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| 題名: | 健康的實踐與超越－嘉義枯木逢春教室衰弱長者的大重量訓練 |
| 其他題名: | Praxis and Transcendence of Health--Heavy Weight Training for the Frailty Elderly in Chia-yi “Ku Mu Fong Chun” Classroom |
| 作者: | 林慧芳
LIN, HUI-FANG |
| 貢獻者: | 應用社會學系社會工作與社會設計碩士班
莊凱翔
CHUANG, KAI-HSIANG |
| 關鍵詞: | 枯木逢春訓練法;大重量訓練;槓鈴;健康促進;正向老化;在地老化
Ku Mu Fong Chun Training;heavy weight training;barbell;health promotion;positive aging;aging in place |
| 日期: | 2022 |
| 上傳時間: | 2022-09-06 15:04:27 (UTC+8) |
| 摘要: | 一張醫院開出的病危通知書，一場因帕金森氏症引發的跌倒意外，打亂了我的生活。我帶著父親到處奔波，嘗試各種醫療、復健、偏方甚至求神問卜，尋求恢復健康的方式，輾轉進到林永昌醫師所創辦的「枯木逢春大重量槓鈴訓練」嘉義教室。在這裡，氣氛輕鬆互動熱絡，學員們在此氛圍下個個帶勁，父親參加後不僅健康狀況好轉，心情愉悅也恢復以往的社交生活。這個經驗讓我開始對此訓練的模式與歷程產生好奇，也想了解究竟是什麼因素，讓原本衰弱的父親在經歷恢復健康的醫療機制後，卻能在這個地方「回春」？「枯木逢春」是如何實踐，又如何超越？是我此刻的終極關懷。 本研究採質性研究取向，採半結構式的深度訪談及參與觀察，藉由觀察及訪談「枯木逢春嘉義教室」的學員、學員家屬，對於參加此訓練的動機、訓練歷程以及生理心理的感受加以了解，並透過訪談教練、觀察與學員間課程互動以及學員身、心、社會層面的變化，並試圖對照目前現行政策，提出具體建議供公私部門推動「預防及延緩衰弱」方案參考，以期能落實「在地老化」與「正向老化」的理想。 研究發現：參加的學員及家屬將自己定位為「需要復健的病人」，因目前醫療環境未能滿足需求，故選擇「枯木逢春訓練」方式來超越目前自身所處的困境，實踐自己對於健康的期待；社會大眾因為對於「重量訓練」的不了解或害怕因而帶著以關懷為名的歧視主義，消極性的關懷這些學員，擔心他們身體受到危害或發生危險卻忽略了在安全防護下，這些學員透過鍛鍊可以超越目前健康狀態的積極性權利；而嘉義「枯木逢春」團隊透過在學員身上身體工作（body work）的協作關係，超越現今科學與醫療二元論的盲點，加強了人性的關懷，彼此之間不僅是學員與教練或消費者與業者的關係，而是互為主體緊密鑲嵌的朋友、夥伴、類家人，透過彼此的信任與合作才能在大重量的過程中達到最大的效果。學員們在教室中不僅是身體的訓練，學員間的互相鼓勵與教練的激勵，強化學員的信心達到正向老化的目的。 至於日後推廣進入社區落實在地老化的可能性，雖然學員及家屬表示樂觀其成，但必須先建立民眾「健康生活型態」的觀念，藉由指標性人物的推廣、在地有力人士的號召以提升社區長者參與的意願，並結合相關政策的補助，推動民間跟政府的資源整合，達到延緩老化及健康促進的目的。
This research is a qualitative study that combines semi-structured in-depth interviews and participant observation. By interviewing the trainees participating in the training and their families, this research aims to understand their motivation, training process, and physiological and psychological feelings. In addition, the author interviewed the coaches and observed their interactions with trainees and the trainees’ changes in physical, psychological and social levels. With reference to applicable policies, suggestions are put forward for public and private sectors to promote the “Prevention and Delay of Disability” program, with the goal of facilitating the implementation of “aging in place” and “positive aging”. The research results showed that the participating trainees, as well as their families, positioned themselves as “patients in need of rehabilitation” and that due to current medical services failing to satisfy their needs, they resorted to the rehabilitation program as an alternative, with the goal of overcoming their current predicament and seeking health restoration. It was also found that due to the lack of understanding or fear of “weight training”, the public had discrimination against it in the name of caring. They tended to passively care about the trainees and were unduly worried about the potential danger or harm, but neglected the positive rights of the trainees to improve their health status through exercises under safety protection. “Ku Mu Fong Chun” works through the bodywork of their trainees to fill the gaps in the current scientific-medical dualism. In this way, they strove to enhance the care about human nature. Therefore, their relationship with trainees goes beyond coaches and trainers, or consumers and practitioners, but friends and partners who have been in close contact like families. Only mutual trust and cooperation are established can the best outcome be achieved during the large-weight training. In the class, coupled with physical training, the mutual encouragement among trainees and the heartening words from the coaches greatly boost the confidence of trainees, facilitating the achievement of the goal of positive aging. Although the trainees and their families expressed their optimism about the possibility of implementing “aging in place” in communities, it is necessary to first establish the concept of “healthy lifestyle” among people. By means such as making promotions with the help of representative figures or inviting local public figures to voice their call, the participation willingness of community elders can be enhanced, and by introducing relevant policies as a supplement, the integration of private and government resources can be facilitated. With these efforts, the goal of delaying aging and promoting health promises to be fulfilled. |
| 顯示於類別: | [應用社會學系(社會工作與社會設計碩士班,教育社會學碩士班)] 博碩士論文-社會工作與社會設計碩士班
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