隨著科技進步，利用科技引導老人學習及健康照護是重要的，園
藝治療已被證實為具有改善生心理健康之健康策略，本研究以3D VR虛實結合園藝治療探討對社區老人健康介入成效。
招募參與新北市社區整體照顧服務計畫C單位之社區老人為研究對象，共62人。實驗組32人介入8周3D VR虛實結合園藝治療。以自尊、憂鬱、孤寂、自我掌控、成就動機量表搜集介入前後對心理層面之成效；另以目標效果量表，評值參與後對技能、學習態度與行為意圖之影響，透過心率變異檢測儀，瞭解對生理層面之影響。對照組30人，參與一般健康促進活動。分別以描述性統計、卡方、t檢定及廣義估計方程式(GEE)檢定分析介入成效。
本研究結合科技，有別於傳統實作園藝治療，實驗組藉由3D VR虛實結合園藝治療提升自尊、自我掌控及成就動機，降低憂鬱與孤寂；對照組唯有自尊、憂鬱達顯著改善成效。
經廣義估計方程式分析，結果顯示介入後於自尊、孤寂、自我掌控及成就動機等變項均較對照組顯著進步。另透過目標效果量表反應可引發參與之社區老人會參考虛實結合園藝課程內容，有意願嘗試及持續園藝相關活動，生理量測心率變異度結果顯示，可提升副交感神經調節。
結論：3D VR 虛實結合園藝藝治療介入成效，透過主觀與客觀資料結果顯示，適合應用於社區老人，可作爲未來設計長期照護健康促進方案之參考。

Objectives：The use of technology to guide the elderly in learning and health care is a modern trend. Horticultural therapy is an effective strategy to improve physical and mental health. The study applied 3D virtual reality (VR) combined with hands-on horticultural therapy to explore the effects of community-dwelling older adults’ physical and mental Health.
Method：The study recruited 62 community-dwelling older adults from the long-term care unit C in New Taipei City. 32 and 30 participants were in the experimental and comparison groups, respectively. The participants in the experimental group participated in the 8-week intervention program of 3D VR virtual reality combined with hand-on horticultural therapy. The measurements included self-esteem, depression, loneliness, mastery and achievement motivation scale were administered before and after intervention. HRV detector as a research tool to explore the aspect of physical health. Statistical analyses used Chi-square test, t-test and Generalized estimating equation model (GEE).
Results：The participants of experimental group demonstrated significantly improvements on self-esteem, loneliness, mastery and achievement motivation compared to those of the counterparts of comparison group. The results was promising in term of increase parasympathetic nervous regulation among participants in experimental group.
Conclusion： Subjective and objective results support the 3D VR combined with hands-on horticultural therapy could effectively improve the physical and mental health of the community-dwelling elderly. The intervention program can be promoted to long-term care institutions as an effective health promotion program.

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