憂鬱、焦慮是機構老人常見的心理問題,而機構老人心理層面的照顧常讓照顧者承受很大的負荷,若有一種能兼顧雙方感受的照顧方法,相信能嘉惠雙方。「親密按摩」是一種關切照顧者辛苦,也重視被照顧者感受的照護方法,此一照顧方式是否能改善機構老人的憂鬱及焦慮,為本研究所關切的問題。 本研究欲探討「親密按摩」對照護機構老人之憂鬱、焦慮情緒的改善成效。針對六名照護機構老人採用單一受試研究方法之跨個人的多基線設計,比較不同期間,親密按摩介入的前後,機構老人憂鬱、焦慮程度之變化。本研究共進行二階段基線期、二階段處理期及一階段維持期合計十五天的研究時間,最後以目視分析法及C統計分析之。 研究結果得知「親密按摩」的介入可立即減輕機構老人的憂鬱及焦慮程度,但不具保留效果。此一結果可用在當照護機構遇到老人因憂鬱或焦慮而拒絕合作或難以安撫時,或老人處於突發的憂鬱或焦慮情緒時,若專業醫療人員不在現場,此一簡單的照護方式仍可由親屬親自操作,便於提供即時緩解之處理,以降低機構老人之憂鬱及焦慮。 Depression and anxiety not only distress the institutionalized elders, but also often increase the nursing staffs’workload. It would be benefical to both the carers and the cared if the depression and anxiety improving method can take care the feeling of the elders as well as the carers. Since intimacy massage can achieve this requirement, whether it can significantly alleviate the institutionalized elders’ depression and anxiety or not is the major concern of the study. The purpose of this study was to investigate the effect of the “intimacy massage” on reducing the depression and anxiety of institutiona -lized elders. The research was conducted individually for six institutionalized elders to watch the extent of changes in depression and anxiety at different periods before and after intimacy massage was applied. The 15 days research was divided into 2 baseline phases, 2 treatment phases and 1 maintenance phase, then, the result was analyzed by visual analysis method and C statistics. The research result showed that the “intimacy massage” could levitate the depression and anxiety of the institutionalized elders instantly without maintenance effect. Intimacy massage can be conducted by the family while the nursing staffs are not at presence. Therefore, it is suitable for the urgent onset of depression and anxiety if the elders who refused to be cooperative due to depression and anxiety