbon emission hotspots and propose effective emission reduction measures. Initially, the study dissects the agricultural product industry chain into three distinct stages: production, collection and storage, and sales. The research focuses on A-Yun Jie Farm in Kinmen County, which integrates greenhouse production, collection and storage, and retail sales, employing organic farming practices. This makes it a suitable case study for industry chain analysis. The ISO 14064-1:2018 standard for carbon inventory is utilized to analyze emissions at each stage. Based on the findings, several targeted countermeasures are proposed: implementing semi-open spaces for retail sales to minimize air conditioning usage; transitioning to electric vehicles for transportation and promoting local production and sales to reduce transportation-related carbon emissions; converting refrigerated trucks to electric vehicles; phasing out inefficient refrigeration units; and increasing the utilization of biomass energy, such as rice husk stoves. Finally, the study compares carbon emissions from 2021 to 2023, revealing a significant reduction. Total emissions decreased from 322.6178 metric tons of CO2e per year in 2021 to 146.6952 metric tons of CO2e per year in 2023, representing a substantial reduction of 54.52%. This indicates that the proposed carbon reduction measures are both effective and feasible
[[alternative]]A Research and Practice on the Meaning of Life in "Zhuangzi: Ying Diwang"--The Focus on Leadership and Management of Militaries
No full text[[abstract]] 中國哲學是生命的學問，在時代的演進中，先前學者、哲人不斷以自身的智慧，企圖將智慧的光芒，透過文本及自身的學識及內在涵養，將屬於華人的文化寶藏傳承及發揚。儒釋道屬於中國特有的文化思維生命哲理，真理有其普遍性及永恒性，本論文透過莊子文本的詮釋及運用，企圖以道家哲學思維，進一步研究探討莊子文本中「道心修養」結合「部隊領導管理」的可能性，期望在道心的涵養下，部隊的領導者能「用心若鏡」、「逍遙無待」。道家的「無為」，是「無所不為」，在「為」的當下，不被「為」所捆綁，遇事能不累於心，故能勝物而無傷，這取決於領導者自身「鍊心的工夫」，透過「無的智慧」反觀自照、解消我執。如果將生活世界，當成一場生命的華麗冒險，每一次生命的考驗及困頓，都將是我們開發智慧的契機及逆流而上的祝福。本文以牟宗三先生「主觀境界」立場開展論述，由老莊思想中探討道家「自然關係」「天道關係」，進而以「無執去私」為基調延伸。更進一步以《莊子．帝應王》篇為核心，企圖研究論述身為領導者該有的修養及心態，期望領導者在「無心」的修養下，部隊能更加團結和諧、有戰力。[[abstract]] Chinese philosophy is the study of life. Throughout the evolution of time, scholars and philosophers have continuously endeavored, with their own wisdom, to inherit and promote the cultural treasures belonging to the Chinese people through texts, their own knowledge, and inner cultivation. Confucianism, Buddhism, and Daoism belong to the unique cultural and philosophical thinking of China. Truth has its universality and immutability. This thesis attempts to further explore the possibility of combining the cultivation of "Dao heart" with "leadership management" through the interpretation and application of Zhuangzi's texts from the perspective of Daoist philosophy. It is hoped that under the cultivation of Dao heart, leaders of the military can "reflect sincerely" and "be carefree and at ease." Daoist "non-action" is "action without action." In the moment of action, not being bound by the action, one can remain unburdened in mind when facing situations, thus being able to prevail over things without harm. This depends on the leader's own "cultivation of the heart," reflecting and dissolving attachment through the "wisdom of non-being." If life is seen as a splendid adventure, then every test and hardship in life will be an opportunity for us to develop wisdom and blessings against the current. This paper adopts the standpoint of "subjective realm" proposed by Mou Zongsan, exploring Daoist "natural relationships" and "relationships with the Way" from the perspective of Laozi and Zhuangzi's thoughts, and further extending it with the theme of "letting go of attachment and selfishness." Furthermore, it focuses on the chapter "Emperor Yao Responds to King Shun" from the "Zhuangzi" as the core, attempting to discuss the cultivation and mindset that leaders should have. It is hoped that under the cultivation of "no-mind," the military can be more united, harmonious, and effective
[[alternative]]A Narrative Research of Assisting Others to Transform Their Body, Mind and Spirit with Clairvoyance Ability
No full text[[abstract]] 研究者自幼即常進入光的世界，並與形而上之神佛有了近距離之接觸，進而逐漸的擁有了超能力，並探究此超能力產生之原因為何？能為世人做何貢獻？在不斷的學習與進化之中，也成立了有助於人類潛能與智慧的開發和身心靈健康之大智慧養生協會，並研創出大智慧養生功法之理論、心法和功法，於此過程中，也以本身之透視能力協助他人身心靈之轉化，只是有些案例身心靈之轉化過程和改善之原因，由目前之醫學和科學並無法得到合理的解釋，因此，本研究採取質性研究之自我敘說的方式，進行被協助者之個案分析與研究者之自我剖析，在研究過程中發現透過研究者之透視能力所建立的大智慧體系之養生心法、功法，不只對許多的個案有實質的幫助，且已藉由透視能力在協助他人身心靈轉化的實務應用中，綜合整理出一套有系統、有效率，合乎自然之道的養生理論、心法、功法、方法、步驟與自我療癒身心靈的檢測機制，但在研究者自我省思的思索裡，卻也發現目前的大智慧體系尚無法與科學、醫學、社會、文化背景融合，此為結構、內涵及能力尚有不足之處，但願在本論文完成之後，展望未來，希望大智慧學術能有可以進一步與醫學、科學及各學術領域相互配合、相輔相成之契機，並共同研究、開發靈學之儀器、設備，以促進人們身心靈之健康，並解開醫學、科學無法解釋之身心靈得到正向、正面轉化之謎。[[abstract]] The researcher has been immersed in the world of light since childhood, having close encounters with metaphysical deities and Buddhas. Gradually developing psychic abilities, the researcher delves into the reasons behind these abilities and their potential contributions to humanity. Through continuous learning and evolution, the Great Wisdom Wellbeing Association was established to aid in the development of human potential, wisdom, and overall mind-body-spirit health. The researcher formulated theories, principles, and practices of the Great Wisdom Wellbeing system. Throughout this journey, their clairvoyant abilities have been utilized to assist others in the transformation of mind, body, and spirit. However, some cases of transformation and improvement defy current medical and scientific explanations. Therefore, this study adopts a qualitative research approach through self-narratives to analyze cases of those assisted and the researcher's self-reflection. The study reveals that the well-being principles and practices established through the researcher's clairvoyant abilities have not only substantially helped many cases but have also integrated into a systematic, effective, and nature-aligned well-being system. This system includes theories, principles, practices, methods, steps, and a self-healing mechanism for mind-body-spirit. Yet, the researcher acknowledges that the current Great Wisdom system has limitations in integrating with scientific, medical, social, and cultural contexts. The structure, content, and capabilities have room for improvement. The researcher hopes that, with the completion of this thesis, there will be opportunities for the academic field of Great Wisdom to collaborate and complement medical, scientific, and various academic domains. The goal is to jointly research and develop instruments and equipment for spiritual studies, promoting holistic well-being and unraveling the mysteries of mind-body-spirit transformation that conventional medicine and science cannot explain
[[alternative]]A Research on the Motivation and Character Behavior of High School Students Participating in Clubs
No full text[[abstract]] 學校猶如小型社會，學生在校園內生活樣貌及言行舉止，儼然是社會的縮影。教育部近年來積極推行友善校園及校園零霸凌等計畫，可知整體社會跟校園品格與重視學生品格行為極為重要。 本研究目的旨在探究南部兩所職業學校高中生參與社團動機及品格行為之研究。研究對象：以南部高中職學校參與社團之高一至高三日間部學生，其社團分類為靜態性社團活動及動態性社團活動二種類別。研究工具：參採黃威樺（2015）探討學生升學壓力、課業延宕與運動參與之關係研究，做為本研究「社團參與動機量表」問卷編製的參考；另「品格行為量表」則參採吳柏緯、柯志堂（2017）根據教育部發展的品德教育促進方案中所編製之品格六大標的真實行為問卷調查表，作為本研究問卷編製的參考。 研究方法：採抽樣問卷調查，共回收有效樣本384份問卷，採描述性統計、獨立樣本t檢定、皮爾森積差相關等資料分析，期望能提供學校開設相關社團，改善學生品格行為實施之參考。 研究發現：首先，性別對社團參與動機具有顯著差異。第二，不同社團類別之高中生在社團參與動機具有顯著差異。第三，兩性主觀自覺品格行為的表現都很不錯，無顯著差異。第四，不同社團類別之高中生在品格行為表現具有顯著差異。五、社團參與動機與品格行為關係呈顯著正相關。 結論與建議：社團參與動機方面看出男生對社團的參與動機高於女生，此外也發現學生對於參與動態性社團的動機高於靜態性社團，在品格行為表現的部分從數據還是可以看出女生表現略優於男生，參與動態性社團學生的品格行為表現高於參與靜態性社團學生，因此藉由參與學校社團來提升學生品格行為能力是可行的辦法。[[abstract]] A school is like a small society. The everyday demeanor and behaviors of students on campus are definitely a miniature of a society. Ministry of Education is active in promoting the plans of friendly campus and zero school bullying over the past few years, which clearly shows how crucial placing emphasis on valuing the student’ conduct of good moral character has on the whole society and campus character in general. Research purpose: It aims to explore the motivation of participating in club activities and the conduct of good moral character among students at two vocational high schools in the south. Research objects: Students from the day school between year one and year three at vocational senior high schools in the south. The club activities include static type and dynamic type. Research tools: The study done by Huang Wei-Hua (2015) exploring the relationship among students’ academic pressure, schoolwork procrastination, and sports participation was used as the reference to prepare the questionnaire, “Club-Participation Motivation Scale”, for the study. In addition, “Conduct of Good Moral Character Scale” used the actual behavior survey for the six key targets of character prepared by Wu Po-Wei and Ke Chih-Tang (2017) according to the character education promotion developed by the Ministry of Education as the reference. Research methods: Random sampling survey was adopted, and 384 valid questionnaires were returned. Descriptive statistics, independent samples t-test, and Pearson Correlation were utilized for data analysis. We hope to provide it as a reference for the implementation of club activities in schools and improvement of students’ conduct of good moral character. Research findings: First of all, gender has statistical significance to the motivation of participating in club activities. Second, senior high school students in different types of clubs have statistical significance for their participation motivation. Third, there is no statistical significance in the performance of conduct of good moral character perceived subjectively by boys and girls. Forth, senior high school students in different types of clubs have statistical significance in the performance of conduct of good moral character. Fifth, there is a positive correlation between the club-participation motivation and the conduct of good moral character. Conclusion and suggestions: From the participation motivation, it shows boys have higher motivation in participating in club activities than girls. In addition, boys have higher motivation in participating in dynamic clubs than static clubs. In terms of the performance of conduct of good moral character, the statistics reveals girls’ performance is slightly better than boys’ while students’ conduct of good moral character in dynamic clubs performs better than those who are in static clubs. Therefore, it is feasible to enhance students’ conduct of good moral character through the participation in the after-school clubs
[[alternative]]Uncovering the Nonverbal Code--A Exploration of Somatic Experiencing Therapy for Mind-Body Recovery
No full text[[abstract]] 本研究旨在探討「身體經驗創傷療法SE」對受創者療癒過程的影響。遴選三位研究對象，採質性研究中的「參與觀察法」和「深度訪談法」，輔以「貝克焦慮量表BAI」。經療癒後，受創者在身心復原上有三個轉化方向： 療癒轉化共同因素：受療者對「創傷療癒」歷程有：探問與敘說、覺察感官感受、深層同理、心象釋放及對內整合與意義等。特別是「深層同理」為重要的催化因素。 焦慮症狀的變化：焦慮減輕最多的項目包括不安穩和容易驚嚇等。暈倒和臉紅等症狀維持不變，而身體覺察敏銳度提高，導致身體發熱和雙腳站不穩等項目有所加重。在轉譯成SIBAM（見名詞釋義）後，「情緒」改善最顯著，其次是「心象」，再次是「感官感受」。 SIBAM的轉化：「感官感受」在療癒後表示為「輕鬆」。「心象」出現視覺或聽覺的閃回。「情緒」在療癒中經歷難過和害怕，療癒後達到「平靜」。「行為」無共同變化。「意義」各有不同領悟，並多與「父母」有關。最後提出建議與限制，期望對此領域有所助益。[[abstract]] This study aims to explore the impact of Somatic Experiencing (SE) on the healing process of trauma survivors. Three participants were selected, and the study employed qualitative methods, including participant observation and in-depth interviews, complemented by the Beck Anxiety Inventory (BAI). After therapy, three primary areas of transformation in the participants' physical and psychological recovery were identified: Common Factors in Healing Transformation: Participants experienced a new understanding of the trauma healing process, which included phases such as inquiry and narration, sensory awareness, deep empathy, imagery release, and internal integration and meaning. Particularly, "deep empathy" emerged as a significant catalytic factor. Changes in Anxiety Symptoms: The most reduced symptoms were anxiety and startle responses, while symptoms such as fainting and blushing remained unchanged. Increased body awareness led to heightened symptoms such as body heat and instability. When translated into the SIBAM model (see glossary), "emotion" showed the most significant improvement, followed by "imagery" and "sensory awareness". Transformation in the SIBAM Model: Post-therapy, "sensory awareness" was generally expressed as "relaxation". "Imagery" included visual or auditory flashbacks. "Emotion" involved experiencing sadness and fear during therapy, with a shift to "calmness" afterward. "Behavior" showed no common changes. The "meaning" dimension varied among participants, often relating to parental issues. Finally, recommendations and limitations were discussed, with an aim to contribute in this field
[[alternative]]A Study of Experiences for Helping Workers on Helping Energy Medicine Balance
No full text[[abstract]] 關於能量療法的研究，目前已有的論文研究，以問卷等施測量表、接受輔導的學生作為質性研究方法及經典文本思想之人文學科研究作為論述評析。本研究旨在瞭解以能量取向為治療途徑之助人工作者，其應用學習能量療法於助人之生命歷程為何之經驗探究。 本研究採「關鍵個案」取樣，選取二位在能量醫療領域學有專精、並有卓越成就，在身心靈領域具有影響力，並能提供多元豐富的資訊，深入回答研究問題之助人工作者為研究參與者，整理成文本資料。進行文本的分析，以詮釋現象學為研究方法，經由對參與者過去生活中關鍵經驗賦予意義的理解詮釋，歸納並彙整成一整體的助人歷程的主題，焦點在靈氣療法的灌頂後看見自我流動能量-臨在當下的撼動，臣服於上天賦予的使命，結合中醫經絡、精氣神評估開發療癒運用之道，並透過神經血管點的按壓等能量療法技巧，引領個體每日敲打身體穴位及能量開展運動來擴展內在的涵容量，進而啟動自癒力。 最後本研究之呈現在生命意義的理解與詮釋，使研究者對個人生命經歷過程不同角度的看見與體會，每一個人的人格特質的形成，受生物遺傳、家庭環境、學校教育及社會文化等因素的陶染，最重要還是在於不受先天遺傳的影響，善用資源、自我調控，讓角色行為體會自己體內能量，透過靈氣的給予而與宇宙大自然連結，喚醒內在自癒力並體悟人生使命發展出追尋生命教育意涵。[[abstract]] Regarding the research on energy therapy, existing studies have utilized qualitative research methods such as questionnaires and surveys, as well as counseling sessions with students. Additionally, these studies have conducted discursive analyses based on the classical texts and thoughts within the humanities. This study aims to understand the experiences of helping professionals who use energy-based approaches in therapy, exploring their life journeys in learning and applying energy therapy to help others. This study adopts a "key case" sampling method, selecting two individuals who are highly specialized in the field of energy medicine, have outstanding achievements, exert influence in the mind-body-spirit domain, and can provide diverse and rich information to thoroughly answer the research questions as participant practitioners. Their responses are compiled into textual data. Textual analysis is conducted using hermeneutic phenomenology as the research method. Through understanding and interpreting the meaning of key experiences in the participants' past lives, the study synthesizes and organizes the themes of the overall process of assisting others. The focus is on the experience of self-flowing energy after receiving initiation in Reiki therapy - the stirring in the present moment, surrendering to the mission bestowed by a higher power, integrating the pathways of traditional Chinese medicine meridians and assessing vital energy to develop therapeutic applications. Additionally, techniques such as acupressure on neurovascular points and other energy therapy methods are used to guide individuals in daily tapping of acupoints and engaging in energy-expanding exercises to enhance their internal capacity for resilience, thus initiating self-healing. The presentation of this study ultimately aims to enhance researchers' understanding and interpretation of the meaning of life, allowing them to perceive and experience individuals' life experiences from different perspectives. The formation of each person's personality traits is influenced by factors such as biological inheritance, family environment, school education, and social culture. However, the most crucial aspect lies in not being solely influenced by innate genetics. It involves effectively utilizing resources, self-regulation, enabling role behaviors to experience one's inner energy, connecting with the universe and nature through spiritual energy, awakening innate healing power, and realizing the developmental pursuit of life missions to explore the educational significance of life
[[alternative]]The Influence of Workplace Stress, Job Burnout, Role Stress, Emotional Labor, and Turnover Intention
No full text[[abstract]] 隨著科技不斷進步和社會發展，企業在一個競爭激烈的環境中迎接著挑戰，為了保持競爭力，企業需要不斷提升效率和創新能力，進而導致員工工作壓力的增加，壓力的來源包括工作量過大、時間壓力、角色壓力、情緒勞動壓力等，當員工長期處於壓力就容易導致工作效率降低，以及身心健康受到影響，進而產生工作倦怠的情形而增加離職傾向的發生率。因此本研究將探討工作壓力、工作倦怠、角色壓力、情緒勞動與離職傾向之影響性與相關性。 本研究以職場員工為發放對象，總共發放335份問卷，扣除無效問卷19份，有效問卷數為316份，有效回收率為93%。研究結果發現：1.工作壓力對工作倦怠具正向影響；2.工作倦怠對離職傾向具正向影響；3.工作壓力對離職傾向具正向影響；4.工作壓力對情緒勞動具正向影響；5.情緒勞動對工作倦怠具有正向影響；6.工作倦怠對角色壓力具有正向影響；7.角色壓力對離職傾向具有正向影響；8.工作倦怠對工作壓力與離職傾向間具有中介效果；9.角色壓力對工作倦怠與離職傾向間具有中介效果；10.表層偽裝對工作壓力與工作倦怠間不具有干擾效果；11.深層偽裝對工作壓力與工作倦怠間具有干擾效果。[[abstract]] As technology continues to advance and society develops, businesses are facing challenges in a fiercely competitive environment. In order to maintain competitiveness, companies need to continuously improve efficiency and innovation, leading to increased work pressure on employees. Sources of pressure include heavy workloads, time constraints, role expectations, emotional labor, etc. Prolonged exposure to such pressure can lead to decreased work efficiency and negatively impact employees' physical and mental health, resulting in increased tendencies towards work burnout and a higher likelihood of turnover. Therefore, this study aims to explore the effects and correlations of work pressure, work burnout, role expectations, emotional labor, and turnover intention. This study targeted workplace employees, with a total of 335 questionnaires distributed. After excluding 19 invalid questionnaires, there were 316 valid responses, resulting in an effective response rate of 93%. The research findings are as follows: 1. Work stress has a positive effect on job burnout. 2. Job burnout has a positive effect on turnover intention. 3. Work stress has a positive effect on turnover intention. 4. Work stress has a positive effect on emotional labor. 5. Emotional labor has a positive effect on job burnout. 6. Job burnout has a positive effect on role stress. 7. Role stress has a positive effect on turnover intention.8. Job burnout mediates the relationship between work stress and turnover intention. 9. Role stress mediates the relationship between job burnout and turnover intention. 10. Surface disguise has no interfering effect on work stress and burnout. 11. Deep camouflage has an interfering effect on work stress and burnout
[[alternative]]Effects of Multiple Complementary Therapies on Life Satisfaction, Spiritual Health and Happiness of Middle-aged and Elderly People in the Community
No full text[[abstract]] 背景及目的：根據艾瑞克森心理社會發展理論，老年期的正向心理發展任務為「自我統整」，透過生命回顧老人將過去帶到當下，重新經驗並獲得各階段的和諧，當老人對其生命感到有意義時，就能以正向的態度面對自己晚年生活中所需面對挑戰。本研究透過融合藝術、園藝、音樂及懷舊等多元輔助療法教案之實施，引導中老年人敘說生命故事，並與現在連結，表達自我內心之感受，重新賦予生命意義並提升靈性健康及生活滿意度。 材料及方法：實驗採兩組平行對照組等待名單設計(waiting list control group)，立意取樣，招募年齡50歲以上的社區中老年人，實驗組進行每週一次，每次二小時，連續八週多元輔療課程介入，對照組維持原有作息，評估工具為生活滿意度量表、臺灣老年人之靈性健康量表及幸福感量表。 結果：完成實驗者共計60人，兩組受試者在年齡、教育程度及學習據點三個項目有顯著的差異，實驗組(30人)成員以長青學苑29人(96.7%)為主；對照組(30人)成員以宗教團體25人(83.3%)為主。獨立樣本t檢定分析組間差異，兩組的生活滿意度與靈性健康之前、後測總分無顯著差異；幸福感部分，對照組前測總分高於實驗組，比較兩組的改變量，結果顯示實驗組幸福感提升11.26%，對照組提升1.34%，呈顯著差異 (p < 0.05)。組內前後差異分析結果顯示，實驗組與對照組生活滿意度總分皆有顯著提升 (p < 0.01；p < 0.05)；幸福感部分，實驗組呈現上升趨勢 (p < 0.05)；靈性健康部分，實驗組僅在「生命意義」分項達到顯著效益 (p < 0.05)，其他皆未達顯著效益。 結論：本研究結果顯示，多元輔助療法有助於提升中老年人幸福感及生活滿意度，靈性健康部分則未達顯著效益。研究對象之年齡、教育程度及宗教信仰亦會影響介入成效。[[abstract]] Background and Purpose: According to Erickson's theory of psychosocial development, the task of positive psychological development in old age is "self-integration". Through life review, the elderly brings the past to the present, re-experience and achieve harmony in all stages. This project guides the middle-aged and elderly to tell their life stories through the well-designed program of multiple complementary therapies, and connect with the present, express inner feelings, give life meaning again and improve spiritual health, life satisfaction and happiness. Materials and Methods: The experiment adopted a two-group parallel and waiting control design with purposive sampling. The experiment recruited community people over the age of 50. Experimental group received multiple complementary therapies once a week for 2 hour each time, a total of eight weeks. The control group maintained the original routine. Results: A total of 60 participants completed the experiment. In the part of happiness, the total pre-test score of the control group was higher than that of the experimental group, comparing the changes between groups, the results showed that the experimental group's happiness increased by 11.26%, and the control group increased by 1.34%, showing a significant difference (p < 0.05). Both groups had a significant increase in the total score of life satisfaction (p < 0.01; p < 0.05). The experimental group showed significant improvement in happiness (p < 0.05) and in the "meaning of life" sub-item of spiritual health (p < 0.05). Conclusion: The results of this study showed that multiple complementary therapies could help improve the well-being and life satisfaction of middle-aged and elderly. The age, education level and religious belief of the research subjects would also affect the intervention effect
[[alternative]]Effects of Health Promotion Program on Fitness, Cognition and Quality of Life in Community-Dwelling Older Adults Recovering from COVID-19
No full text[[abstract]] 背景與目的：許多新冠肺炎患者在康復之後反應，身體仍持續出現各種不適的症狀，這些持續的症狀被稱作長新冠 (Long COVID) ，或新型冠狀病毒的急性後遺症 (post-acute sequelae SARS-CoV-2 infection, PASC)。常見的PASC症狀有疲勞、呼吸急促與認知功能障礙等，這些後遺症，不僅影響了人們的日常生活，也對工作與其他活動，造成不少困擾。本研究主要探討透整合性健康促進課程介入，是否可以協助中高齡確診康復者改善身心狀況，進而提升其生活品質。 材料與方法：實驗採兩組平行等待對照組名單設計，於C級長照站招募55歲以上，過去曾確診感染新冠肺炎，且自覺有相關後遺症困擾的中高齡確診康復者。符合資格者分為實驗組，及等待對照組。實驗組接受每週一次，每次90分鐘之健康促進課程，連續八週。課程內容包括穴道按摩、站樁平甩功練習、藝術手作課程及表達性寫作，對照組維持原本生活型態。評量工具：1. 六分鐘步行測驗；2. 聖路易大學心智狀態測驗；3. 世界衛生組織生活品質問卷台灣簡明版。 結果：總共40位受試者完成實驗，兩組受試者在人口變項、肌肉耐力及問卷前測得分之t檢定結果均為同質。介入八週後之各項評估以成對t檢定分析各組組內的前後變化，實驗組在六分鐘步行測試的距離有顯著的增加(p < 0.001)；在認知部分的定向力、算術演算、短期記憶、命名物品、視覺空間功能與總分，均有顯著的進步(p < 0.05)，對照組在前述兩項指標均未有明顯變化。生活品質部分，兩組均未達到顯著差異。以獨立t檢定分析組間後測差異性，結果顯示在六分鐘步行距離、認知及生活品質等各項指標，實驗組均顯著優於對照組。 結論：整合性健康促進課程的介入，對中高齡確診者康復後的體能、認知與生活品質的提升是具有幫助的。[[abstract]] Background and Objective: Many COVID-19 patients have reported persistent symptoms after recovery, known as Long COVID or post-acute sequelae of SARS-CoV-2 infection (PASC). Common PASC symptoms include fatigue, shortness of breath, and cognitive impairment, which disrupt daily life and work. The aim of this study was to investigate whether an intergrated health promotion program can improve the physical and mental health of middle-aged and older COVID-19 survivors, thereby enhancing their quality of life. Materials and Methods: A parallel-group waitlist control design was used. Participants aged 55 and above, previously diagnosed with COVID-19 and suffered from fatigue, were recruited from a Grade C long-term care center. Eligible participants were assigned to either an experimental group or a waitlist control group. The experimental group received a weekly 90-minute health promotion session for eight weeks, including acupressure, Zhan Zhuang exercises, art therapy, and expressive writing. The control group maintained their usual lifestyle. Assessments included a six-minute walk test, Saint Louis University Mental Status (SLUMS) examine, and WHOQOL-BREF Taiwan version. Results: A total of 40 participants completed the study. T-tests indicated no significant differences between groups in demographic variables, muscle endurance, and pre-test questionnaire scores. Post-intervention paired t-tests showed significant improvements in the experimental group for the distance completed in a six-minute walk (p<0.001) and cognitive functions, which included orientation, arithmetic, short-term memory, object naming, visuospatial function, and total score (p<0.05). The control group showed no significant changes in the six-minute walk and cognitive functions. No significant differences in the quality of life were found between the control and experimental groups. Independent t-tests revealed that post-test scores for the distance completed in the six-minute walk, cognitive functions, and quality of life were significantly higher in the experimental group compared to the control group. Conclusion: The intergrated health promotion program effectively improved physical fitness, cognitive function, and quality of life in middle-aged and older COVID-19 survivors
[[alternative]]Effect of Neck Massage on Autonomic Nervous System of University Full-Time Teachers
No full text[[abstract]] 背景與目的:大學教師在有限的時間及工作繁忙下，容易因工作壓力大產生焦慮及自律神經系統失調的問題，需要平衡身心的方法以適時恢復，按摩能舒緩身心，是其中一種選項，所以，本研究採頸部按摩方式探討對自律神經系統之影響，及其對血壓變化和睡眠品質的效益。 設計與方法: 本研究以大學教師為對象，受試者研究參與頻率為一週兩次，共四週八次，每次接受頸部按摩15分鐘。受試者在按摩施作前後皆有量測HRV及血壓，在每次量測前皆靜坐10分鐘後測量。睡眠品質量及焦慮之評估則在首次施作前及第八次施作後填寫。 結果:本研究共招募到31名研究參與者。共有男性8名女性23名，未完成研究參與者共3名，皆為男性。完成收案實際人數為28名，其中男性5人女性23人。平均年齡49歲。研究結果顯示SDNN的活性顯著提升(p<0.000)，RMSSD及PNN50皆顯著提升(p<0.000)，LFn則顯著降低(p<0.000)唯HFn未有顯著改變，但有提升(p=0.074)。此外，收縮壓及心跳在施作後皆下降，睡眠品質於按摩施作後有提升，但不顯著(p=0.058)，而焦慮則於按摩施作後顯著降低(p<0.001)。 結論: 中度力道頸部按摩可提升自律神經系統變異度，降低交感神經系統活性，亦可使心跳、收縮壓、焦慮顯著下降，並有益於睡眠品質改善。[[abstract]] BACKGROUND & OBJECTIVE: With limited time and busy work, university teachers are prone to anxiety and autonomic nervous system disorders due to high work pressure. They need methods to balance the body and mind to recover in a timely manner. Massage can soothe the body and mind and is one of the options. Therefore, this study The neck massage method is used to explore the impact on the autonomic nervous system, as well as its effects on blood pressure changes and sleep quality. DESIGN & METHODS: This study targeted university teachers. The subjects participated in the study twice a week for a total of eight times in four weeks, and received neck massage for 15 minutes each time. The subjects had their HRV and blood pressure measured before and after the massage, and they sat quietly for 10 minutes before each measurement. Assessments of sleep quality and anxiety were completed before the first treatment and after the eighth treatment. RESULTS: A total of 31 research participants were recruited for this study. There were 8 males and 23 females, and there were 3 participants who did not complete the study, all of whom were males. The actual number of cases completed was 28, including 5 men and 23 women. The average age is 49 years old. The research results showed that the activity of SDNN was significantly increased (p<0.000), RMSSD and PNN50 were both significantly increased (p<0.000), and LFn was significantly decreased (p<0.000). However, HFn did not change significantly, but increased (p=0.074) . In addition, systolic blood pressure and heartbeat decreased after massage, sleep quality improved but not significantly (p=0.058), and anxiety significantly decreased after massage (p<0.001). CONCLUSIONS: Moderate force neck massage can increase the variability of the autonomic nervous system, reduce the activity of the sympathetic nervous system, significantly reduce heartbeat, systolic blood pressure, and anxiety, and help improve sleep quality