https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/124644 臺灣將在2025年正式成為「超高齡社會」，每5人就有1人為65歲以上，面對少子化及人口老化，為亟需討論及面對的議題。「精準健康學院」冀透過健康經濟、人力資源、機器學習、雲端應用、高齡生活品質測量評估、老人用藥等課程，讓學生具有健康產業專長。 Search the Channel s https://tkuir.lib.tku.edu.tw/dspace/simple-search https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129344 title: Students’ learning experiences in a university physical education dance course within a blended learning environment Tue, 23 Jun 2026 04:06:28 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129055 title: Integrating Self-Talk and Wearable Technology to Enhance Motivation, Self-Efficacy, and Muscle Function in Older Adults: A Randomized Controlled Trial abstract: Wearable activity trackers with progressive goal-setting features can significantly increase physical activity, muscle strength, and skeletal muscle index while reducing sedentary time and BMI (Ho, Peng, Liao, & Yen, 2024); multicomponent interventions that combine physical activity, technology support (e.g., activity monitors), and nutrition counseling likewise reduce the incidence of mobility disability and attenuate long-term declines in muscle strength and mass (Bernabei et al., 2022; Billot et al., 2020). However, most interventions prioritize physical outcomes and seldom incorporate comprehensive behavior-change techniques or address psychological barriers to sustained activity (Ho et al., 2024); short-term adherence is typically higher, whereas long-term engagement requires tackling motivation, self-efficacy, and social support (Wu et al., 2025). This study aims to examine the synergistic effect of combining a self-talk strategy with wearable technology to enhance exercise motivation, self-efficacy, and muscle function in older adults. Sixty community-dwelling adults aged ≥65 years were randomized to one of three arms: (1) combined intervention (self-talk + wearable), (2) wearable-only, or (3) control (no intervention). Over 12 weeks, participants completed a smartwatch-tracked structured walking program (100 steps/min, 30 min, 3×/week); the combined group additionally received weekly self-talk training using motivational and instructional scripts. Outcomes included an exercise motivation scale, the General Self-Efficacy Scale, ASMI (InBody 370S), handgrip strength (Jamar), and the five-times sit-to-stand test (5×STS). Preliminary analyses indicate that the combined group achieved greater improvements in motivation, self-efficacy, muscle mass, and functional performance than the other groups, along with larger increases in daily step counts and energy expenditure; correlation analyses suggest that self-efficacy may be a potential mediator linking physical activity to muscle health. In sum, integrating cognitive strategies with digital monitoring can enhance the effectiveness of physical interventions in older adults and offers a scalable model for promoting healthy aging and preventing sarcopenia; future programs should systematically incorporate behavior-change techniques and psychological support to improve long-term adherence and health outcomes. <br> Mon, 23 Mar 2026 04:06:40 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129014 title: The Application of Self-Talk in Enhancing Throwing Performance: The Moderating Role of Player Position in Baseball abstract: Introduction: Baseball is a competitive team sport in which athletes must possess not only tactical awareness, physical conditioning, and technical skills, but also psychological competencies that play a crucial role in on-field performance. In competitive situations, players are required to demonstrate focused attention and effective control of power to cope with the high-pressure and fast-paced nature of the game. In recent years, self-talk has been recognized as an effective psychological skill in sport, capable of enhancing attentional direction, motivation, and performance-related focus by modulating an individual’s internal dialogue. This enables athletes to concentrate more effectively on task-relevant cues. Purpose: Therefore, the purpose of this study is to examine the effects of different self-talk strategies on throwing performance among elite baseball players across various fielding positions. Methods: We sampled 44 players (average age 19.76 ± 1.10 years) of a college baseball team in Taichung City and assigned them to three self-talk situations. Further, we measured their baseball throwing accuracy and distance. We used 3 (self-talk type)  2 (pitchers and fielders) mixed design ANOVA to analyze the raw data. Results: We found there is no difference in baseball throwing distance but there is a significant difference in throwing accuracy. A Post hoc comparison found motivational and instruction self-talk had better effects than irrelevant conversations. Moreover, the pitchers performed better than fielders in distance throwing. Conclusion: It was concluded that the use of self-talk can improve throwing accuracy for college baseball players. Given that prior studies incorporating self-efficacy assessments in the context of self-talk have primarily focused on novice athletes and considering that the participants in this study are elite collegiate baseball players, it is recommended that athletes incorporate self-talk strategies to facilitate training in throwing and pitching control. <br> Fri, 20 Mar 2026 04:07:40 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129015 title: Integrating Self-Talk and Wearable Technology to Enhance Motivation, Self-Efficacy, and Muscle Function in Older Adults: A Randomized Controlled Trial abstract: Wearable activity trackers with progressive goal-setting features can significantly increase physical activity, muscle strength, and skeletal muscle index while reducing sedentary time and BMI (Ho, Peng, Liao, & Yen, 2024); multicomponent interventions that combine physical activity, technology support (e.g., activity monitors), and nutrition counseling likewise reduce the incidence of mobility disability and attenuate long-term declines in muscle strength and mass (Bernabei et al., 2022; Billot et al., 2020). However, most interventions prioritize physical outcomes and seldom incorporate comprehensive behavior-change techniques or address psychological barriers to sustained activity (Ho et al., 2024); short-term adherence is typically higher, whereas long-term engagement requires tackling motivation, self-efficacy, and social support (Wu et al., 2025). This study aims to examine the synergistic effect of combining a self-talk strategy with wearable technology to enhance exercise motivation, self-efficacy, and muscle function in older adults. Sixty community-dwelling adults aged ≥65 years were randomized to one of three arms: (1) combined intervention (self-talk + wearable), (2) wearable-only, or (3) control (no intervention). Over 12 weeks, participants completed a smartwatch-tracked structured walking program (100 steps/min, 30 min, 3×/week); the combined group additionally received weekly self-talk training using motivational and instructional scripts. Outcomes included an exercise motivation scale, the General Self-Efficacy Scale, ASMI (InBody 370S), handgrip strength (Jamar), and the five-times sit-to-stand test (5×STS). Preliminary analyses indicate that the combined group achieved greater improvements in motivation, self-efficacy, muscle mass, and functional performance than the other groups, along with larger increases in daily step counts and energy expenditure; correlation analyses suggest that self-efficacy may be a potential mediator linking physical activity to muscle health. In sum, integrating cognitive strategies with digital monitoring can enhance the effectiveness of physical interventions in older adults and offers a scalable model for promoting healthy aging and preventing sarcopenia; future programs should systematically incorporate behavior-change techniques and psychological support to improve long-term adherence and health outcomes. <br> Fri, 20 Mar 2026 04:07:40 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129013 title: Effectiveness and application of blocked and random practice in motor skill learning among special needs populations abstract: Background: Motor skill learning among individuals with special needs—particularly those with cerebral palsy (CP)—remains an underexplored yet critical area within the field of adapted physical activity. While blocked and random practice schedules have been extensively studied in the general population, their differential effects on individuals with physical and intellectual disabilities remain insufficiently understood. This study addresses the following research question: In Boccia throwing, how do blocked versus random practice schedules affect acquisition, immediate retention, and delayed retention (4-week) outcomes after an 8-week intervention in two populations—individuals with disabilities and healthy adults? The hypotheses is Practice Schedule (blocked vs. random) × Group (healthy adults vs. individuals with disabilities) × Time interaction on Boccia throwing accuracy (lower AE and VE indicate better performance). Methods: To answer the question, a longitudinal design will be adopted. Participants will be stratified based on functional motor classification and randomly assigned to either blocked or random practice conditions. The intervention will consist of two 30-minute sessions per week for eight weeks. Performance accuracy will be assessed at three time points: post-acquisition, immediate retention, and delayed retention (four weeks post-training). The expected findings that individuals with disabilities will demonstrate superior learning performance in the blocked practice group, while healthy adults will benefit more from random practice in terms of skill retention and performance consistency. Contributions: This research seeks to inform the optimization of evidence-based training strategies in Paralympic sports and adapted physical education. Ultimately, the results will provide both theoretical insights and practical guidance for coaches, therapists, and physical educators working with individuals with special needs. The study is scheduled as follows: participant recruitment and group assignment will begin in January 2026; the intervention and data collection will be conducted from March to June; data analysis and preparation of the research report will take place in July to August; a conference presentation is planned for September; and manuscript drafting and journal submission will occur from October to December. <br> Fri, 20 Mar 2026 04:07:38 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129012 title: Effects of listening to music on pre-match state anxiety in tennis players abstract: Introduction: As the technical and physical disparities among competitive tennis players narrow, the greatest potential for enhancing performance lies in strengthening psychological competitive abilities (e.g., stress and emotion management). Music is increasingly utilized in sports settings (e.g., pre-game warm-ups) as a tool to adjust mental state, boost morale, create an active atmosphere, and help athletes maintain focus. While general research exists, there is a need for further empirical studies focusing specifically on the effects of self-selected music on tennis players in a real competitive setting, linking the intervention to both pre-match state anxiety and actual sports performance. The primary objective of this study is to experimentally investigate the influence of listening to music on the pre-match state anxiety (including cognitive anxiety, somatic anxiety, and self-confidence) and the final match performance scores of competitive tennis players. <br> Fri, 20 Mar 2026 04:07:36 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129010 title: Integrating self-talk and wearable technology to enhance motivation, self-efficacy, and muscle function in older adults: A randomized controlled trial. abstract: Introduction: With the accelerating global aging trend, maintaining adequate physical activity and muscle strength has become essential for preventing sarcopenia and functional decline. Traditional interventions primarily emphasize physiological exercise prescriptions, yet often overlook psychological barriers such as low motivation and insufficient self-efficacy that restrict long-term adherence among older adults. This study aims to evaluate the synergistic effects of integrating a self-talk strategy with wearable technology on enhancing exercise motivation, self-efficacy, and muscle function over 12 weeks, and to examine the mediating role of self-efficacy between behavioral changes and physiological improvements. <br> Fri, 20 Mar 2026 04:07:35 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129011 title: The Application of Self-Talk in Enhancing Throwing Performance: The Moderating Role of Player Position in Baseball abstract: Introduction: Baseball is a competitive team sport in which athletes must possess not only tactical awareness, physical conditioning, and technical skills, but also psychological competencies that play a crucial role in on-field performance. In competitive situations, players are required to demonstrate focused attention and effective control of power to cope with the high-pressure and fast-paced nature of the game. In recent years, self-talk has been recognized as an effective psychological skill in sport, capable of enhancing attentional direction, motivation, and performance-related focus by modulating an individual’s internal dialogue. This enables athletes to concentrate more effectively on task-relevant cues. Purpose: Therefore, the purpose of this study is to examine the effects of different self-talk strategies on throwing performance among elite baseball players across various fielding positions. Methods: We sampled 44 players (average age 19.76 ± 1.10 years) of a college baseball team in Taichung City and assigned them to three self-talk situations. Further, we measured their baseball throwing accuracy and distance. We used 3 (self-talk type)  2 (pitchers and fielders) mixed design ANOVA to analyze the raw data. Results: We found there is no difference in baseball throwing distance but there is a significant difference in throwing accuracy. A Post hoc comparison found motivational and instruction self-talk had better effects than irrelevant conversations. Moreover, the pitchers performed better than fielders in distance throwing. Conclusion: It was concluded that the use of self-talk can improve throwing accuracy for college baseball players. Given that prior studies incorporating self-efficacy assessments in the context of self-talk have primarily focused on novice athletes and considering that the participants in this study are elite collegiate baseball players, it is recommended that athletes incorporate self-talk strategies to facilitate training in throwing and pitching control. <br> Fri, 20 Mar 2026 04:07:35 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129009 title: The Application of Self-Talk in Enhancing Throwing Performance: The Moderating Role of Player Position in Baseball abstract: Introduction: Baseball is a competitive team sport in which athletes must possess not only tactical awareness, physical conditioning, and technical skills, but also psychological competencies that play a crucial role in on-field performance. In competitive situations, players are required to demonstrate focused attention and effective control of power to cope with the high-pressure and fast-paced nature of the game. In recent years, self-talk has been recognized as an effective psychological skill in sport, capable of enhancing attentional direction, motivation, and performance-related focus by modulating an individual’s internal dialogue. This enables athletes to concentrate more effectively on task-relevant cues. Purpose: Therefore, the purpose of this study is to examine the effects of different self-talk strategies on throwing performance among elite baseball players across various fielding positions. Methods: We sampled 44 players (average age 19.76 ± 1.10 years) of a college baseball team in Taichung City and assigned them to three self-talk situations. Further, we measured their baseball throwing accuracy and distance. We used 3 (self-talk type)  2 (pitchers and fielders) mixed design ANOVA to analyze the raw data. Results: We found there is no difference in baseball throwing distance but there is a significant difference in throwing accuracy. A Post hoc comparison found motivational and instruction self-talk had better effects than irrelevant conversations. Moreover, the pitchers performed better than fielders in distance throwing. Conclusion: It was concluded that the use of self-talk can improve throwing accuracy for college baseball players. Given that prior studies incorporating self-efficacy assessments in the context of self-talk have primarily focused on novice athletes and considering that the participants in this study are elite collegiate baseball players, it is recommended that athletes incorporate self-talk strategies to facilitate training in throwing and pitching control. <br> Fri, 20 Mar 2026 04:07:34 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129008 title: Effectiveness and application of blocked and random practice in motor skill learning among special needs populations. abstract: Background: Motor skill learning among individuals with special needs—particularly those with cerebral palsy (CP)—remains an underexplored yet critical area within the field of adapted physical activity. While blocked and random practice schedules have been extensively studied in the general population, their differential effects on individuals with physical and intellectual disabilities remain insufficiently understood. This study addresses the following research question: In Boccia throwing, how do blocked versus random practice schedules affect acquisition, immediate retention, and delayed retention (4-week) outcomes after an 8-week intervention in two populations—individuals with disabilities and healthy adults? The hypotheses is Practice Schedule (blocked vs. random) × Group (healthy adults vs. individuals with disabilities) × Time interaction on Boccia throwing accuracy (lower AE and VE indicate better performance). Methods: To answer the question, a longitudinal design will be adopted. Participants will be stratified based on functional motor classification and randomly assigned to either blocked or random practice conditions. The intervention will consist of two 30-minute sessions per week for eight weeks. Performance accuracy will be assessed at three time points: post-acquisition, immediate retention, and delayed retention (four weeks post-training). The expected findings that individuals with disabilities will demonstrate superior learning performance in the blocked practice group, while healthy adults will benefit more from random practice in terms of skill retention and performance consistency. Contributions: This research seeks to inform the optimization of evidence-based training strategies in Paralympic sports and adapted physical education. Ultimately, the results will provide both theoretical insights and practical guidance for coaches, therapists, and physical educators working with individuals with special needs. The study is scheduled as follows: participant recruitment and group assignment will begin in January 2026; the intervention and data collection will be conducted from March to June; data analysis and preparation of the research report will take place in July to August; a conference presentation is planned for September; and manuscript drafting and journal submission will occur from October to December. <br> Fri, 20 Mar 2026 04:07:32 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129007 title: Effectiveness and application of blocked and random practice in motor skill learning among special needs populations abstract: Background: Motor skill learning among individuals with special needs—particularly those with cerebral palsy (CP)—remains an underexplored yet critical area within the field of adapted physical activity. While blocked and random practice schedules have been extensively studied in the general population, their differential effects on individuals with physical and intellectual disabilities remain insufficiently understood. This study addresses the following research question: In Boccia throwing, how do blocked versus random practice schedules affect acquisition, immediate retention, and delayed retention (4-week) outcomes after an 8-week intervention in two populations—individuals with disabilities and healthy adults? The hypotheses is Practice Schedule (blocked vs. random) × Group (healthy adults vs. individuals with disabilities) × Time interaction on Boccia throwing accuracy (lower AE and VE indicate better performance). Methods: To answer the question, a longitudinal design will be adopted. Participants will be stratified based on functional motor classification and randomly assigned to either blocked or random practice conditions. The intervention will consist of two 30-minute sessions per week for eight weeks. Performance accuracy will be assessed at three time points: post-acquisition, immediate retention, and delayed retention (four weeks post-training). The expected findings that individuals with disabilities will demonstrate superior learning performance in the blocked practice group, while healthy adults will benefit more from random practice in terms of skill retention and performance consistency. Contributions: This research seeks to inform the optimization of evidence-based training strategies in Paralympic sports and adapted physical education. Ultimately, the results will provide both theoretical insights and practical guidance for coaches, therapists, and physical educators working with individuals with special needs. The study is scheduled as follows: participant recruitment and group assignment will begin in January 2026; the intervention and data collection will be conducted from March to June; data analysis and preparation of the research report will take place in July to August; a conference presentation is planned for September; and manuscript drafting and journal submission will occur from October to December. <br> Fri, 20 Mar 2026 04:07:31 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129002 title: 智慧語音技術於社區高齡照護之可行性與挑戰-基於體驗課程的實證研究 Fri, 20 Mar 2026 04:07:16 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129001 title: 應用卷積神經網路於胸部X光片多標籤分類任務的性能提升研究 Fri, 20 Mar 2026 04:07:14 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/129000 title: 以 MBTI 維度為基礎之高齡者人格與心理健康量表開發：宜蘭社區據點為例 Fri, 20 Mar 2026 04:07:12 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128730 title: Navigating the technological landscape: a framework for understanding barriers to technology integration in physical education abstract: This paper provides a comprehensive analysis of existing literature on the barriers hindering the effective integration of technology in physical education (PE). Utilizing a three-stage framework, this study examines the complex interplay of external and internal factors influencing PE teachers' adoption and implementation of technology. First-order barriers, encompassing resource limitations, inadequate funding, and insufficient access to technology devices, highlight the systemic constraints often faced by educators. Second-order barriers delve into the intrinsic challenges, including teachers' attitudes, beliefs, and self-efficacy in utilizing technology effectively within their pedagogical practices. Finally, third-order barriers address the complexities of design thinking, emphasizing the need for teachers to creatively and contextually incorporate technology to achieve desired learning outcomes. Through a multi-dimensional analysis of these three levels of barriers, this literature review aims to provide a comprehensive understanding of the challenges faced by in-service PE teachers in integrating technology into their teaching. The insights gained from this review can inform the development of targeted strategies and interventions to support PE teachers in effectively utilizing technology to enhance their teaching and students' learning experiences. This paper underscores the importance of addressing not only resource limitations but also the professional development needs of educators in fostering a technology-enhanced learning environment in PE. <br> Thu, 12 Mar 2026 04:05:47 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128718 title: Effects of implementation augmented reality in university dance courses on students' dance learning motivation and performance abstract: Introduction: In Taiwan, university physical education (PE) courses are expected to promote students' ability to explore and learn independently and develop their interests and habits in exercise and sports. Students have many different PE courses to choose from, including aerobic dancing. Common challenges in aerobic dancing include high heterogeneity and little time for independent thinking and movement learning. Students' lack of prior experience in the linkage of movement skills may also effect their learning process when creating aerobic movement programs during the course. This study combined an augmented reality (AR) movement device with elements of aerobic dance materials based on self-determination theory and social constructivism to design a teaching method to enhance students' performance and motivation. Methods: This study used a quasi-experimental design (i.e., a 12-hour course attended over six weeks with the same knowledge content for the experimental [EG] and control groups) was implemented. The EG class was taught with the additional help of AR technology. The aerobic dance routines were built using the three axes of aerobic dance (movement, rhythm, and style). The AR technology allowed students to compare movements and design the choreography independently. Experts measured learning outcomes before and after the learning module. Results: The EG showed significantly improved learning motivation and dance learning performance and greater courage in embracing challenges associated with movement changes, connections, and combinations. Using AR software and equipment and the overwhelming amount of information also impacted students' time spent on the AR technology and their willingness to use it. Conclusion: Using AR in the dance course enabled real-time visual learning and allowed students to reference and be inspired by choreography taught earlier. Overall, integrating AR into collegiate PE modules benefited students' dance learning outcomes and provided a better learning experience. <br> Wed, 11 Mar 2026 04:06:38 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128702 title: AI對大學體育舞蹈課的影響初探：應用與挑戰 Tue, 10 Mar 2026 04:11:56 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128647 title: Impact of wearable-assisted walking on sarcopenia and body composition in older adults abstract: Background Physical inactivity constitutes a global public health challenge, particularly among older adults. This study investigates the impact of a wearable device-assisted walking program on body composition, muscle strength, and sarcopenia in this population. Methods Eighty healthy older adults (40 men and 40 women), aged 65 and above, were randomly assigned to either an intervention (experimental) group, which participated in a structured walking program utilizing wearable devices, or a non-intervention (control) group, which maintained their habitual activities. The walking program spanned 12 weeks. Key assessments included body composition analysis, handgrip strength measurement, the 5× sit-to-stand test, and the appendicular skeletal muscle index (ASMI). Results The intervention group exhibited significant improvements in body composition and muscle strength. Skeletal muscle mass (SMM) increased by 5.5% (95% CI: 4.2–6.8%), handgrip strength improved by 13.1% (95% CI: 10.6–15.6%, p < 0.05), and lower limb function improved by 10.5% (p < 0.05). ASMI proved to be an effective and accessible metric for sarcopenia assessment, demonstrating strong correlations with SMM, handgrip strength, and sit-to-stand performance. Conclusions Wearable devices, such as smartwatches and fitness trackers, provide real-time feedback and enable tailored exercise recommendations, offering a practical and personalized strategy for mitigating sarcopenia. This study confirms that wearable-assisted walking programs effectively improve muscle health and functional performance in older adults, reinforcing their potential for promoting healthy aging. <br> Tue, 10 Mar 2026 04:05:33 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128642 title: Enhancing Care Service Utilization and Reducing Burden: The Role of Needs Assessments for Dementia Caregivers in Long-Term Care abstract: Background Informal caregivers of people living with dementia often face significant physical and psychological burdens, which may limit their utilization of available support services. Needs assessments aim to identify these stressors and facilitate access to supportive resources. This study evaluates the effectiveness of needs assessments in enhancing service utilization and reducing the burden among informal caregivers of people living with dementia in central Taiwan. Methods A retrospective cohort study was conducted involving 464 informal caregivers of people living with dementia in central Taiwan, with data collected from January 2020 to December 2021. The primary outcome, caregiver burden, was assessed using the Zarit Burden Interview (ZBI) at the initial needs assessment (Time 1) and six months post-assessment (Time 2). Data on other variables, including service utilization, were collected at baseline, Time 1, and Time 2 through structured questionnaires. Linear regression analyses examined the relationships between caregiver burden, service utilization, and influencing factors. Results The implementation of needs assessments was associated with increased long-term care (LTC) service utilization. The proportion of caregivers using services rose from 37.3% at baseline to 45.5% after six months. The caregiver burden distribution shifted, with a reduction in moderate to severe burden (from 20.4 to 17.8%) and a slight increase in mild to moderate burden (from 43.7 to 47.2%). Linear regression analysis revealed several key factors influencing caregiver burden. Supportive resources were significantly associated with lower Zarit Burden Interview (ZBI) scores, an effect that often strengthened over time. Specifically, enhanced self-care abilities and the involvement of a foreign caregiver significantly reduced burden at both Time 1 (B = -4.79 and B = -5.44, respectively) and Time 2(B = -6.63 and B = -6.78, respectively). The positive impact of shared caregiving responsibilities became statistically significant at Time 2 mark (B = -5.86). Conversely, initial stressors were linked to higher burden. Caregiving for individuals with severe disabilities (B = 3.31) and the need to manage barrier-free environments (B = 5.06) were associated with greater burden at Time 1, though their influence diminished over time. Emotional strain was a strong predictor of increased burden at both time points (B = 3.51 at Time 1; B = 2.93 at Time 2), although its impact also lessened. Finally, older caregiver age was correlated with a lower burden at both time points. Conclusions The findings highlight the effectiveness of needs assessments in reducing caregiver burden and enhancing service utilization. Needs assessments play a critical role in identifying caregiver stressors and facilitating targeted interventions, essential for sustainable long-term care and caregiver well-being. <br> Mon, 09 Mar 2026 04:06:46 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128491 title: Associations of physical fitness with sustained overt attention and academic performance in children with learning disabilities abstract: Physical fitness has consistently been linked to cognitive and academic performance, with sustained attention recognized as a key predictor of academic success (Huang et al., 2020). However, few studies have explored whether sustained attention moderate the relationship between physical fitness and academic performance in children with learning disabilities (LDs), and existing findings remain inconclusive due to certain limitations. This study investigated the moderating role of sustained attention in the association between physical fitness and academic performance among children with LDs while also addressing the related limitations. This study enrolled 71 elementary school children with learning disabilities (33 girls, mean age = 11.03 years ± 0.82), who participated in the assessment of physical fitness. Additionally, sustained attention was measured using the DAUF Sustained Attention Test from the Vienna Testing System, while Academic performance was assessed using Chinese language and mathematics tests" as recommended. Bivariate analyses showed that academic performance was, as a dependent variable, significantly and positively related to physical fitness (r = .22 & .24, p < .05) and significantly negatively related to DAUF sustained attention (r = - .51 & - .43, p < .01) in children with LDs. Additionally, the hierarchical regression analysis revealed that sustained attention moderated the association between physical fitness, Chinese language (β = -4.03, p < .05), and mathematics (β = -5.00, p < .01) after controlling for selected socio-demographic characteristics. These findings have major implications for child development, emphasizing the key role of physical fitness in the beneficial effects of sustained attention on academic achievement. <br> Tue, 03 Mar 2026 04:05:26 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128490 title: 生成式人工智慧輔助適應體育課程提升學生自主學習 abstract: 身心障礙學生在體育學習中常因認知困難、動作表現限制與自我效能不足而影響參與度，為改善此困境，本研究旨在結合生成式人工智慧（artificial intelligence, AI）鷹架與ARCS（attention, relevance, confidence, satisfaction）動機模式的教學策略，探討適應體育課程的應用成效，以及學生自主學習能力與學習動機之影響。以8名大學生為對象（男3人、女5人，年齡18～24歲），研究採用混合研究法，量化部分以兩種量表測驗，質性部分透過學生反思文本分析AI介入後的學習變化，檢驗學習構面與動機指標之相關性。研究結果顯示，學生在目標設定、自我規劃與滿足感構面上均有正向成長，並發現「專注力」與「自信心」呈現高度正相關，顯示AI能在學習動機歷程中提供潛在支持。本研究認為，若AI教學介入未搭配適切的教師引導與後設認知鷹架，學生可能出現對AI工具的依賴，導致學習動機下降與自我調節受限。建議未來研究應擴大樣本數、延長課程介入期，並設計更完善的AI人機協作架構與評估機制，以推動適應體育教學的永續發展與精緻化。 <br> Tue, 03 Mar 2026 04:05:17 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128448 title: 海洋教育融入水域運動對提升大學生海洋公民精神之研究 abstract: 本研究旨在探討水域活動與海洋教育對大學生海洋公民精神的影響。海洋公民精神涵蓋個人對海洋環境保護的責任、義務及對海洋議題的關注。研究以淡水河獨木舟課程為核心，結合海洋教育議題，設計八週課程，對象為北部某私立大學50名學生，分為實驗組與對照組，進行前後測問卷調查，並採用共變數分析（analysis of covariance, ANCOVA）分析海洋公民精神量表中五項構面：海洋認知、海洋態度、地方依附、地方認同與行為改變。結果顯示，參與獨木舟課程的學生在海洋認知、地方認同與行為改變方面有顯著提升，但在海洋態度與地方依附上無顯著變化。另方面，將海洋教育融入課程雖對海洋態度、地方依附與行為改變有部分提升，卻未在海洋認知與地方認同上產生明顯差異。整體而言，水域活動與海洋教育對提升學生的海洋公民精神具正面效果。建議未來將此類課程納入正式教育體系，並擴大研究樣本與活動場域，以提供更多實證資料，深化海洋教育推廣與發展。 <br> Thu, 26 Feb 2026 04:08:29 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128447 title: 生成式人工智慧輔助適應體育課程提升學生自主學習 abstract: 身心障礙學生在體育學習中常因認知困難、動作表現限制與自我效能不足而影響參與度，為改善此困境，本研究旨在結合生成式人工智慧（artificial intelligence, AI）鷹架與ARCS（attention, relevance, confidence, satisfaction）動機模式的教學策略，探討適應體育課程的應用成效，以及學生自主學習能力與學習動機之影響。以8名大學生為對象（男3人、女5人，年齡18～24歲），研究採用混合研究法，量化部分以兩種量表測驗，質性部分透過學生反思文本分析AI介入後的學習變化，檢驗學習構面與動機指標之相關性。研究結果顯示，學生在目標設定、自我規劃與滿足感構面上均有正向成長，並發現「專注力」與「自信心」呈現高度正相關，顯示AI能在學習動機歷程中提供潛在支持。本研究認為，若AI教學介入未搭配適切的教師引導與後設認知鷹架，學生可能出現對AI工具的依賴，導致學習動機下降與自我調節受限。建議未來研究應擴大樣本數、延長課程介入期，並設計更完善的AI人機協作架構與評估機制，以推動適應體育教學的永續發展與精緻化。 <br> Thu, 26 Feb 2026 04:08:26 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128446 title: 翻轉教室與傳統教學對瑜伽課程學生學習動機, 認知負荷與自我效能之影響 abstract: 傳統教學中教師講授知識、學生被動接收訊息容易造成認知負荷過高，而翻轉教室強調學生課前自主學習、課堂互動和練習能有效降低外在認知負荷。本研究旨在探討不同教學模式（翻轉教室與傳統教學）及作業安排（有作業與無作業）對大學生瑜伽課程學習動機、認知負荷和自我效能的影響。研究對象為臺灣北部某綜合大學修習瑜伽課程的194位學生，大部分學生具備基本的瑜伽動作技能，少數為初學者。研究採用準實驗設計，將班級隨機抽籤分派為：翻轉教室有作業組（53人）、翻轉教室無作業組（56人）、傳統教學有作業組（52人）及傳統教學無作業組（33人），分析不同教學模式和作業安排對學生認知負荷、學習動機和自我效能的影響。研究結果顯示，翻轉教室能有效降低學生的認知負荷，然而對學習動機與自我效能並未帶來顯著提升，顯示可能需要更長期或更深入的教學介入；同時，作業安排雖在理論上可輔助課前學習並減少外在認知負荷，但其效果並不顯著。本研究結論為教師在實施翻轉教室前應充分評估教學能力與課程難度，適度調整作業量與難度，並在課堂中納入高層次思考與互動活動，協助學生在自主學習與同儕合作中深化理解與能力感。 <br> Thu, 26 Feb 2026 04:08:21 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128445 title: 海洋教育議題融入水域活動課程提升大學生水域安全素養 abstract: 游泳教學已在臺灣推動多年，但溺水事件仍頻繁發生，顯示除了游泳與自救能力的培養，水域安全素養的提升尤為重要。本研究目的在探討將海洋教育議題融入水域活動課程，對提升大學生水域安全素養的影響。研究對象為修習水上休閒活動實務課程的大學生，課程包括校內課程和淡水河獨木舟教學。研究採用問卷調查法，進行前後測比較，並透過教師觀察、學生心得、小組討論等方式進行多元評量。研究結果顯示，結合海洋教育及戶外教學的水域活動課程對學生的學習動機有正面影響，特別是在專注力和自信心方面有明顯進步。此外，學生的水域安全知識、行為能力和警戒知能也有顯著提升。本研究發現，將海洋教育融入水域活動課程能有效提升學生的水域安全素養。建議未來課程設計應持續結合實際操作與理論教學，並加強戶外教學的實施，以進一步提升學生的學習效果和安全意識。 <br> Thu, 26 Feb 2026 04:08:19 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128292 title: 是「守護」還是「手銬」:TAM 模型為中介探討健康監測科技 對幸福感影響 Fri, 12 Dec 2025 04:05:37 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/128183 title: 探討人工智慧在太極拳教學中的應用與影響 abstract: 太極拳是一種源於中國的傳統武術，具有改善心臟健康、增強免疫系統等多種健康益處。然而，由於其動作流暢且節奏緩慢，學習太極拳對於初學者來說具有一定的挑戰。隨著人工智慧（artificial intelligence, AI）技術的發展，AI在運動和健康領域的應用越來越廣泛，特別是在運動訓練和傷害預防方面。AI動作辨識技術能夠實時、多人、準確地估計人體姿勢，並提供個性化的指導，這在太極拳教學中具有重要意義。本文介紹了建立AI太極拳動作辨識模型的過程，包括資料蒐集、特徵提取、模型構建和模型訓練。這些技術能夠協助學習者更有效地掌握太極拳的技巧和動作。此外，AI在太極拳教學中的應用實例顯示，AI可以提供實時反饋，改善學習質量，並結合虛擬現實和混合現實技術，提供更為互動的教學體驗。儘管AI在太極拳教學中帶來了許多優點，但也存在一些挑戰，如動作識別的準確性和動作生成的自然度。未來的研究方向包括改進動作識別的準確性、提高動作生成的自然度，以及利用AI進行太極拳教學輔助。總結來說，AI在太極拳教學中的應用為學習者提供了更好的訓練體驗和個性化的指導，但仍需找到AI教學與人類指導之間的平衡，以確保全面的學習體驗。 <br> Tue, 28 Oct 2025 04:05:39 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/127666 title: 以SPLISS 模式檢視國家帕拉運動發展：從世界經驗看臺灣未來 abstract: 隨著自由民主的時代演進，重視人權的理念與制度逐漸成為普世價值，處於相對弱勢的身心障礙族群，其追求健康與運動的權利越來越受到先進國家與社會的關注，而推動與發展帕拉運動即是倡議生存、自由、尊重、平等的最佳證明。儘管臺灣在推展帕拉運動已有近四十年的歷史，但如何與國家競技運動的政策方向與管理制度相互配合，甚至建構屬於身心障礙族群的帕拉運動系統，有賴借鏡世界上在帕拉運動取得成就的國家。本文探討在De Bosscher等（2006）提出的「國際運動成功之運動政策因素」（Sport Policies Leading to International Sporting Success framework, SPLISS）模式，探討該模式對各政策面向的定義與相互關係，分析世界各國競技運動政策的實例，進而探究SPLISS模式在帕拉運動中的獨特性，及指出臺灣帕拉運動的發展現況與挑戰，為回應這些挑戰，結合SPLISS模式對帕拉運動政策的分析，本研究提出七項建議：臺灣應增加帕拉運動經費支持的多元化，整合國內與帕拉運動相關的體育行政單位，建構完善的帕拉運動選才與培訓制度，提供帕拉運動員訓練、參賽與退役後的各種必要支持，積極參與或申辦國際帕拉運動賽事，提升運動教練與技術人員對帕拉運動的專業知能，並鼓勵帕拉運動科學研究，以建構一個適合臺灣國情的高效能帕拉運動系統，並成為引領國際體育運動成功的政策模式。 <br> Tue, 02 Sep 2025 04:05:25 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/127581 title: Changes in perceived distress among patients receiving inpatient palliative care abstract: Context Understanding the impact of palliative care on patient outcomes is crucial for enhancing end-of-life care. Objectives This study aimed to examine changes in perceived distress among patients receiving inpatient palliative care. Methods In this retrospective cohort study, data were collected from a palliative care unit in central Taiwan between January and December 2021. Patients were categorized into “survived to discharge” and “non-survivor” groups based on discharge status. The Symptom Assessment Scale (SAS) was used to measure subjective distress daily during hospitalization. SAS scores on the admission day were compared to days 3 and 7, with changes analyzed using the chi-square test. Results A total of 191 patients were included in the study. Significant differences in symptom intensity changes were observed for sleep disturbance, appetite problems, bowel issues, breathing difficulties, fatigue, and pain during the first week of hospitalization. In the “non-survivor” group, improvements in pain were noted over time; however, distress related to appetite, bowel function, and fatigue worsened. Conversely, the “survived to discharge” group showed continuous improvement in sleep disturbance and breathing distress throughout the hospitalization period. Conclusion This study offers insights into how inpatient palliative care differentially influences perceived distress based on patients’ end-of-life stage. Enhancements in palliative care approaches are needed to more comprehensively support patients, particularly those nearing the end of life. <br> Mon, 28 Jul 2025 04:06:15 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/127507 title: Dynamic Analysis of Upper- and Lower-Extremity Performance During Take-Offs and Landings in High-Wall Climbing: Effects of a Plyometric and Strength Training Intervention abstract: This study used a 12-week plyometric and strength training program as an intervention to improve upper- and lower-extremity muscle strength for jumping and landing when climbing high walls. Sixty general non-athlete male college students were openly recruited and divided into an experimental group and a control group. The experimental group underwent a plyometric and strength training program twice a week for 12 weeks (24 sessions). The intervention was divided into three phases, each lasting four weeks, with the training intensity gradually increasing in each phase. A hand grip dynamometer was used to measure grip strength, and a PASCO double-track force plate was used to assess upper-extremity push-up force and lower-extremity take-off and landing strength. The results of the 12-week intervention showed that the experimental group experienced significant increases in grip strength (both hands), hand-ground reaction force, and upper-extremity hang time. Additionally, the time of upper-extremity action on the force plate decreased. Lower-extremity take-off strength improved, as reflected in increased ground reaction force, rate of force development, and passage time. Upon landing, ground reaction force decreased by 3.2%, and cushioning time shortened by 52.7%. This study concludes that plyometric and strength training have promising effects in enhancing upper- and lower-extremity strength, particularly in climbing and landing tasks. <br> Mon, 21 Jul 2025 04:05:18 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/127506 title: The Effects of Plyometric Training on the Performance of Three Types of Jumps and Jump Shots in College-Level Male Basketball Athletes abstract: Recent studies have shown that lower-limb plyometric training can effectively enhance muscle strength and explosiveness, which are particularly important for improving jumping ability. The purpose of this study was to evaluate the effects of plyometric training on vertical, lateral, and horizontal jumping abilities, and their subsequent impact on basketball shooting performance and sports injury prevention. A quasi-experimental design was used, recruiting 30 male college-level basketball players from Taiwan, who were randomly assigned to an experimental group (n = 15) and a control group (n = 15). Both groups participated in 2 h of basketball training daily, while the experimental group additionally engaged in plyometric training twice a week. The results revealed significant improvements in the experimental group in several key areas, including rate of force development (RFD), ground reaction force (GRF), jump height, jump distance, and both horizontal and vertical forces, across vertical, lateral, and horizontal jumps. Specifically, vertical jumps required the highest ground reaction force, followed by lateral jumps, with horizontal (step-back) jumps requiring the least. The optimal angles for the resultant force during take-off were found to be between 66.1° and 66.8° for lateral jumps, and between 56.2° and 57.2° for step-back jumps, while vertical jumps did not show significant variation in take-off angle. In terms of basketball performance, the experimental group demonstrated significantly better post-test results in all three types of jump shots, with the highest accuracy observed in the vertical jump shot, followed by the lateral jump shot, and the lowest in the step-back jump shot. Furthermore, the experimental group experienced a substantial reduction in sports injury rates, with the injury rate decreasing to 6%. These findings indicate that plyometric training not only enhances jumping performance, but also contributes to injury prevention by strengthening lower-limb muscles. This study provides a theoretical basis for coaches to develop comprehensive training programs that improve athletic performance and reduce injury risk. <br> Mon, 21 Jul 2025 04:05:16 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/127451 title: 智慧照護導入科技與高齡者幸福感關聯之初探：從應用現況與研究論述落差之文獻分析 Wed, 18 Jun 2025 04:05:56 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/127385 title: 結合視覺回饋與動作分析模式精進游泳學習成效之研究 abstract: 目的：本研究在探討游泳課程中導入動作分析模式與視覺回饋訊息對於學習成效的影響。方法：採準實驗設計，以修習游泳初級班的學生為研究對象(N=55)，分為A、B兩班，兩班於不同時間上課，課程內容與進度相同，課程內容以捷泳與蛙泳為主。A班於前九週採傳統教學模式，B班介入動作分析模式；於後九週兩班交換。動作分析模式提供水下動作影像及分析的方法、提供動作檢核表作為學習鷹架，鼓勵學生自主學習與評價。另依技能前測成績區分為低技能組與高技能組，藉以比較動作分析模式在不同技能水準間的學習成效差異；蒐集認知測驗、學習概念圖、技能測驗、課程體驗量表進行分析。研究結果：一、認知測驗的前後測成績達顯著差異。二、前後測的學習概念圖轉化成語詞權重後發現，前5名的語詞沒有改變，但在第6至15名則有明顯不同，期末的概念偏向水域安全、公共衛生及泳池管理等課程內容。三、動作技能的學習成效不因介入動作分析的先後而有所差異，但游泳技能隨著學習階段的增加，得分越來越高。四、低技能組在各個階段的學習成效顯著高於高技能組。五、低技能組在接受動作分析模式的學習成效高於高技能組。六、在課程體驗量表的五個面向得分在4.202-4.611之間，學生對於介入動作分析模式的整體滿意度為4.909。結論：動作分析模式與傳統教學皆具學習成效，隨著學習累積而提升表現；動作分析模式在低技能組有顯著效益，有助於建構動作概念，在技能上可檢測錯誤動作，改善動作效能，是適合應用在初學游泳的教學策略。 <br>description: 計畫編號：PGE1120252 <br> Wed, 28 May 2025 04:05:37 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/127382 title: 感測波形在游泳划手頻率與動作分類的應用 abstract: 動作頻率與動作穩定性是影響游泳動作表現的重要因子，過去經常以影像分析或動力 學的方法來加以討論，但因設備需求較高且不易於平時訓練時使用，因此本計畫預計使用 慣性感測器來偵測游泳選手的動作資訊，以分析感測波形的方式，來計算划手次數與動作 頻率，並使用相關係數的概念提出演算過程來進行動作分類，藉此評估選手的動作穩定情 形。本計畫預計提出以感測波形為基礎且具有彈性之計算划手次數及提升動作分類的演算 過程，所提資料能夠適用於各層級的游泳者及各式泳姿，且摒除游泳時產生不規律之感測 數據所造成誤判之問題，經實證後成為協助教練與選手提升競技成績的工具，未來也將可 應用於其他序列性的運動項目上。 <br>description: 計畫編號：MOST 105-2410-H-032-064 <br> Wed, 28 May 2025 04:05:33 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/127381 title: 智能守護者-戶外休閒活動定位應用與通訊系統關鍵技術研發 abstract: 本計劃旨在導入LoRa通訊技術與GPS衛星定位系統於運動手錶中，應用於戶外休閒活動參與者，提升運動產業科技應用成效及戶外活動安全性。方法：本計劃分三階段進行：首先，建置LoRa通訊平台與GPS衛星定位系統的軟硬體條件，包括購置科技裝置、建置資料庫及串聯資料表單。接著，分析戶外休閒活動客群資料，設計精準配套定位系統，並測試不同行銷策略，收集回饋後微調。最後，推出智能守護者手錶服務，並進行產品實證，定期報告並調整產品數目和內容。結果：本計畫產出的智能守護者具有下列特點：(1) 精準掌握戶外活動參與者位置；(2) 全雙工語音通訊對講，讓登山者在無訊號區域與隊友或外界通話；(3) 通訊距離無限制，構成網狀智能網絡，隨時掌握聯繫資訊；(4) 輔助救援單位監控成效，降低戶外活動危險性。結論：智能守護者運動手錶將促進運動產業與科技結合，提供安全的運動環境，減少戶外休閒活動危險性，打造友善且安全的戶外運動環境，並在學術知識與產業實務層面提供具體貢獻，深化運動產業實質效益。 <br>description: 計畫編號：NSTC112-2622-8032-002-SP <br> Wed, 28 May 2025 04:05:30 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/127325 title: GPT與大學生科專計畫申請 Tue, 29 Apr 2025 04:05:11 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/127282 title: 以SPLISS模式檢視國家帕拉運動發展：從世界經驗看臺灣未來 abstract: 隨著自由民主的時代演進，重視人權的理念與制度逐漸成為普世價值，處於相對弱勢的身心障礙族群，其追求健康與運動的權利越來越受到先進國家與社會的關注，而推動與發展帕拉運動即是倡議生存、自由、尊重、平等的最佳證明。儘管臺灣在推展帕拉運動已有近四十年的歷史，但如何與國家競技運動的政策方向與管理制度相互配合，甚至建構屬於身心障礙族群的帕拉運動系統，有賴借鏡世界上在帕拉運動取得成就的國家。本文探討在De Bosscher等（2006）提出的「國際運動成功之運動政策因素」（Sport Policies Leading to International Sporting Success framework, SPLISS）模式，探討該模式對各政策面向的定義與相互關係，分析世界各國競技運動政策的實例，進而探究SPLISS模式在帕拉運動中的獨特性，及指出臺灣帕拉運動的發展現況與挑戰，為回應這些挑戰，結合SPLISS模式對帕拉運動政策的分析，本研究提出七項建議：臺灣應增加帕拉運動經費支持的多元化，整合國內與帕拉運動相關的體育行政單位，建構完善的帕拉運動選才與培訓制度，提供帕拉運動員訓練、參賽與退役後的各種必要支持，積極參與或申辦國際帕拉運動賽事，提升運動教練與技術人員對帕拉運動的專業知能，並鼓勵帕拉運動科學研究，以建構一個適合臺灣國情的高效能帕拉運動系統，並成為引領國際體育運動成功的政策模式。 <br> Mon, 21 Apr 2025 04:05:15 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/126876 title: International climate policy dilemmas: Examining effective carbon tariff rate and cap-and-trade scheme regulation from a financing perspective abstract: This paper introduces a contingent claim model, offering a financial perspective on the global climate policy challenge. The model prioritizes the use of carbon tariffs to prevent carbon leakage and cap-and-trade initiatives to incentivize carbon emission reductions. In this model, manufacturers in an exporting country's supply chain collaborate with a life insurance company to acquire carbon allowances through the cap-and-trade mechanism. The importing country enforces carbon tariffs to protect its import-substitution industries and to prevent carbon leakage, assessed by the effective carbon tariff rate. Our findings show that increasing carbon tariffs on final products and intermediate goods reduces equity for both the life insurance company and the importer but strengthens carbon tariff protection. Conversely, a stricter regulatory cap within the exporting country's cap-and-trade system bolsters equity for the life insurance company and the importer but weakens carbon tariff effectiveness in the importing country. This dilemma underscores the urgent need for global collaboration in managing carbon emissions. Our research highlights the complex challenges of global climate policies. It is suggested to foster efficient and sustainable international cooperation in shaping climate policies to address these challenges. <br> Thu, 20 Mar 2025 01:28:30 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/126875 title: Changes in perceived distress among patients receiving inpatient palliative care abstract: Context Understanding the impact of palliative care on patient outcomes is crucial for enhancing end-of-life care. Objectives This study aimed to examine changes in perceived distress among patients receiving inpatient palliative care. Methods In this retrospective cohort study, data were collected from a palliative care unit in central Taiwan between January and December 2021. Patients were categorized into “survived to discharge” and “non-survivor” groups based on discharge status. The Symptom Assessment Scale (SAS) was used to measure subjective distress daily during hospitalization. SAS scores on the admission day were compared to days 3 and 7, with changes analyzed using the chi-square test. Results A total of 191 patients were included in the study. Significant differences in symptom intensity changes were observed for sleep disturbance, appetite problems, bowel issues, breathing difficulties, fatigue, and pain during the first week of hospitalization. In the “non-survivor” group, improvements in pain were noted over time; however, distress related to appetite, bowel function, and fatigue worsened. Conversely, the “survived to discharge” group showed continuous improvement in sleep disturbance and breathing distress throughout the hospitalization period. Conclusion This study offers insights into how inpatient palliative care differentially influences perceived distress based on patients’ end-of-life stage. Enhancements in palliative care approaches are needed to more comprehensively support patients, particularly those nearing the end of life. <br> Thu, 20 Mar 2025 01:28:29 GMT https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/126874 title: 由臺灣中老年長期追蹤調查結果探討行動能力下降趨勢與危險因子 abstract: 目的：本研究藉由全國的中老年人問卷調查研究，探討臺灣地區老年人在4年期間行動能力演變趨勢。主要結果評估疾病對行動能力下降的影響，次要結果評估行動能力下降對於醫療資源應用的增加程度。方法：本研究為回溯性研究，利用衛生福利部衛生福利資料科學中心提供之2011年及2015年中老年調查資料，探討臺灣地區中老年人行動能力變化。研究資料包括受訪者的基本資料、一年內住院及急診就醫情形及日常活動量表，量表分數愈高代表行動能力愈差。利用多元羅吉斯回歸進行分析，找出影響活動能力下降的主要危險因子。結果：本研究於2011年納入3,727名受訪者，2015年再度對其中2,865人（76.9%）進行追蹤調查。受訪者中，女性1,470人（51.3%），男性1,395人（48.7%）。2011年的日常活動量表平均分數為4.4±6.7，2015年上升至6.14±8.4。1221人（46.6%）出現活動能力下降。多元邏輯斯迴歸分析結果顯示，影響活動能力下降的主要危險因子包括女性（Odds Ratio [OR] = 1.26, 95% Confidence Interval [CI]: 1.08-1.48）、高血壓（OR = 1.58, 95%CI: 1.34-1.86）、髖骨骨折（OR = 1.61, 95%CI: 1.05-2.46）以及白內障（OR = 1.88, 95%CI: 1.60-2.21）。結論：近五成老年人的行動能力會隨著年齡呈現下降趨勢。當老年人行動能力下降，其醫療資源的使用是有顯著的增加，不論是住院人數、人次或天數，還是急診就醫人數與人次。 <br> Thu, 20 Mar 2025 01:28:28 GMT