偏鄉社區高齡者心理健康促進：調查與介入的實踐經驗
李鈺華、陳佑楷
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中文摘要 本研究旨在探討偏鄉高齡者的心理健康現況及介入成效。研究場域為台灣嘉義縣一受少子化與人口外移影響、人口高齡化嚴峻的偏鄉社區。本研究首先進行心理健康調查，結果顯示多數居民(90.9%)整體心理健康程度達一般水準以上，惟在正向樂觀、積極生活態度與能力感方面仍有待提升。基於此，本研究設計並實施為期八週的團體諮商方案，以「自我認識」與「情緒調節」為核心，旨在促進長者的自我關照與心理健康。後測結果顯示，1位具中度困擾者心理健康顯著改善，其餘成員則維持良好狀態。另透過5位成員之質性訪談，歸納出三大主題：(1)參與契機與情緒因應慣性；(2)團體歷程中的轉化經驗；(3)團體後的覺察與情感反應。整體而言，結果顯示以人際互動與自我關照為核心的團體介入模式，對偏鄉高齡者具可行性與益處。然而，未來介入方案仍需強化文化敏感性與在地生活經驗的回應，以提升長者的接受度與方案的持續性。
關鍵字：高齡者、心理健康、團體介入、社區實踐經驗
文章建立時間：2026-03-01
引用格式(APA)：
李鈺華、陳佑楷(2026)。 偏鄉社區高齡者心理健康促進：調查與介入的實踐經驗。
福祉科技與服務管理學刊， 14(1)， 1-25。
Promoting Mental Health in Rural Older Adults: A Community Survey and Intervention Experience
Lee, Y.-H., Chen, Y.-K.
English Abstract This study aimed to explore the mental health status of older adults in rural communities and to evaluate the effectiveness of a group-based intervention. The research was conducted in a rural community in Chiayi County, Taiwan, an area severely affected by low fertility rates, population outmigration, and rapid population aging. A mental health survey was first administered, revealing that the majority of residents (90.9%) demonstrated overall mental health levels at or above the normative range. However, participants showed comparatively lower levels of positive optimism, proactive life attitudes, and perceived competence, indicating room for further improvement in these domains. Based on these findings, an eight-week group counseling program focusing on self-awareness and emotion regulation was implemented to promote self-care and mental health among older adults. Posttest results indicated significant improvement for one participant with moderate distress, while others maintained good mental health. Additionally, qualitative interviews with five participants identified three key themes: (1) participation motives and habitual emotion-regulation strategies; (2) transformative experiences during the group process; and (3) post-group awareness and emotional responses. Overall, the findings demonstrate that a group intervention model emphasizing interpersonal interaction and self-care is both feasible and beneficial for older adults in rural contexts. Nevertheless, future interventions should incorporate greater cultural sensitivity and responsiveness to local life experiences to enhance program acceptance and sustainability.Keywords：older adults, mental health, group intervention, community practice