第五章 討論
第四節 結論與建議
巴金森氏症為老年人常見的神經退化疾病之一，其病徵不僅僅包含運動障礙，
還會影響病患情緒方面與認知功能的退化，隨著病程增長，症狀日益惡化，肌力 也逐漸降低。病人現今醫學尚未有治癒巴金森氏症的方式，醫療的主要目的著重 於減緩症狀、維持患者生活品質、增加生活獨立性及延緩失能。
以呼氣肌訓練介入巴金森氏症族群，主要考慮效果外，其耐受性、安全性與 不需交通勞頓的居家訓練方式十分適合巴金森氏症患者的生活型態。因此本篇的 研究結論如下：
一、 每週5天和每週3天維持4週的呼氣肌訓練介入對巴金森患氏症患者其呼氣 肌肌力有顯著的提升效果。
二、 每週5天維持4週的呼氣肌訓練介入對巴金森患氏症患者其嗓音自覺健康情 形有顯著的提升效果。
簡單安全的居家呼吸肌訓練，可增進巴金森患氏症患者呼吸肌肌力，預防日 後因呼吸肌功能障礙所帶來的不便，減低上下呼吸道阻塞及吸入性肺炎的發生率。
除此之外，日常溝通嗓音說話的情形也可得到改善。而對於呼氣肌訓練介入對患 者的生活品質影響，仍需要足夠的研究樣本數，並透過客觀嗓音相關的生活品質 指標，將可了解肌訓練介入的影響。未來研究可收集更多樣本數，亦可長期追蹤 介入成效，作為推廣到臨床居家運動的參考。
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附錄
附錄一 嗓音自覺健康情形問卷
您好：
首先，感謝您參與本研究。本問卷目的主要了解您目前的嗓音問題，請依據您 目前的嗓音情況填答。您所回答的內容是完全保密的，僅做學術研究之用，不 會另做其他用途，敬請安心作答。再次感謝您的協助與參與。
敬祝 健康快樂
國立台北護理健康大學 運動保健所 研究生 詹若芃 指導教授 郭堉圻 中華民國一百零二年六月
【 填答說明 】
說明一：答案沒有對或錯，好與不好！請您依個人的感受就每一題內容的適合選 項做填答，並在適當的□中打「ˇ」，或在空格處（如：_________）填寫適當的 答案。
說明二：問卷分為兩大部分，共2頁；題目中無註明（可複選）者，為單選題。
【第一部分：嗓音自覺健康情形】
1. 在未感冒狀態下，您目前是否有嗓音異常？（”嗓音異常”意指您無法隨意 使用嗓（聲）音，
或無法發出與先前一樣的嗓（聲）音，使日常生活受到影響）
□(0)否（若勾選『否，請直接跳至第二部份』）
□(1)是（若勾選『是』，請繼續作答）
2.未感冒時，您的喉嚨不適症狀有哪些？
總是
（幾乎每天） 經常
（一個月數次） 偶爾
（半年幾次） 很少
（一年幾次） 從未發生
(1)喉嚨有疼痛感 □ □ □ □ □
(2)喉嚨肌肉有緊繃感 □ □ □ □ □
(3)喉嚨乾燥 □ □ □ □ □
(4)喉嚨有異物感 □ □ □ □ □
3.未感冒時，您的嗓音不適症狀有哪些 □ □ □ □ □