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研究生: 林宗毅
Lin, Tsung-Yi
論文名稱: 3D VR園藝治療對老人身心健康之探討
The effectiveness of 3D VR Horticultural Therapy on older adults' Physical and Mental Health
指導教授: 郭鐘隆
Guo, Jong-Long
學位類別: 博士
Doctor
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
論文出版年: 2019
畢業學年度: 107
語文別: 中文
論文頁數: 84
中文關鍵詞: 園藝治療3D VR老人健康促進TTF
英文關鍵詞: Horticultural Therapy, 3D VR, Older adults, Health promotion, TTF
DOI URL: http://doi.org/10.6345/DIS.NTNU.DHPHE.004.2019.F02
論文種類: 學術論文
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  • 目的:因應養護機構之老人受限於天氣、溫度及場域等因素,無法持續從事各項健康促進活動,本研究擬融入任務科技配適模型(Task-Technology Fit, TTF)來設計一套3D VR園藝治療教學活動課程,以改善老人的健康狀態、生命意義(meaning in life)、知覺被看重(perceived mattering)、憂鬱感、與孤寂感(Loneliness)。
    方法:本研究招募65歲以上老人,共計106人,分為實驗組(59人)與對照組(47人),實驗組需接受2個月(8周)的3D VR園藝治療課程介入,對照組則否。兩組各施測三次(前測、後測及追蹤測),分別於介入前、介入完成後、及介入完成後2個月進行第三次的問卷填答。採結構式問卷包含健康狀態、生命意義、知覺被看重、孤寂感、憂鬱感。問卷蒐集完畢後,以廣義估計方程式(Generalized estimating equation, GEE)進行統計及分析。
    結果:本研究結的任務科技配適模式(TTF)相關變項之統計結果顯示,參與者多數練習次數為4次或5次以上。另在使用意圖、真實感(realism)、音效(sound)、互動性、及參與程度之結果均顯示參與者對於3D VR園藝治療課程之使用意圖甚高,且與使用次數的相關性達統計顯著水準;多元複迴歸分析結果顯示,參與程度與年齡為練習次數的預測因子。介入成效的部份,身心健康相關指標經GEE分析之後,結果顯示於課程介入後,健康狀態、生命意義、知覺被看重、孤寂感、憂鬱感等健康指標均顯著進步,顯示實驗組接受3D VR園藝治療課程之後,及完成介入後兩個月,其身心健康相關指標之表現均較對照組顯著進步。
    結論:本研究為首創之3D VR園藝治療課程,有別於傳統實作之園藝療法,研究結果顯示參與者的健康狀態及各項生命意義指標上於課程介入後均有正向顯著進步,且追蹤測之部分也均有正向之維持呈現。本研究發展課程介入之各變項結果可供後續老人健康促進研究者借鏡參考,另可將本研究所研發之課程加以推廣,讓機構老人可以在虛擬實境中享受園藝活動的操作樂趣增加其生理活動與心理紓壓,成為一適合老人且具教育意義的健康促進工具。

    Aim: Older adults in maintenance institutions were limited to climate, temperature, and setting factors, they were not continuing to do many activities on health promotion. The aim of study was to use the course design of three-dimensional (3D) virtual reality (VR) on task-technology with horticultural treatment for improving older adults’ health status, meaning in life, perceived mattering, depression, and loneliness.
    Methods: A total of 106 older adults were recruited and assigned to either experimental (n = 59) or control (n = 47) groups. Participants in the experimental group received two-month 3D VR Horticultural Therapy, while those in the control group did not receive any intervention. Both groups completed three assessments at the baseline, after completing the intention, and two-month follow-up after completing the intention. A structured questionnaire was used to measure health indicators including the health status, meaning in life, perceived mattering, depression, and loneliness. The experimental group completed assessment related task-technology fit (TTF) additionally. Data analysis were to use a regression and Generalized Estimating Equations (GEE) analysis.
    Results: Based on Pearson’s correlation, TTF variables were associated with each other. The regression results revealed that involvement and age were significant predictors for the times of 3D VR practice. Health status, meaning in life, perceived mattering, depression, and loneliness scores of participants in the intervention group were significantly higher than those of counterparts in the control group after the intervention completion and two-month follow-up after the intervention completion (all p < 0.001), suggesting that older adults in the intervention group had improvement.
    Conclusion: In this study, the course design of 3D VR on task-technology with horticultural treatment was different from traditional horticultural treatment. The conclusion of study was indicated that older adults’ health status and meaning in life were showed positively significant improvement on pre-posttest and pre-post-posttest. From results, the study will provide some information on older adults’ activities with health promotion for future researchers. In addition, the course design of 3D VR on task-technology with horticultural treatment will be an educational tool with health promotion for older adults in the future.

    摘要 I Abstract III 目錄 V 表目錄 VII 圖目錄 VIII 第一章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 5 第三節 名詞界定 6 第二章 文獻探討 9 第一節 園藝治療 9 第二節 虛擬實境 15 第三節 任務科技配適度模式 25 第四節 老人身心健康相關因子 27 第三章 研究方法 32 第一節 研究流程 32 第二節 研究架構 37 第三節 研究對象 38 第四節 3D VR園藝治療 40 第五節 研究工具 42 第六節 資料處理與統計分析 48 第四章 結果 49 第一節 社會人口學資料 49 第二節 任務科技配適模型與實驗組練習次數的關係 51 第三節 3D VR園藝治療課程之成效 54 第五章 討論、建議與研究限制 60 第一節 討論 60 第二節 建議 65 第三節 研究限制 67 第六章 結論 68 參考文獻 70 附件一 81

    中文文獻
    丁于倩。(2012)。治療性園藝活動對社區老人生活安適之成果(未出版之碩士論文)。弘光科技大學,台中市。
    內政部統計處。(2019)。108年第5週內政統計通報(107年底老化指數上升至112.6,老幼人口數差距持續擴大)。取自https://www.moi.gov.tw/stat/news_detail.aspx?sn=15493。
    王宗立、吳文雄。(2006)。整合性工作/科技配適度模式之研究--以學生學習工作與協同科技為例。中華管理評論,9 (2),(7)1-(7)23
    王淑真。(2008)。阿公阿嬤の田—安養機構中老人參與園藝活動歷程及其對老人健康狀況、人際關係和自我概念之影響(未出版之碩士論文)。亞洲大學,台中市。
    王舒民、林娟娟、簡子晴、鄒仁淳。(2016)。由任務科技配適度觀點探討司法人員資訊系統使用與工作績效之影響因子。臺大管理論叢,26(2),273 - 302。
    王瀅筑、陳炳堯、朱僑麗。(2009)。園藝活動對養護機構住民身心功能之影響。長期照護,13,325-37。
    朱凱薇。(2007)。一顆種子,一個希望: 園藝治療活動在黎明教養院之個案研究(未出版之碩士論文)。慈濟大學,花蓮縣。
    行政院國家發展委員會。(2018)。老年人口成長趨勢。取自https://pop-proj.ndc.gov.tw/chart.aspx?c=5&uid=4110&pid=60。
    吳世光、陳建和。(2002)。影像式虛擬實境之發展及其在觀光產業應用之研究。觀光研究學報,8(1),109-125。
    辛樂琴、李鳳屏。(2014)。運用園藝療法改善機構老年人孤寂感之護理經驗。長期照護雜誌,18(2),251-261。
    林一真。(2016)。出版森林益康:森林療癒的神奇力量。台北市:心靈。
    林俊德、江璇。(2012)。融入團體操作之園藝治療活動對安養中心老人之成效觀察。國立臺中科技大學通識教育學報,創刊號, 195-205。
    林俊德。(2011)。高齡者園藝治療效果初探-以中部某一老人安養中心為例。中護學報,10,27-52。
    林建文、林子超。(2008)。以電腦 3D/VR 輔助國小體操墊上運動之初探。大專體育,(94),22-28。
    林清同。(2014)。成功老化:以計畫行為模式探討高齡者參與槌球行為與幸福感。福祉科技與服務管理學刊,2(3),229-236。
    法務部。(2015)。老人福利法。取自https://law.moj.gov.tw/LawClass/LawAll.aspx?PCode=D0050037。
    邱馨慧、蔡佳良(2008)。園藝治療對老年慢性疾病患者的應用方式與成效。中華體育季刊,22(2), 79-85。
    長谷川真人。(2007)。園藝療法的介紹:理學療法科學,22(2):301-304。
    姚雅方。(2015)。園藝治療於長期照護機構老年住民日常生活功能、幸福感、生命意義、及人際互動之成效(未發表的碩士論文)。高雄醫學大學,高雄市。
    紀政儀。(2011)。園藝治療對護理之家老人憂鬱與孤寂感之成效探討(未出版之碩士論文)。中國醫藥大學,台中市。
    康有德、鄭爕、鄭正勇、馬溯軒、許圳塗。(1997)。園藝概論(頁274-275)。台北市:啟英文化。
    張俊彥(2008)。園藝治療相關量表整理。「園藝治療效益評估及活動設計研討會」發表之論文,台北。
    張春興。(1989)。張氏心理學辭典。台北市:東華書局。
    張素紅、楊美賞。(1999)。老人寂寞與其個人因素、自覺健康狀況、社會支持之相關研究。高雄醫學科學雜誌,15(6),337-347。
    張慶旭、陳五洲。(2009)。3D VR 結合 Wiimote 的桌球輔助學習設計之可行性探討。大專體育,100,166-173。
    郭毓仁。(2005)。治療景觀與園藝療法。台北市:詹氏。
    陳彥睿、陳榮五。(2010)。園藝治療活動設計。臺中區農業改良場特刊,102,112-114。
    陳淑娟、薛玉好、許淑敏。(2018)。運用園藝治療促進護理之家住民日常生活活動能力之成效。「和美健康暨護理學院」發表之論文 。
    黃國彥、鍾思嘉。(1987)。老人健康自評、生活改變和生命意義與其生活滿意之關係。中華心理衛生學刊,9,169-181。
    楊文傑、盧大為、林光華。(2015)。虛擬實境平衡訓練應用於巴金森症患者:文獻回顧。物理治療,40(3),121-128。
    廖佳怡。(2016)。園藝治療活動對於養護機構老人憂鬱和睡眠品質之改善研究。高雄醫學大學護理學系碩士班學位論文。2016。1-136。
    廖述盛、黃秀美、賴崇閔。(2011)。虛擬實境結合問題導向學習應用於行動化醫學教育之研究。科學教育學刊,19(3),237-256。
    蔡元芳、黃姿榕、鄭于綸。(2008)。虛擬實境地理資訊教學平台之建置。社會與區域發展學報,1(1),79-111。
    衛生福利部。(2019)。老人狀況調查。取自https://dep.mohw.gov.tw/dos/lp-1767-113.html。
    賴崇閔、黃秀美、廖述盛、黃雯雯。(2009)。3D 虛擬實境應用於醫學教育接受度之研究。教育心理學報,40(3),341-361。
    謝伶瑜、廖彥琦。(2016)。運用虛擬實境遊戲降低燒燙傷患者換藥疼痛之成效:系統性文獻回顧。台灣醫學,20(4),355-363。
    謝智仱、林佩欣。(2015)。體感太極拳運動應用於社區老人之初探。長期照護雜誌,19(3),283 - 294。
    簡苑珊、陸玓玲、李鴻森、洪百薰。(2012)。青少年性騷擾受害經驗與身心狀態之相關—以基隆市國中學生為例。臺灣公共衛生雜誌,31(4),326-334。
    簡鴻儒、謝煒峰。(2015)。園藝治療活動對於促進長期照顧機構住民身心健康之研究。明新學報,41,135-54。
    顏雅君、王筠婷、蔡培心、張曉雲。(2016)。園藝活動對機構住民的生、心、認知及社交互動影響之個案研究。澳門護理雜誌,15(1),14-20。
    藤田政良、萩原新。(2003)。長野県下の福祉施設および医療施設における農・園芸活動の実態と療法的活用に関する調査研究. 信州大学農学部AFC報告:35-50。 

    英文文獻
    American Horticultural Therapy Association (AHTA). (2016). Horticultural therapy. Retrieved from http://ahta.org/horticultural-therapy. Accessed November 6, 2014.
    Bossen, A. (2012). The importance of getting back to nature for people with dementia. Journal of Gerontological Nursing, 36(2), 17-22.
    Chen, J. C. (2016). The crossroads of English language learners, task-based instruction, and 3D multi-user virtual learning in Second Life. Computers & Education, 102, 152-171.
    Cheng, S. T., & Chan, A. (2004). A brief version of the geriatric depression scale for the Chinese. Psychological Assessment, 16(2), 182-186.
    Cheng, T. A., & Williams, P. (1986). The design and deVLEopment of a screening questionnaire (CHQ) for use in community studies of mental disorders in Taiwan. Psychological Medicine, 16(2), 415-422.
    Chodzko-Zajko, W. J., Proctor, D. N., Singh, M. A. F., Minson, C. T., Nigg, C. R., Salem, G. J., & Skinner, J. S. (2009). Exercise and physical activity for older adults. Medicine & Science in Sports & Exercise, 41(7), 1510-1530.
    Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 319-340.
    Detweiler, M. B., Sharma, T., Detweiler, J. G., Murphy, P. F., Lane, S., Carman, J., ... & Kim, K. Y. (2012). What is the evidence to support the use of therapeutic gardens for the elderly?. Psychiatry Investigation, 9(2), 100-110.
    Diggle, P. J., Heagerty, P., Liang, K. Y., & Zeger, S. L. (2002). Analysis of Longitudinal Data (2nd edition). Oxford, England: Oxford University Press.
    Elings, M., & Hassink, J. (2006). Farming for health in the Netherlands. Farming for Health, 163-179.
    Elliott, G., Kao, S., & Grant, A. M. (2004). Mattering: empirical validation of a social-psychological concept. Self and Identity, 3(4), 339-354.
    Frankl VE (1982) Ärztliche Seelsorge. Vienna: Deuticke.
    Goodhue, D. L., & Thompson, R. L. (1995). Task-technology fit and individual performance. MIS Quarterly, 213-236.
    Heinrich, L. M., & Gullone, E. (2006). The clinical significance of loneliness: A literature review. Clinical Psychology Review, 26(6), 695-718.
    Jarrott, S. E., Kwack, H. R., & Relf, D. (2002). An observational assessment of a dementia-specific horticultural therapy program. HortTechnology, 12(3), 403-410.
    Kamioka, H., Tsutani, K., Yamada, M., Park, H., Okuizumi, H., Honda, T., ... & Handa, S. (2014). Effectiveness of horticultural therapy: a systematic review of randomized controlled trials. Complementary Therapies in Medicine, 22(5), 930-943.
    Kidd, J. (2004). Horticulture and human well-being: A growing field of interest for distance teaching in New Zealand. In VIII International People-Plant Symposium on Exploring Therapeutic Powers of Flowers, Greenery and Nature 790 (pp. 145-150).
    Kim, J., Son, J., Ko, N., & Yoon, B. (2013). Unsupervised virtual reality-based exercise program improves hip muscle strength and balance control in older adults: a pilot study. Archives of Physical Medicine and Rehabilitation, 94(5), 937-943.
    Kotrlik, J. W., & Williams, H. A. (2003). The incorporation of effect size in information technology, learning, and performance research. Information Technology. Learning, and Performance Journal, 21(1), 1-7.
    Lee, I., Paffenbarger, R., & Hennekens, C. (1997). Physical activity, physical fitness and longevity. Aging Clinical and Experimental Research, 9(1-2), 2-11.
    Lee, M. B., Liao, S. C., Lee, Y. J., Wu, C. H., Tseng, M. C., Gau, S. F., & Rau, C. L. (2003). Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity. Journal of the Formosan Medical Association, 102(10), 687-694.
    Lee, Y., Choi, W., Lee, K., Song, C., & Lee, S. (2017). Virtual reality training with three-dimensional video games improves postural balance and lower extremity strength in community-dwelling older adults. Journal of Aging and Physical Activity, 25(4), 1-21.
    Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382-385.
    Maples, M. F., & Abney, P. C. (2006). Baby boomers mature and gerontological counseling comes of age. Journal of Counseling & Development, 84(1), 3-9.
    Marcus, F. M. (1991). Mattering: its measurement and theoretical significance for social psychology. Paper presented at the annual meeting of the Eastern Sociological Association, Cincinnati, OH.
    Neto, F. (2014). Psychometric analysis of the short-form UCLA Loneliness Scale (ULS-6) in older adults. European Journal of Ageing, 11(4), 313-319.
    Pfeffer, J. C., Deyton, D. E., & Fly, J. M. (2009). Survey of horticultural therapy programs in Tennessee. Journal of Therapeutic Horticulture, 19, 24-44.
    Pinquart, M. (2002). Creating and maintaining purpose in life in old age: a meta-analysis. Ageing International, 27(2), 90-114.
    Relf, D. (2005). The therapeutic values of plants. Pediatric Rehabilitation, 8(3), 235–237.
    Rosenberg, M., & McCullough, B. C. (1981). Mattering: inferred significance and mental health among adolescents. Research in Community & Mental Health, 2, 163-182.
    Schmidt, M., Laffey, J. M., Schmidt, C. T., Wang, X., & Stichter, J. (2012). Develeping methods for understanding social behavior in a 3D virtual learning environment. Computers in Human Behavior, 28(2), 405-413.
    Skadberg, Y. X., & Kimmel, J. R. (2004). Visitors’ flow experience while browsing a Web site: its measurement, contributing factors and consequences. Computers in Human Behavior, 20(3), 403-422.
    Söderback, I., Söderström, M., & Schälander, E. (2004). Horticultural therapy: the ‘healing garden’and gardening in rehabilitation measures at Danderyd Hospital Rehabilitation Clinic, Sweden. Pediatric Rehabilitation, 7(4), 245-260.
    Stricker, D., Weibel, D., & Wissmath, B. (2011). Efficient learning using a virtual learning environment in a university class. Computers & Education, 56(2), 495-504.
    Sweller, J., Ayres, P., & Kalyuga, S. (2011). Cognitive load theory. New York, NY: Springer.
    UQO Cyberpsychology Laboratory. (2004). Traduction du Presence Questionnaire de Witmer & Singer. Gatineau: Université du Québec en Outaouais.
    Virvou, M., & Katsionis, G. (2008). On the usability and likeability of virtual reality games for education: the case of VR-ENGAGE. Computers & Education, 50(1), 154-178.
    Waltz, C. F., Strickland, O. L., & Lenz, E. R. (1991). Measurement in nursing research (2nd ed.). Philadelphia, USA: A. Davis.
    Wang, D., & MacMillan, T. (2013). The benefits of gardening for older adults: a systematic review of the literature. Activities, Adaptation & Aging, 37(2), 153-181.
    Witmer, B. G., & Singer, M. J. (1998). Measuring presence in virtual environments: a presence questionnaire. Presence, 7(3), 225-240.
    Yamane, K., & Adachi, M. (2004). Roles of daily horticultural activities in physical and mental QOL for elderly adults. Paper presented at the VIII International People-Plant Symposium on Exploring Therapeutic Powers of Flowers, Greenery and Nature 790.
    Yao, Y. F., & Chen, K. M. (2017). Effects of horticulture therapy on nursing home older adults in southern Taiwan. Quality of Life Research, 26(4), 1007-1014.
    Yilmaz, R. M., Baydas, O., Karakus, T., & Goktas, Y. (2015). An examination of interactions in a three-dimensional virtual world. Computers & Education, 88, 256-267.
    Zaichkowsky, J. L. (1994). The personal involvement inventory: Reduction, revision, and application to advertising. Journal of Advertising, 23(4), 59-70.

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