研究背景：老年憂鬱族群裡，憂鬱症與功能下降、認知障礙、失智症、自殺導致的過早死亡、整體死亡率增加及生活品質下降相關。而運動已被視為一種非藥物治療法，其安全並至現無出現嚴重的不良事件亦可有效對抗憂鬱或減輕憂鬱症狀，還可以增加生活品質及提高自尊心，對於有使用抗憂鬱藥物的族群，也可減少其副作用。研究目的：建置社區憂鬱老人之運動策略指引，期藉由運動能改善社區中有憂鬱症狀或被診斷為憂鬱症老年人之憂鬱程度。
研究方法：指引建置方法參考台灣實證臨床指引發展及更新手冊，（一）建立指引發展團隊，包含老年醫學專科醫師、老年心理學專家、社區護理師、實證領域專家、一位物理治療師及老年運動專家、（二）依據PICO架構訂定問題及開始搜尋文獻，根據納入及排除條件使用PRISMA流程篩選文獻，將納入文獻統整後草擬指引、（三）邀請10-15位專家使用修正型德菲法進行內部專家審查，並根據專家建議修改指引內容、（四）由兩位方法學專家及領域專家使用AGREE II指引評讀工具，進行外部專家審查，再由指引發展團隊評估及擬定指引初稿、（五）於社區、長照機構及日照中心發放匿名問卷給社區護理師、老年醫學醫師、物理治療師，總共收案30位，並根據指引的適用性進行評估，收集後再根據建議內容進行討論及修訂、定稿。
研究結果：文獻搜尋後共納入7篇系統性文獻回顧及統合分析及6篇隨機對照試驗，在進行兩回合內在專家審查結果：每項指引IQR小於1及CVI達0.8以上，兩回合外部專家審查結果：六個領域標準化分數皆可達80%，最後一階段適用性評值每項建議皆可達80%以上的臨床照護人員表適用。指引內容主要分成四大部分：（1）執行指引內容前說明、（2）有氧運動、（3）肌肉適能運動、（4）身心運動，分別為指引前內容說明4項、三種運動類型皆包含時間、頻率、強度、項目、步驟、注意事項及資源提示7項建議，總共有25項建議。
結論：本指引除了使用實證方式建置，更納入臨床專家及社區健康照顧者建議，進而縮短學術建議與臨床實做的距離，提升可行性。指引內從指引前注意事項、運動情緒日誌及定期追蹤憂鬱程度至運動建議，提供連續且完整之運動建議，提升運動安全及減少運動風險，期能降低憂鬱對社區長者的負向影響。

Geriatric depression is a critical public health challenge linked to functional decline, cognitive impairment, and increased mortality. The purpose of this study was to develop a culturally adapted "Exercise Strategy Guideline" specifically for community-dwelling older adults with depression in Taiwan. The development process followed the Taiwan Manual for Evidence-Based Clinical Guideline Development and Update.
The finalized guideline provides a structured and safe framework, consisting of 25 recommendations categorized into four sections: (1) pre-implementation instructions, (2) aerobic exercise, (3) muscle-strengthening exercise, and (4) mind-body exercise. The pre-implementation section includes four foundational items, while each of the three exercise modules comprises seven key components: duration, frequency, intensity, type, steps, precautions, and resource cues. Overall, this research offers a localized, evidence-based solution to alleviate depressive symptoms and improve the quality of life for the aging population.

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